燒傷后患者抑郁狀況與應(yīng)對(duì)方式及社會(huì)支持關(guān)系的臨床分析

摘要： 目的探討燒傷后患者抑郁與應(yīng)對(duì)方式及社會(huì)支持的關(guān)系。方法采用醫(yī)學(xué)應(yīng)對(duì)問卷(MCMQ)和社會(huì)支持評(píng)定量表(SSRS)對(duì)68例燒傷后抑郁患者和60例燒傷后無抑郁患者進(jìn)行對(duì)照測(cè)評(píng)。結(jié)果面對(duì)因子分為抑郁組17.26±6.37,非抑郁組20.69±5.33,抑郁組顯著低于非抑郁組(P=0.0009);回避因子分為抑郁組14.57±2.87,非抑郁組13.96±2.45,兩組無顯著性差異(P=0.1946);屈服因子分為抑郁組10.79±1.83,非抑郁組8.47±2.14,抑郁組顯著高于非抑郁組(P=0.0000)。社會(huì)支持總分:抑郁組33.31±5.42,非抑郁組39.41±5.57,抑郁組顯著低于非抑郁組(P=0.0000);客觀支持分:抑郁組6.97±2.61,非抑郁組7.18±2.37,兩組無顯著性差異(P=0.6333);主觀支持分:抑郁組21.10±3.21,非抑郁組23.13±3.66,抑郁組顯著低于非抑郁組(P=0.0009);支持利用度因子分:抑郁組5.78±2.08,非抑郁組7.92±1.84,抑郁組顯著低于非抑郁組(P=0.0000)。結(jié)論采取消極的應(yīng)對(duì)方式及社會(huì)支持利用度不足是造成燒傷后抑郁發(fā)生的原因之一。
Objective To explore the relationship between burn patients' extent of depression and coping style and social support.Methods Medical Coding Mode Questionnaire(MCMQ) and Social Supporting Evaluation Scale (SSRS) were used to conduct a control assessment among 68 patients with depression and 60 patients without depression after a burn injury.Results For the depression group and the non-depression group,scores in facing-up factor are 17.26±6.37 and 20.69±5.33 respectively with the former being obviously lower than that of the latter(P = 0.0009);avoidance scores are 14.57±2.87 and 13.96±2.45 respectively with no significant difference between the two groups(P =0.1946); yielding factor scores are 10.79±1.83 and 8.47±2.14 respectively with the former being significantly higher than that of the latter(P =0.0000);the total social support scores are 33.31±5.42 and 39.41±5.57 respectively,with the former being significantly lower than the latter(P =0.0000);objective support scores are 6.97±2.61 and 7.18±2.37 respectively without obvious difference(P = 0.63333);subjective support scores are 21.10+3.21 and 23.13±3.66 respectively with the former being lower than the latter(P =0.0009);support accessibility scores are 5.78±2.08 and 7.92±1.84 respectively with the former being lower than the latter(P = 0.0000).Conclusion Passive coping style and insufficient ac- cessibility to social support contribute to depression after a burn injury.