| Objective:Through the investigation of traumatic brain injury in patients with anxiety and depression status and quality of life,to understand the occurrence of anxiety and depression,and to explore the factors affecting the quality of life of patients with anxiety,depression and related,and puts forward the corresponding countermeasures and suggestions,in order to reduce the negative mood of patients,improve the quality of life of patients,improve nursing quality and promote the rehabilitation of patients to provide data support and practical basis.Methods:Using the self rating Anxiety Scale(SAS),self rating Depression Scale(SDS),a 36 item health questionnaire(SF-36)survey tool,select the Department of neurosurgery TBI patients as the research object in hospital in July 2016 ~ May 2017.The status of anxiety,depression and quality of life were evaluated by the corresponding scale scores for all the patients included in the study.Among them,the general data of patients including: general demographic characteristics of the patients,the clinical characteristics of patients,patient satisfaction with nursing measures,nursing staff's basic characteristics.SPSS 20 statistical software was used to establish the database and statistical analysis.Normal distribution data showed in ? ±S,comparison between the two groups using independent samples t test,comparison between multiple sets using the single factor analysis of variance.Non-normal distribution data showed in M(Q),comparison between the groups using rank-sum test.The incidence of anxiety and depression was tested by chi square test.Spearman rank correlation was used to investigate the relationship between anxiety,depression and quality of life in three subjects.Logistic two factor regression was used to analyze the influencing factors.The difference was statistically significant with P<0.05.Results:1.The survey of 136 TBI patients,average scores for anxiety(49.08±13.42),which was higher than that of the norm in China(33.80 ± 5.90),58 patients with anxiety,accounted for 42.6%;the average score of depression was(52.71±11.72),which was higher than that of the norm in China(41.88±10.57),64 patients had depression,accounting for 47.1%;the quality of life of the original average score was 90.90(78.35,115.34).Through the Spearman rank correlation,all the coefficients were statistically significant that explain the anxiety score and the depression score were positively correlated,and anxiety and depression scores were negatively correlated with the original quality of life score.There was a positive correlation between anxiety score and depression score by Spearman rank correlation.Anxiety and depression scores were negatively correlated with the original score of quality of life.2.In the basic demographic characteristics of patients,there were no statistically significant differences in anxiety and depression among TBI inpatients of different age,sex,nationality,place of residence,marital status and occupation(P>0.05);There are statistically significant differences in patients with different degree of depression scores(F=2.823,P<0.05);the different economic conditions in patients with anxiety score and depression score had statistically significant difference(F=3.133,3.174,P<0.05).Surgery in patients with clinical features,whether or not,whether to have surgery,whether different types of TBI and zone of injury,and disability in patients on anxiety,depression score difference had statistical significance(t = 6.415,F = 32.819,7.243,36.789,t = 5.934,P < 0.05;T = 7.331,F= 46.687,6.463,47.831,t= 6.052,P< 0.05).In terms of nursing satisfaction,for skin care,respiratory care,suit the overall nursing,rehabilitation nursing,psychological nursing and nursing satisfaction on different TBI in hospitalized patients with anxiety and depression scores on the difference was statistically significant(F = 84.277,71.525,64.407,70.799,38.829,70.799,P < 0.05;F= 66.280,57.595,36.205,31.137,15.942,P< 0.05).In terms of the basic condition of the attendants,the age different,patient relationship,the average daily escort time of hospitalized patients with TBI in anxiety,depression score difference was statistically significant(F = 7.590,6.197,P < 0.05;F= 6.558,8.849,P< 0.05;F= 3.233,2.865,P< 0.05);TBI inpatients of different occupational nursing staff had statistically significant differences in anxiety scores(F = 3.094,P< 0.05).3.In terms of basic demographic characteristics of patients in quality of life,significant gender differences in the patients with HT dimension scores(Z=2.136,P<0.05);There was statistical significance with the occupation and economic status in the RP patients one dimension scores(F=10.797?9.679,P<0.05).Whether in patients with clinical characteristics,surgical patients,lesion is different,whether disability in physiological function,physiological function,body pain,general health,energy,social function,emotional function,mental health score on the dimension of the eight difference was statistically significant(Z = 5.019,2.817,5.267,5.822,5.185,5.151,4.127,t = 4.934,P < 0.05;F= 39.141,Z = 18.090,F= 33.033,22.553,16.421,12.884,Z = 23.678,F= 13.182,P< 0.05;Z =-5.019,-2.817,F= 6.567,9.772,22.813,7.500,Z =-4.127,F= 14.215,P< 0.05);TBI at different levels,different types of TBI patients on the quality of life scores of each dimension differences were statistically significant(F = 35.168,Z = 35.168,F = 30.753,Z = 42.821,F = 23.614,17.365,Z = 27.247,25.652,F = 4.667,P < 0.05;F= 9.385,Z = 12.469,F= 3.480,4.079,2.981,3.898,Z = 19.629,F= 4.306,Z = 19.640,P< 0.05).In nursing sat isfaction,there was statistical significance of skin nursing,respiratory tract nursing and symptomatic nursing,rehabilitation nursing,psychological nursing and nursing satisfaction for patients in the PF,BP,GH,VT,SF,RE,MH were statistically significant in the seven dimension scores difference(P<0.05);In the basic situation of nursing staff,nursing of patients in different age of PF,RP,BP,GH,VT,SF,MH were statistically significant difference of the seven dimensions(F=7.183?9.656?4.206?8.023?8.012?7.318?5.015,P<0.05);Patients with different occupations in the two dimensions of PF and BP scores,the difference was statistically significant Meaning(F=3.263,Z=9.749,P<0.05);There were statistically significant differences in the two dimensions of RP,RE,and whether the participants were trained or not(Z=4.117,t=4.387,P<0.05);There were statistically significant differences in the eight dimensions of PF,RP,BP,GH,VT,SF,RE and MH among the patients with different duration of stay(F=8.139,Z=10.632,F=5.477?4.951,Z=13.990,F=5.173,Z=12.075,F=2.733,Z=4.796,P<0.05);The scores of the five dimensions of PF,RP,GH,VT and RE were statistically significant(F=2.592,Z=16.082,F=3.273?3.315,Z=11.904,P<0.05).4.The incidence of traumatic brain injury in hospitalized patients with anxiety and depression,the clinical characteristics of patients,surgery,TBI degree,TBI species,clinical features,types of injury or disability in hospitalized patients with TBI anxiety and depression incidence was statistically significant difference(P<0.05);The nursing satisfaction,satisfaction of nursing measures for skin care,respiratory care,symptomatic nursing,rehabilitation nursing,psychological nursing,nursing satisfaction in patients with anxiety and depression,there was a significant difference(P<0.05).The Logistic regression showed that TBI patients with anxiety and surgery,TBI degree,symptomatic nursing,rehabilitation nursing,psychological nursing,nursing satisfaction degree(P<0.05),depression and the degree of TBI,symptomatic nursing,psychological nursing,daily nursing time related(P<0.05).Conclusions:1.The average scores of anxiety and depression in 136 TBI inpatients in this study were higher than those in China.2.The scores of anxiety and depression were inversely related to the quality of life score.The higher the anxiety and depression scores,the worse the quality of life.3.Surgery or not,TBI degree,symptomatic nursing,rehabilitation nursing,psychological nursing,and nursing satisfaction degree are related to the occurrence of anxiety in TBI hospitalized patients,among them,surgery is a protective factor.TBI degree,symptomatic nursing,psychological nursing,daily nursing time were the main influencing factors of depression in TBI hospitalized patients. |
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