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目的 通过问卷凋查,了解脑震荡患者恢复期(伤后1个月)的心理状况。方法 应用SCL-90自评量表,对已经确诊的,受伤时间1～2.7个月(平均1.18个月),智力正常,年龄在18岁以上的不同性别及不同文化程度的脑震荡患者进行问卷调查,并与SCL-90正常标准进行比较。结果 SCL-90问卷结果为312～66分,平均(153.80±50.33)分,阳性项目为(28.08±12.33)分。在所有测评项目中,阳性率较高的有10个症状,即头痛、自觉精力下降、头昏或摔倒、自觉脑子有问题、睡觉不深不稳、恶心或胃部不适、自觉身体有严重问题、害怕空旷场所或街道、感到苦闷和对事物不感兴趣。而不同性别及所受教育程度不同者之间,心理障碍的内容亦有所不同,差异均有显著性意义(均P<0.05)。结论 脑震荡尽管伤情不重,但在部分患者中仍可于一定时期内存在不良心理反应。应重视对这部分患者的各种治疗措施,以免症状迁延。
Objective To investigate the psychological condition of convalescent convalescent patients (one month after injury) by questionnaire investigation. Methods The SCL-90 self-rating scale was used to conduct a questionnaire on congenital congenital heart disease patients who were diagnosed and whose duration of injury ranged from 1 to 2.7 months (mean, 1.18 months), mental retardation, age 18 and older, with different gender and education level Survey, and compared with the normal SCL-90 standards. Results The results of SCL-90 questionnaire were 312 to 66, with an average of (153.80 ± 50.33) points and positive items of (28.08 ± 12.33) points. In all the evaluation items, the positive rate of higher 10 symptoms, namely, headache, decreased conscious effort, dizziness or falls, conscious brain problems, sleep is not deep instability, nausea or stomach upset, conscious body serious Problems, fear of open spaces or streets, feeling depressed and not interested in things. However, the content of psychological disorders varied with different genders and educational level, with significant differences (all P <0.05). Conclusion Although concussion is not serious, some patients may still have adverse psychological reactions within a certain period of time. Should pay attention to this part of the patient’s various treatment measures to avoid symptoms persist.