摘要
目的探讨急诊重症患者机械通气脱机后出现创伤后应激障碍(PTSD)的危险因素。方法选择2017年12月~2019年12月我院就诊的180例急诊重症机械通气患者为研究对象,采用创伤后应激障碍自评量表(PTSD-SS)进行PTSD评估,设为PTSD组与非PTSD组,比较两组患者年龄、性别等病历资料,采用单因素及多因素分析分析PTSD的危险因素。结果180例患者中发生PTSD的有55例,发生率30.55%;单因素分析显示,两组机械通气时间、年龄、镇痛镇静效果、焦虑、人格特征、应对方式、性别差异具有统计学意义(P<0.05),疾病种类、婚姻差异无统计学意义(P>0.05);多因素分析结果显示,机械通气>7d、镇痛镇静效果差、焦虑、内向型人格、消极应对是急诊重症患者机械通气脱机后PTSD的独立危险因素。结论急诊重症患者机械通气脱机后易发生PTSD,受到通气时间、焦虑情绪等因素的影响。
Objective To explore the risk factors of post-traumatic stress disorder(PTSD)in emergency critical patients after offline mechanical ventilation. Methods A total of 180 patients with emergency severe mechanical ventilation from December 2017 to December 2019 were selected as the research object. The PTSD-SS was used to evaluate the PTSD. They were divided into the PTSD group and the non-PTSD group. The medical records of patients,such as age and gender were compared between the two groups,and single factor and multifactor analysis were used to investigate the risk factors of PTSD. Results There were 55 cases of PTSD in 180 patients,the incidence rate was 30.55%. The single factor analysis showed that the differences in mechanical ventilation time,age,analgesia and sedation effect,anxiety,personality characteristics,coping style,and gender between two group were statistically significant(P<0.05). There was no statistically significant difference in disease type and marriage(P>0.05). The multivariate analysis showed that mechanical ventilation >7 days,poor analgesia and sedation effects,anxiety,introverted personality,and negative coping were the independent risk factors for PTSD in severely ill patients after mechanical ventilation. Conclusion PTSD is prone to occur in emergency critically ill patients after offline mechanical ventilation,which is affected by factors such as ventilation time and anxiety.
作者
徐欣
石强
XU Xin;SHI Qiang(The First Affiliated Hospital of Henan University,Kaifeng 475000,China)
出处
《国际精神病学杂志》
2020年第6期1228-1230,共3页
Journal Of International Psychiatry
关键词
急诊重症
机械通气
脱机
创伤后应激障碍
危险因素
Emergency critical illness
Mechanical ventilation
Offline
Post-traumatic stress disorder
Risk factors
