重度颅脑外伤患者不同亲属关系照顾者心理需求的差异性分析

摘要

目的：了解重度颅脑外伤患者照顾者的心理需求,对不同亲属关系照顾者的心理需求进行差异性分析。方法采用整群分层抽样方法抽取上海市4家医院神经外科重症监护病房患者家属391名,应用重危患者家属需求量表进行问卷调查,了解重度颅脑外伤患者照顾者心理需求。结果391名照顾者需求总分为(136.63±18.56)分,处于中等偏上水平；不同亲属关系照顾者对获取信息因子、被接纳因子和病情获得保证因子需求得分比较差异具有统计学意义( F值分别为5.103,5.032,7.811；P<0.01)。结论重度颅脑外伤患者不同亲属关系照顾者存在较高的心理需求,医护人员应了解照顾者的心理需求差异,给予针对性的心理护理,减轻其心理应激,防止出现心理问题。%Objective To investigate the psychological demands of caregivers who take care of severe craniocerebral trauma patients, and to analyze different psychological needs of caregivers in different relation, such as parents, spouses, children, brothers and sisters. Methods We used the Critical Care Family Needs Inventory to investigate 391 relatives of patients in neurosurgical intensive care unit in four hospitals by stratified sampling, in order to understand the psychological demands of people who take care of severe craniocerebral trauma patients. Results The total demand score of 391 caregivers was (136. 63 ± 18. 56),which was at the moderate level. There was significant different demand of different relative caregivers in information factor, proximity factor and assurance factor (F=5. 103, 5. 032, 7. 811, respectively;P<0. 01). Conclusions The psychological demands of caregivers who take care of severe craniocerebral trauma patients had relative high psychological needs. The clinic staffs should pay attention to the difference of demand, and give them psychological care to reduce their psychological stress and prevent mental problems.