Norup Anne, Siert Lars, Lykke Mortensen Erik
Department of Neurorehabilitation, Traumatic Brain Injury Unit, Copenhagen University Hospital, Glostrup, Denmark.
Brain Inj. 2010 Feb;24(2):81-8. doi: 10.3109/02699050903508200.
To investigate emotional distress and quality of life in a sample of Danish relatives of patients with severe brain injury at admission to intensive rehabilitation in the sub-acute phase.
Clinical convenience sample.
Participants included 31 primary relatives of patients with severe brain injury. The participants were recruited at admission to Traumatic Brain Injury Unit, Copenhagen University Hospital, Glostrup. All relatives completed the depression and anxiety scales from SCL-90-R (Symptom Checklist) and the Role Emotional, Social Function, Mental Health and Vitality scale of the SF-36 approximately 36 days after injury. Data concerning severity of injury, the patients' level of consciousness and function was also collected.
The participants had significantly lower scores on all quality of life scales (p < 0.01) and significantly more symptoms of anxiety (p < 0.01) and depression (p < 0.01) than normal reference populations. Correlations were found between the patients' condition and the level of anxiety and depression in relatives.
The majority of relatives had severely impaired quality of life and symptoms of anxiety and depression at the time of admission. Future research should focus on developing and evaluating interventions in the acute phase.
调查丹麦重症脑损伤患者亲属在亚急性期进入强化康复治疗时的情绪困扰和生活质量。
临床便利样本。
参与者包括31名重症脑损伤患者的主要亲属。这些参与者是在哥本哈根大学医院格罗斯特鲁普创伤性脑损伤科入院时招募的。所有亲属在受伤约36天后完成了SCL - 90 - R（症状清单）中的抑郁和焦虑量表以及SF - 36中的角色情绪、社会功能、心理健康和活力量表。还收集了有关损伤严重程度、患者意识水平和功能的数据。
与正常参照人群相比，参与者在所有生活质量量表上的得分显著更低（p < 0.01），焦虑症状（p < 0.01）和抑郁症状（p < 0.01）显著更多。发现患者的病情与亲属的焦虑和抑郁水平之间存在相关性。
大多数亲属在入院时生活质量严重受损，并有焦虑和抑郁症状。未来的研究应侧重于在急性期开发和评估干预措施。
