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目的:探讨急诊危重患者家属应对方式对患者焦虑情绪的影响,评价二者间的关系。方法:回顾性分析2013年4月-2014年4月义乌市中心医院急诊科收治的120例危重症患者及家属临床资料(研究组),同期选取100例一般住院患者及家属作为对照组,应用应对方式量表评估患者家属的应对方式差异。分析患者家属应对方式选择对患者焦虑情绪的影响。结果:研究组患者和家属SAS评分明显高于国内常模(t=7.43,P<0.05)。研究组患者和家属SAS评分也明显高于对照组(P<0.05),而对照组与常模水平比较差异无统计学意义(P>0.05)。无社会保障、月收入<2 000元家庭的家属消极应对得分偏高,对比差异有统计学意义(P<0.05)。结论:教育程度、经济状况等是引起患者家属产生消极应对方式的重要原因,家属消极应对会引起和加重患者焦虑情绪,影响治疗及效果。
OBJECTIVE: To investigate the effect of coping style of family members in critically ill emergency patients on anxiety and to evaluate the relationship between them. Methods: The clinical data (study group) of 120 critically ill patients and their families admitted in emergency department of Yiwu Central Hospital from April 2013 to April 2014 were retrospectively analyzed. 100 inpatients and their relatives were selected as the control group during the same period. Coping style scale assessment of the patient’s coping style differences. Analysis of the impact of family members coping style selection on patients’ anxiety. Results: SAS scores of study group and family member were significantly higher than those of domestic norm (t = 7.43, P <0.05). SAS scores in study group and relatives were also significantly higher than those in control group (P <0.05), but there was no significant difference between control group and norm (P> 0.05). No social security, monthly income <2 000 family members of the family negative response to high scores, the difference was statistically significant (P <0.05). Conclusion: The level of education and economic status are the important reasons for negative coping styles of family members. Negative coping of family members will cause and aggravate the anxiety of patients and affect the treatment and effect.