意外伤害病人的情绪障碍调查及其护理对策

目的探讨意外伤害病人的焦虑、抑郁情绪,为临床护理提供依据.方法应用焦虑自评量表(SAS)、抑郁自评量表(SDS)、应对方式问卷对85例意外伤害病人(观察组)和120例非意外伤害病人(对照组)进行调查.结果观察组病人SAS、SDS均分及焦虑、抑郁症状发生率显著高于对照组(均P＜0.01);积极应对均分显著低于对照组(P＜0.01),消极应对均分显著高于对照组(P＜0.01).结论意外伤害病人存在明显的焦虑和抑郁情绪;应对方式多为消极应对,积极应对不足.应全面评估病人情况、加强健康教育、早期进行心理干预及药物治疗,以缓解意外伤害病人负性情绪,防止消极行为发生.

Investigation on the Anxiety and Depression of the Patients with Unintentional Injury and Countermeasures

Objective To investigate the anxiety and depression of patients with unintentional injury and provide basis for clinical nursing.Methods Eighty-five patients with unintentional injury (observation group) and 120 patients without unintentional injuries (control group) were surveyed by using questionnaire of self-rating anxiety scale (SAS) and self-rating depression scale (SDS).Results The average scores of SAS and SDS and the incidence of anxiety and depression of the observation group were significantly higher than those in the control group. There were significantly differences in the average scores of active coping and inactive coping between the two groups ( P<0.01 for both).Conclusion Obvious anxiety and depression were found in the patients with unintentional injury. Passive coping was the main way of response. It is imperative to fully evaluate the status of patients with unintentional injury and enhance the health education of the patients. The psychological intervention and some drug treatment should be initiated as early as possible in order to prevent passive action.