心理弹性与创伤性颅脑损伤后精神障碍的相关性研究

目的探讨心理弹性与创伤性颅脑损伤（TBI）后精神障碍之间的相关性。 方法选取TBI病人23例为研究对象。并与受教育程度、宗教信仰、民族类似的健康志愿者进行比较。使用Connor-Davidson心理弹性量表（CD-RISC）和汉密顿抑郁量表（HAMD），比较2组受试者量表评分的差异。对TBI组的心理弹性与GCS评分和HAMD-24量表总分行Pearson直线相关分析。 结果TBI组病人CD-RISC量表自强、乐观维度得分和总分均低于对照组（P < 0.05~P < 0.01），HAMD-24量表得分明显高于对照组（P < 0.01）。CD-RISC总分、坚韧维度、自强维度和乐观维度与GCS评分、HAMD-24量表总分均呈明显相关关系（P < 0.01）。 结论心理弹性可以作为临床TBI病人的循证护理证据，为该类病人的护理提供一定理论支持。

Study on the correlation between psychological resilience and psychogeny after traumatic brain injury

ObjectiveTo explore the correlation between psychological resilience and psychogeny after traumatic brain injury. MethodsTwenty-three patients with traumatic brain injury(TBI group) were selected, and compared with healthy volunteers with similar education, religion and ethnicity(control group).The differences of the scores of Connor-Davidson mental resilience scale(CD-RISC) and Hamilton depression rating scale(HAMD) between two groups were comapred.The correlation of psychological resilience with GCS score and total score of HAMD-24 scale in TBI group were analyzed using Pearson linear correlation analysis. ResultsThe scores of self-improvement and optimism dimensions and total score of CD-RISC in TBI group were significantly lower than those in control group(P < 0.05 to P < 0.01), and the HAMD-24 score in TBI group was significantly higher than that in control group(P < 0.01).The total score of CD-RISC, tenacity dimension score, self-improvement dimension score and optimism dimension score were significnatly correlated with the GCS score and total score of HAMD-24 scale(P < 0.01). ConclusionsPsychological resilience can be used as evidence-based nursing proof for patients with TBI, and provide some theoretical support for the clinical care of such patients.