Norup Anne, Welling Karen-Lise, Qvist Jesper, Siert Lars, Mortensen Erik L
Department of Neurorehabilitation, Traumatic Brain Injury Unit, Copenhagen University Hospital, Glostrup, Denmark.
Brain Inj. 2012;26(10):1192-200. doi: 10.3109/02699052.2012.672790. Epub 2012 May 30.
To investigate the emotional well-being of relatives of patients with a severe brain injury in the acute setting, as well as risk factors associated with high anxiety and depression scores and impaired quality-of-life.
Clinical convenience sample.
Participants included 45 relatives of patients with severe brain injury recruited at a NICU. All relatives completed selected scales from the SCL-90-R and SF-36 ∼ 14 days after injury. Data concerning the condition of the patient were also collected.
Of the relatives, 51% and 69% reported anxiety and depression, respectively, as well as significantly impaired quality-of-life compared to normal reference populations. Regression analysis revealed that up to 20% of the variance in depression and anxiety scores could be explained by the CRASH 2 Mortality prediction.
The majority of the relatives had severely impaired quality-of-life and symptoms of anxiety and depression during the patient's NICU stay. Future research is required to explore stressors and evaluate effects of psychological intervention in the acute setting.
调查急性重症脑损伤患者亲属的情绪健康状况，以及与高焦虑和抑郁评分及生活质量受损相关的危险因素。
临床便利样本。
参与者包括在新生儿重症监护病房（NICU）招募的45名重症脑损伤患者的亲属。所有亲属在受伤后约14天完成了症状自评量表（SCL-90-R）和健康调查简表（SF-36）的部分量表。还收集了有关患者病情的数据。
亲属中分别有51%和69%报告有焦虑和抑郁，与正常参考人群相比，生活质量也显著受损。回归分析显示，抑郁和焦虑评分中高达20%的变异可由CRASH 2死亡率预测来解释。
在患者入住NICU期间，大多数亲属的生活质量严重受损，并有焦虑和抑郁症状。未来需要开展研究以探索应激源，并评估急性环境中心理干预的效果。
