| ObjectivesInvestigate the present situation and explore the influencing factors about anxiety,depression,coping style and quality of life of severe traumatic brain injury patients' family caregiver during hospitalization.MethodsThis research adopts the cross-sectional study design,through the convenience sampling method,from September 2016 to December in the Department of Neurosurgery of Tianjin First Central Hospital of severe craniocerebral injury patients' family caregivers were investigated with questionnaire.The questionnaire included general information questionnaire of patients and patients' family caregivers,self rating depression scale,self rating anxiety scale,simplified coping style questionnaire,health status questionnaire(SF-36).The data were analyzed by using SPSS19.0 statistics software.Count data was described by using frequency and constituent ratio,the measurement data using standard deviation to describe.The two samples were compared with t test,multiple samples were compared with F test,factors that may affect anxiety and depression of family caregivers,coping style and the quality of life was analyzed by single factor analysis and multiple linear regression analysis was used to analyze the influencing factors of quality of life.Bivariate normal distribution data was tested by Pearson correlation.The grade data were tested by Spearman correlation.The normality of data were tested by Kolmogorov-Smirnov test.The difference was statistically significant as P < 0.05.ResultsThe survey issued a total of 198 questionnaires,in the case of emotional instability due to family members and family members anxious to take care of patients and other reasons to refuse to fill in or continue to fill in the questionnaire,the actual recovery of valid questionnaires of 182,the recovery rate was 91.9%.1 SAS and SDS scores of family caregivers of patients with severe traumaticbrain injury(later referred to as "family caregivers)were lower than the domestic norm,and compared with domestic norm the difference was statistically significant(P<0.05).Positive coping style of Family caregivers score was lower than the domestic norm,negative coping style score was higher than domestic norm,compared with domestic norm the difference was statistically significant(P<0.05).SF-36 eight dimensions scores of family caregivers were lower than the domestic norm,compared with domestic norm,in addition to the general state of health,the remaining seven dimensions difference was statistically significant(P<0.05).2 By t test and single factor variance analysis,the influence factors of anxiety are age,culture level,occupation,marital status,relationship with patients,the frequency of the care of patients(P<0.05).Through correlation analysis,age and SAS were significantly positive correlation(P<0.05),The older,the higher the SAS scores and anxiety,the more obvious.Cultural degree and SAS were significantly negative correlation(P<0.05),the higher the level of education,the lower the SAS score,the greater the anxiety is not obvious.Relations with patients and SAS were significantly negative correlation(P<0.05),SAS scores with the spouse,parents,children,brothers and sisters in the order is reduced,anxiety is more and more is not obvious.Take care of the patient's frequency and SAS were significantly positive correlation(P<0.05),the higher the frequency of the care of patients,the higher the SAS score,the more anxiety is obvious.By t test and single factor variance analysis,the influencing factors of depression are age,culture level,occupation,family per capita income,relationship with patients,the frequency of the care of patients(P<0.05).Through correlation analysis,age and SDS were significantly positive correlation(P<0.05),the older you get,the higher the scores of SDS,the more serious the depressed mood.Cultural degree and SDS were significantly negative correlation(P<0.05),the higher the level of education,SDS score is lower,the lighter the depression.Family per capita income and SDS were significantly negative correlation(P<0.05),the higher the family per capita income,SDS score is lower,the lighter the depression Take care of the patient's frequency and SDS were significantly positive correlation(P<0.05),the higher the frequency of the care of patients,the higher the scores of SDS,the more serious the depressed mood.By t test and single factor varianceanalysis,the influencing factors of family caregivers negative coping styles for the occupation,relationship with patients(P<0.05).By multivariate linear regression analysis,the influencing factors of family caregivers quality of life for family caregivers of depression,negative coping styles and incontinence of patient(P<0.05).Conclusions1 Family caregivers of severe traumatic brain injury patients have different degrees of anxiety and depression.Family caregivers in the face of severe traumatic brain injury patients to take care of the critically ill patients,most of the family caregivers take negative coping styles,fewer family caregivers take positive coping styles.Severe traumatic brain injury patients family caregiver's quality of life is lower than the normal population in China.2 The influence factors of anxiety of family caregivers are age,culture level,occupation,marital status,relationship with patients,the frequency of taking care of patients.The influence factors of depression of family caregivers are age,culture level,occupation,family per capita income,relationship with patients and the frequency of taking care of patients.The influence factors of coping styles of family caregivers are career,relationship with patients.The influence factors of the quality of life of family caregivers are for family caregivers of depression,negative coping styles,and incontinence patients. |
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