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伊朗卡尚沙希德·贝赫什提医院收治的轻度创伤性脑损伤患者的心理健康状况

Mental health status of patients with mild traumatic brain injury admitted to shahid beheshti hospital of kashan, iran.

作者信息

Fakharian Esmaeil, Omidi Abdollah, Shafiei Elham, Nademi Arash

机构信息

Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran.

Department of Clinical Psychology, Kashan University of Medical Sciences, Kashan, IR Iran.

出版信息

Arch Trauma Res. 2015 Mar 20;4(1):e17629. doi: 10.5812/atr.17629. eCollection 2015 Mar.

Abstract

BACKGROUND

Planning for providing mental health services to the mentally patients due to brain injury need awareness of mental health status of the patient.

OBJECTIVES

This study aimed to assess the mental health of patients with mild TBI.

PATIENTS AND METHODS

The descriptive cross-sectional study was performed on 286 patients with mild TBI who were admitted to department of neurosurgery of Shahid Beheshti Hospital, Kashan, Iran, during the first eight months of 2013. Enrolled patients were 15 to 70 years old who able to respond to questionnaires. The Brief Symptom Inventory (BSI) questionnaire is used to assess the mental health status of the patients. The data were presented using logistic regression and descriptive statistics.

RESULTS

A total of 286 patients, 79.7% males and 20.3% females with male to female ratio of 4:1, completed the study. Female had significantly higher Global Severity Index (GSI) compared to males. There was a significant association between, psychologic disorders' symptoms and age (P = 0.00). The mean (SD) of GSI on the Symptom Checklist-90 (SCL-90) was 1.39 (0.58).

CONCLUSIONS

This study showed that 36% of the patients with mild TBI symptoms had mental health problems. Given the high rates of psychologic disorders among patients with mild TBI, it is necessary to reduce the factors that caused the disorder.

摘要

背景

为脑损伤所致精神疾病患者提供心理健康服务的规划需要了解患者的心理健康状况。

目的

本研究旨在评估轻度创伤性脑损伤(TBI)患者的心理健康状况。

患者与方法

本描述性横断面研究于2013年的前八个月对286例轻度TBI患者进行,这些患者均入住伊朗卡尚市沙希德·贝赫什提医院神经外科。纳入患者年龄在15至70岁之间,能够回答问卷。使用简明症状量表(BSI)问卷评估患者的心理健康状况。数据采用逻辑回归和描述性统计进行呈现。

结果

共有286例患者完成研究,其中男性占79.7%,女性占20.3%,男女比例为4:1。女性的总体严重程度指数(GSI)显著高于男性。心理障碍症状与年龄之间存在显著关联(P = 0.00)。症状自评量表90(SCL - 90)上GSI的均值(标准差)为1.39(0.58)。

结论

本研究表明,36%的轻度TBI症状患者存在心理健康问题。鉴于轻度TBI患者中心理障碍的发生率较高,有必要减少导致该障碍的因素。

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