人格特质与脑外伤偏瘫患者残障接受度的相关性研究

摘要

目的：：了解脑外伤患者的人格特质和残障接受度现状，并探讨两者的相关性，为改善脑外伤患者残障接受度提供参考。方法：采用艾森克人格问卷简式量表(中国版)和残障接受度量表对209例脑外伤患者进行问卷调查，比较不同残障接受度患者人格特质的差别，并采用 Pearson 相关分析法探讨两者的相关性。结果：脑外伤患者残障接受度总分为(160.11±34.58)分，其中低接受度占29.19%，中接受度占54.07%，高接受度占16.74%。本研究209例脑外伤患者精神质、神经质、掩饰性评分显著高于中国常模(均 P <0.01)，内外向评分显著低于中国常模(均 P <0.01)。不同接受度组的精神质、内外向、神经质和掩饰性评分比较，差异均有统计学意义(均 P <0.05)。脑外伤患者残障接受度总分及各维度得分与人格特质中的精神质、神经质和掩饰性均显著负相关(均 P <0.05)；残障接受度总分及各维度得分与人格特质中的内外向显著正相关(均 P <0.05)。结论：脑外伤患者残障接受度处于中等偏下水平，人格特质与其残障接受度密切相关，可从人格特质入手改善脑外伤患者的残障接受度。%Objective:To investigate the disability acceptance and personality trait in patients with traumatic brain injury,and analyze the relationship between them,so as to provide a new perspective to improve the disability ac-ceptance.Methods:209 patients with traumatic brain injury were surveyed by the Acceptance of Disability Scale and the Eysenck Personality Questionnaire-revised-Short Scale for Chinese (EPQ-RSC).The levels of personality trait were compared among the groups with different levels of the disability acceptance,and the Pearson correlation anal-ysis was used to explore the relationship between the personality trait and the disability acceptance in patients with traumatic brain injury.Results:The total score of disability acceptance was (1 60.1 1±34.58)in patients with trau-matic brain injury,and 29.1 9% of them in the low level,54.07% of them in the medium level,and 1 6.74% of them in the high level.The levels of psychoticism,neurocitism and dissimulation in personality trait were signifi-cantly higher than those in the normal population (P < 0.01 ),and the levels of ex-traversion in personality trait were significantly lower than those in the normal population (P < 0.01 ).There was significant difference in the score of each factor of personality trait in the traumatic brain injury patients with different levels of disability accept-ance (P <0.05).Pearson correlation analysis revealed that the each factor of disability acceptance was significantly negatively correlated with the scores of psychoticism,neurocitism and dissimulation in personality trait (P <0.05), but significantly positively correlated with the score of ex-traversion in personality trait (P < 0.05 ).Conclusions:The level of disability acceptance was in the medium level in traumatic brain injury patients,and it was closely relat-ed with personality trait.The nursing staff could start from the personality trait to improve the level of disability ac-ceptance in traumatic brain injury patients.