腹部严重多发性创伤患者术后并发应激障碍的影响因素研究

doi:10.3969/j.issn.1006-5253.2020.02.006

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Abstract Objective To analyze the influencing factors of postoperative stress disorder and the related nursing intervention strategies in patients with severe multiple trauma of the abdomen. Methods Totally 257 patients with severe abdominal trauma who underwent surgery in our hospital from January 2016 to February 2019 were enrolled in the study. The medical records were retrospectively analyzed and the incidence of postoperative stress disorder was statistically analyzed to explore the influencing factors of stress disorder. Results In 257 patients with severe multiple trauma to the abdomen, 64 patients had postoperative stress disorder with an incidence rate of 24.9%. Multivariate analysis found that the patients′ gender (OR=2.646), fear of injury (OR=2.675), and ISS score (OR=0.818), personality (OR=1.536), previous history of severe trauma (OR=2.535), SSRS score (OR=0.616), CD-RISC score (OR= 0.696), VAS score (OR=4.549), and HAD The score (OR=1.579) werethe influencing factors of postoperative complications of stress disorder in patients with severe multiple abdominal trauma, with significant statistical difference (P<0.05). Conclusion Patients with being female, with fear when hurt, introverted personality, history of severe trauma at the time of injury, ISS score>35, SSRS score≤32, CD-RISC score≤45, VAS score>5, or HAD score>12 need to be supplemented with psychological support, familysocial support and cognitive behavioral interventions to reduce postoperative stress disorder.

Key words： severe multiple trauma in the abdomen postoperative stress disorder influencing factor

Received: 01 October 2020

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	Articles by authors
	Lei Guihua
	Ye Lizhen
	Wang Yan
	Wu Xiaoqing.

Cite this article:

Lei Guihua,Ye Lizhen,Wang Yan, et al. Study on the influencing factors of postoperative stress disorder in patients with severe multiple abdominal trauma[J]. journal1, 2020, 27(2): 115-118.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2020.02.006 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2020/V27/I2/115

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