急诊危重患者创伤后并发应激障碍综合征的调查分析

doi:10.3969/j.issn.1006-5253.2018.05.022

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Abstract 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.

Key words： emergency critical care trauma stress disorder syndrome risk factor correlation investigation

Received: 25 August 2018

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R459.7

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	Articles by authors
	Wang Yan
	Wu Xiaoqing
	Lei Guihua

Cite this article:

Wang Yan,Wu Xiaoqing,Lei Guihua. Investigation and analysis of post-traumatic stress disorder syndrome in critically ill patients[J]. journal1, 2018, 25(5): 384-387.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2018.05.022 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2018/V25/I5/384

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