《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (08): 679-681.

• 专题 脑损伤及其并发症 • 上一篇    下一篇

脑卒中患者家属心理健康水平及其影响因素

冯洪; 谢家兴; 李秋红; 张红云; 邱红   

  1. 北京博爱医院神经康复科,北京市 100068
  • 收稿日期:2005-12-07 出版日期:2006-08-01 发布日期:2006-08-01

Mental Health Related Factors of Family Members of Stroke Patients

FENG Hong, XIE Jia-xing, LI Qiu-hong, et al   

  1. Beijing Charity Hospital, Beijing 100068, China
  • Received:2005-12-07 Published:2006-08-01 Online:2006-08-01

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摘要： 目的探讨脑卒中患者家属的心理健康水平及其影响因素。方法对34名脑卒中患者家属应用症状自评量表测量其心理健康水平,并与国内常模比较,对高于常模的因子分进行相关因素分析。结果脑卒中患者家属症状自评量表中躯体化、抑郁、焦虑、恐怖4个因子分均高于常模(P<0.05～0.01);躯体化因子分与学历相关,抑郁因子分与家庭经济收入相关,焦虑因子分与患者的认知障碍相关。与患者日常生活活动能力(ADL)的相关分析显示,家属的躯体化因子分与患者目前的ADL总分、卫生、进食、排便、移动、入浴动作分数呈负相关;抑郁因子分与进食、排便动作呈负相关;恐怖因子分与个人卫生、进食、排便、交流、移动、入浴及总分呈负相关(P<0.05～0.01)。结论脑卒中患者家属的心理健康水平较低,且受家庭经济收入减少、患者认知障碍,特别是患者ADL的影响。

关键词: 脑卒中, 家属, 心理健康, 日常生活活动

Abstract: ObjectiveTo explore the mental health level of family members of stroke patient and related factors.Methods34 stroke patients' family members were tested with the Symptom Checklist-90(SCL-90), and compared with norms; SCL-90 factor scores, which were higher than that of norms, were analyzed for related factors.ResultsScores of 4 factors in the SCL-90 (somatization, depression, anxiety and phobia) were higher than norms in the family members of stroke patients. Scores of somatization factor correlated with the education background; depression factor correlated with the family income variable; anxiety factor correlated with the cognitive impairment variable of patients. In the correlation analysis with patient's activities of daily living (ADL) scores, somatization factor negatively correlated with total score of ADL and hygiene, feeding, bowel management, locomotion, bathing scores; both depression factor scores and positive item numbers negatively correlated with feeding and bowel management scores; phobia anxiety factor scores with hygiene, feeding, bowel management, communication, locomotion, bathing and total scores.ConclusionThe mental health level of family members of stroke patient is lower, and it is related to family income reduction, patient's cognitive impairment, and especially with the patient\s ADL level.

Key words: stroke, family members, mental health, activities of daily living(ADL)