Investigation Research Of Mental Status And Respondance Of Families Of Critical Ill Patients In Neurosurgery Department

Psychological state of mental status is at a time of the psychological level. For example, one is positive or pessimism, tension、excitement or easily calm, etc. With the development of the nursing mode, nurses not only take care of physical health but also pay more and more attention to mental health. For families, the patient’s serious condition is a great mental pressure source, but we always ignore the mental health of them. Critical ill patients in neurosurgery department deteriorate in a flash, the victim families are often in a desperate state, producing such feelings of anxiety and fear. For the patients, the family is the protector and supporter, the interests of the spokesman. Their emotions and behavior are always influenced on the patients in the hospital during the process of adjustment and their way to adapt will affect the progress of the patient’s condition. Therefore, fully understanding of the mentality and timely intervention are very important to the families and patients, to help them recovery and keep mental and physical health. This is not only in modern nursing of the concept of a way, but also to physical and psychological and social model for modern medicine. It’s a meaningful job for our nurses. Objective:Research purposes: By using self-rating anxiety scale (SAS), and self-rating depression scale (SDS) to measure the mental status of family members or the spouse of critical ill patients in neurosurgery department, we want to find out the family’s mentality; And analysis of different age, gender and educational level, the expenses for the families of the psychological state of differences, to provide individualized and deal with the care provided on the questionnaire. We also prepare some questions in the questionnaire, involves psychological needs and coping way of family members for preliminary understanding and future research to provide some reference. Our purpose is to understand the mental status of family members of critical ill patients and their coping way of crisis situation through research. So the research can provide basis of prevention and clinical treatment.Method:Method of this research: we randomly select150family members, including spouse, or parents and children of the critical ill patients in neurosurgery department from January2005to December2007in neurosurgery department in our hospital. Critical ill patients include a heavy bram damage (Glasgow coma mark≤eight), intracranial aneurysins wihtsubarchmoid hemornhage Hent-Hess grade Ⅳ-Ⅴ grade hypertensive intracerebral hemonhage grading the state of consciousness grade Ⅲ-Ⅳ patients. In this questionnaire survey, we use self-rating anxiety scale (SAS), and self-rating depression scale (SDS) to measure the mental status of family members. After collecting data we use SPSS13.0package for statistical analysis and to find out their mentality, then discuss the different factors that influence the difference between the statistics. Result:The survey revealed:Compared with Chinese adult norm, average values of SAS and SDS in our study obviously exceeds. s big sample testing u, there are significant gender difference (p<0.01). In our survey, there are70men and80female relatives and there are significant gender difference in SAS and SDS through t testing. Female is more anxiety than male, but male is more depression than female. In age,18～49, and50or more families have no significant gender difference. Different cost categories, the role of family members of critically ill patients with SAS, SDS evaluation assessed the results of the line F-test results, payment of medical expenses of family members of patients between different types of anxiety and depression symptoms were significantly different. Among them, family members of patients at their own expense have more anxiety and depression symptoms than Medicare family members of patients at public expense, and between health insurance and family members of patients at public expense in SAS and SDS, assessed value was no significant difference. In the role, the spouse, parents, children were no significant differences. Families of mental and physical SAS and SDS evaluation results were significant differences. The results of this study and the study interview and domestic research results are basically the same, indicating that their loved ones in critical condition in hospital, their families take active measures, such as the face, optimism, etc., and the positive response measures to address the problem effectively, but less efficient.Conclusion:1. Family members have a high level of depression, anxiety, or in bad condition in neurosurgery department2. Women and the manual laborer have the symptoms of anxiety more obviously than male and brain-workers, but male and brain-worker suffer more depression than women and the manual laborers.3. When patients admitted to hospital, the family members take more positive response measures, such as face, and so on, and take the positive response measures to solve the problem, but there is inefficient.4. As a nurse, we should know their coping ability and the coping way, take an effective nursing, as far as possible to satisfy their needs, help the family deal with the crisis and make a good decision and maintain the family, promote the patient recovered.