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烧伤后患者抑郁状况与应对方式及社会支持关系的临床分析
Clinical Analysis of the Relationship between Burn Patients' Extent of Depression and Coping Style and Social Support

王丽.烧伤后患者抑郁状况与应对方式及社会支持关系的临床分析[J].中国烧伤创疡杂志,2012,24(1):34~36.

DOI：10.3969/j.issn.1001-0726.[year].[issue].[sequence]

英文关键词:Burn injury Depression Coping style Social support

基金项目:

作者	单位
王丽	010017 内蒙古呼和浩特，内蒙古自治区人民医院烧伤整形科

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中文摘要:

目的　探讨烧伤后患者抑郁与应对方式及社会支持的关系。方法　采用医学应对问卷（ＭＣＭＱ）和社会支持评定量表（ＳＳＲＳ）对６８例烧伤后抑郁患者和６０例烧伤后无抑郁患者进行对照测评。结果　面对因子分为抑郁组１７.２６±６.３７，非抑郁组２０.６９±５.３３，抑郁组显著低于非抑郁组（Ｐ＝０.０００９）；回避因子分为抑郁组１４.５７±２.８７，非抑郁组１３.９６±２.４５，两组无显著性差异（Ｐ＝０.１９４６）；屈服因子分为抑郁组１０.７９±１.８３，非抑郁组８.４７±２.１４，抑郁组显著高于非抑郁组（Ｐ＝０.００００）。社会支持总分：抑郁组３３.３１±５４２，非抑郁组３９.４１±５.５７，抑郁组显著低于非抑郁组（Ｐ＝０.００００）；客观支持分：抑郁组６.９７±２.６１，非抑郁组７.１８±２.３７，两组无显著性差异（Ｐ＝０.６３３３）；主观支持分：抑郁组２１.１０±３.２１，非抑郁组２３.１３±３.６６，抑郁组显著低于非抑郁组（Ｐ＝０.０００９）；支持利用度因子分：抑郁组５.７８±２.０８，非抑郁组７.９２±１.８４，抑郁组显著低于非抑郁组（Ｐ＝０.００００）。结论　采取消极的应对方式及社会支持利用度不足是造成烧伤后抑郁发生的原因之一。

英文摘要:

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 accessibility to social support contribute to depression after a burn injury.