关键词: 重型颅脑损伤, 照顾者, 焦虑, 抑郁, 应对方式, 生活质量

Abstract: Objective: To investigate the current situation of caregivers’ quality of life during hospitalization of patients with severe craniocerebral injury and analyze its influencing factors. Methods: A cross-sectional study was designed and family members of patients with severe craniocerebral injury in neurosurgery were selected by convenience sampling. Questionnaires were conducted including general data questionnaire, depression self-rating scale, anxiety self-rating scale, simple coping style questionnaire and health status questionnaire(SF-36). Results: A total of 198 questionnaires were issued and 182 effective questionnaires were recovered, with a recovery rate of 91.9%. The scores of caregivers in all dimensions of SF-36 were lower than the domestic norm(P<0.05). In the regression model, the predictive variables that had significant influence on total score of SF-36 were depression, negative coping style and marriage status, which could account for 20.8% of the total variance. Conclusion: The quality of life of the caregivers of the patients with severe craniocerebral injury was generally low. The caregivers need to establish self-regulation, especially who are the married caregivers. The nurses need to implement targeted psychological counseling, and guide them to adopt positive coping styles, so as to improve the quality of life of the caregivers.

Key words: Severe brain injury, Caregivers, Anxiety, Depression, Coping style, Quality of life