Kanmani T R, Raju Birudu
Department of Psychiatric Social Work, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
J Neurosci Rural Pract. 2019 Jan-Mar;10(1):54-59. doi: 10.4103/jnrp.jnrp_129_18.
Traumatic brain injury (TBI) will be the third largest killer by the year 2020 in the world. It creates the great amount of morbidity, disability, mortality, and reduces the psychosocial well-being of the patients and their caregivers. Hence, the current paper aimed to explore the psychosocial distress and caregivers' concerns in emergency and trauma care (ETC) setting.
This study adopted qualitative research design. All caregivers of TBI survivors were considered as a universe of the study. A total of 50 caregivers were recruited, and the predesigned questionnaire was administered. Depression, anxiety, stress scale was used to identify the caregivers' depression, stress, and anxiety. The simple thematic analysis was used to derive the themes from the verbatim data. Data were analyzed using SPSS version 21.0 (SPSS South Asia Pvt. Ltd, Bengaluru, Karnataka, India).
In the quantitative analysis, caregivers' mean age was found to be 45 (mean = 45.00 ± 13.83) years. Caregivers had experienced mild depression (13.36 ± 3.07), moderate anxiety (13.70 ± 3.03), and minimum stress (13.66 ± 2.98) levels. Qualitative results identified the following themes: difficulty in accessing timely care, uncertainty about the prognosis and future, family concerns and financial constraints, personal feelings and personal needs, and supportive care. Chi-square test revealed that there was no significant association between gender and depression (χ = 2.381 < 0.12), anxiety (χ = 0.01 < 0.92), and stress (χ = 0.235 < 0.61) levels of caregivers.
To accomplish, providing psychosocial care in ETC setting, the role of psychiatric social workers is pivotal.
到2020年，创伤性脑损伤（TBI）将成为全球第三大杀手。它造成了大量的发病、残疾和死亡，并降低了患者及其护理人员的心理社会幸福感。因此，本文旨在探讨急诊与创伤护理（ETC）环境中的心理社会困扰及护理人员的担忧。
本研究采用定性研究设计。所有TBI幸存者的护理人员被视为研究总体。共招募了50名护理人员，并发放了预先设计的问卷。使用抑郁、焦虑、压力量表来识别护理人员的抑郁、压力和焦虑情况。采用简单的主题分析法从逐字记录的数据中提炼主题。数据使用SPSS 21.0版本（SPSS南亚私人有限公司，印度卡纳塔克邦班加罗尔）进行分析。
在定量分析中，护理人员的平均年龄为45岁（均值 = 45.00 ± 13.83）。护理人员经历了轻度抑郁（13.36 ± 3.07）、中度焦虑（13.70 ± 3.03）和最低压力水平（13.66 ± 2.98）。定性结果确定了以下主题：难以获得及时护理、预后和未来的不确定性、家庭担忧和经济限制、个人感受和个人需求以及支持性护理。卡方检验显示，护理人员的性别与抑郁（χ = 2.381 < 0.12）、焦虑（χ = 0.01 < 0.92）和压力（χ = 0.235 < 0.61）水平之间无显著关联。
为了在ETC环境中提供心理社会护理，精神科社会工作者的作用至关重要。
