重型颅脑损伤患者家属生活质量与社会支持的调查研究

目的 了解重型颅脑损伤患者家属生活质量与社会支持状况,为建立社区综合关怀支持模式、改善重型颅脑损伤患者家属的生活质量提供依据.方法 采用生活质量综合评定量表(GQOLI-74)及社会支持量表(SSRS)对62名重型颅脑损伤患者家属(观察组)进行测评,并与50名健康者(对照组)比较,进行相关因素分析.结果 观察组物质生活、躯体健康、心理健康和社会功能维度评分显著低于对照组(P＜0.05,P＜0.01);观察组社会支持总分及主观支持、客观支持和对支持利用度评分显著低于对照组(均P＜0.05);观察组社会支持与GQOLI-74总分及各维度呈显著正相关(P＜0.05,P＜0.01).结论 重型颅脑损伤患者家属的生活质量差,社会支持率低,医护人员应在积极抢救患者的同时,正确评估家属和社会支持系统,并加强其健康教育,最终提高照顾患者的质量.

Survey on the Correlation between Quality of Life and Social Support in the Family Members of Patients with Severe Craniocerebral Injury

Objective To explore the correlation between quality of life and social support in family members of patients with severe craniocerebral injury and provide data for programs aimed at improving life quality of the family members. Methods By using Generic Quality of Life Inventory and Social Support-rating Scales, 62 family members of patients with severe craniocerebral injury (experimental group) were evaluated and the results were compared with those 50 healthy subjects without such incident (control group). The correlation between social support and life quality was analyzed. Results The scores of the experimental group were significantly lower than those of the controls (P<0.05,P<0.01) in terms of daily life, physical and mental health and social funtion. The total score of social support, scores of subjective support, objective support, support availability of the experimental group were significantly lower than those of the controls (P<0.05 for all). Correlative analysis showed that there was a positive correlation between social support and the total score of GQOLI and all measures (P<0.01 for all). Conclusion Life quality in family members of patients with sever craniocerebral injury was poor, social support was low, and there was a correlation between both. Nurses should pay attention to the family members and the social support system of the patients in order to improve the life quality of patients.