摘要
目的研究急诊危重患者创伤后并发应激障碍综合征发生状况,分析危险因素方法选择2017年1月至2018年5月期间在我院接受诊治的200例危重创伤患者作为观察对象,应用创伤后应激障碍自评量表、艾森克人格问卷简式等量表对创伤后并发应激障碍综合征发生率、疼痛程度、应对方式、社会支持情况及人格进行判定,分析相关性。结果 200例急诊危重患者创伤后并发应激障碍综合征59例(29.5%);女性患者创伤后应激障碍综合征发生率高于男性,ISS评分≥16分患者的创伤后应激障碍综合征发生率高于ISS评分<16分患者,差异有统计学意义(P<0.05);年龄和创伤后并发应激障碍综合征发生无相关性(P>0.05);创伤后并发应激障碍综合征组患者的疼痛VAS评分、消极应对评分均高于创伤后未并发应激障碍组,且积极应对评分低于创伤后未并发应激障碍组,差异有统计学意义(P<0. 05);创伤后并发应激障碍综合征组患者的支持利用度、主观支持评分、社会支持总评分、N量表评分均高于创伤后未并发应激障碍组,E量表评分低于创伤后未并发应激障碍组,差异有统计学意义(P<0.05);两组患者的客观支持评分、L量表评分、P量表评分对比,差异无统计学意义(P>0.05);创伤后应激障碍综合征和疼痛、神经质显示为正相关,相关系数是0.533和0.446,有统计学意义(P<0.05);创伤后应激障碍综合征和积极应对方式、主观社会支持及内外向为负相关,相关系数是-0.410、-0.658和-0.341。结论急诊危重患者创伤后具有较高的应激障碍综合征发生风险,存在的强烈疼痛感、情绪不稳定、性格偏内向型人格为引起创伤后应激障碍综合征的危险因素。
Objective To study the incidence of post-traumatic stress disorder syndrome in critically ill patients and analyze the risk factors.Methods Totally 200 critically ill patients who underwent emergency treatment in our hospital from January 2017 to May 2018 were selected as the subjects.The post-traumatic stress disorder self-rating scale and the Eysenck Personality Questionnaire Simple Scale and other scales were used to determine the incidence of post-traumatic stress disorder,the severity of pain,the coping style,the social support status and personality and the correlation was analyzed.Results Of the 200 critically ill patients,59 patients(29.5%)had post-traumatic stress disorder syndrome.The incidence of post-traumatic stress disorder syndrome in female patients with ISS score≥16 was higher than that in male patients with ISS score<16.The difference was statistically significant(P<0.05).There was no significant correlation between age and post-traumatic stress disorder syndrome,and the difference was not statistically significant(P>0.05).The pain VAS score and negative coping score of patients with post-traumatic stress disorder syndrome were higher than those of patients without post-traumatic stress disorder syndrome,and the positive response score of patients with post-traumatic stress disorder syndrome was lower than that of patients without post-traumatic stress disorder syndrome(P<0.05).The support utilization degree,subjective support score,social support total score,and N scale score of the post-traumatic stress disorder syndrome group were higher than those of the non post-traumatic stress disorder group.The E scale score of the post-traumatic stress disorder syndrome group was lower than that of the non post-traumatic stress disorder group after trauma,with statistical significance(P<0.05).There were no significant differences in objective support scores,L scale scores,and P scale scores between the two groups(P>0.05).The post-traumatic stress disorder syndrome was positively correlated with pain and neuroticism.The correlation coefficient was 0.533 and 0.446(P<0.05).The post-traumatic stress disorder syndrome was negatively correlated with positive coping style,subjective social support,and introversion and extroversion.The correlation coefficients were-0.410,-0.658,and-0.341.Conclusion Critically ill patients have higher risk of stress disorder syndrome after trauma,and strong pain,emotional instability,and introversion are risk factors for post-traumatic stress disorder syndrome.
作者
王燕
吴小青
雷桂花
Wang Yan;Wu Xiaoqing;Lei Guihua(Emergency Surgery,Lishui People′s Hospital,Lishui 323000,China)
出处
《中国医院统计》
2018年第5期384-387,共4页
Chinese Journal of Hospital Statistics
关键词
急诊危重
创伤
应激障碍综合征
危险因素
相关性调查
emergency critical care
trauma
stress disorder syndrome
risk factor
correlation investigation
