车祸致颅脑损伤患者家属心理健康状况与社会支持相关性研究

目的 了解车祸致颅脑损伤患者家属的心理健康状况和社会支持状况，探讨其相关性。方法 采用自编一般资料调查表、症状自评量表（SCL - 90）和社会支持量表（SSRS），对225名到精神专科医院就诊的车祸致颅脑损伤患者家属进行问卷调查。结果 车祸致颅脑损伤患家属的SCL - 90总分为（178.45±82.56）分, SCL - 90总分、阳性项目数和9个因子分均显著高于肿瘤患者家属和全国常模(P＜0.05)。社会支持总分为（38.52±8.23）分，社会支持水平与家属的心理健康状况呈显著的负相关（r = - 0.416, P＜0.05）。多元线性回归分析显示，社会支持总分可以负向预测家属的心理健康状况（β = - 0.399，P＜0.05）。结论 车祸致颅脑损伤患者家属的心理问题发生率较高，应从个人、家庭和社会层面为家属提供社会支持资源。

Correlation between mental health and social support among family members of patients with traumatic brain caused by traffic accident

To understand the mental health status and social support for the family members of patients with traumatic brain caused by traffic accident and explore their correlation. Methods A total of 225 family members of patients with traumatic brain caused by traffic accident were investigated with a self-designed questionnaire, the symptom checklist 90 (SCL-90) and the Social Support Rating Scale (SSRS). Results The average total scores were (178.45±82.56) for the SCL90, and the total score of SCL-90, the number of positive items, and the 9 scores of factors were significantly higher than those in the family members of tumor patients and the national norm (P<0.05). The average total scores were (38.52±8.23) points for SSRS, and the SCL -90 total score had a negative correlation with the total score of social support of family members (r=-0.416, P<0.05). Multiple linear regression analysis showed that the total score of social support could negatively predict the mental health status of family members (β=-0.399, P<0.05). Conclusion The incidence of psychological problems in family members of patients with traumatic brain caused by traffic accident is high, therefore social support from individual, household, and societal level should be offered for these family members.