摘要
目的了解急诊抢救患者急性应激障碍状况及抢救经历。方法选取就诊于华北理工大学附属医院急诊科经历抢救的患者,于病情平稳后采用斯坦福急性应激反应问卷进行急性应激障碍状况调查。结果急诊抢救患者急性应激障碍得分为(45.64±31.407),中度应激障碍者78例,占18.1%,重度应激障碍者144例,占33.3%,合计占51.4%。单因素分析显示急诊分级重、治疗方式为急诊手术、经历心肺复苏、心理弹性水平低、疼痛程度重、抢救时间长、不同疾病种类中胆囊炎、多发伤、心肌梗死的急诊抢救患者急性应激障碍得分高,差异有统计学意义(P<0.05)。多因素分析显示,急诊分级、心理弹性、疼痛、抢救时间、不同病种是急诊患者急性应激障碍的影响因素(P<0.05)。结论急诊抢救患者急性应激障碍率较高,与抢救经历有关,应重视有抢救经历患者的心理治疗与护理。
Objective To understand the status of acute stress disorder and the rescue experience.Methods The patients were selected from the emergency department of the Affiliated Hospital of North China University of technology and the Stanford acute stress response questionnaire was used for questionnaire survey.Results The score of acute stress disorder was(45.64±31.407),78 people(18.1%)had moderate stress disorder,144(33.3%)had severe stress disorder,accounting for 51.4%in total.Univariate analysis showed that the scores of acute stress disorder in emergency rescue patients with cholecystitis,multiple injuries and myocardial infarction were significantly higher than those in other diseases(P<0.05).The results showed that emergency classification,psychological flexibility,pain,rescue time and different diseases were the influencing factors of acute stress disorder(P<0.05).Conclusion The rate of acute stress disorder in emergency rescue patients is higher,which is related to rescue experience.We should pay attention to the psychotherapy and nursing of patients with rescue experience.
作者
张为佳
郑芳
ZHANG Weijia;ZHENG Fang(College of Nursing and Rehabilitation,North China University of Science and Technology,Tangshan 063210,China)
出处
《华北理工大学学报（医学版）》
2021年第1期42-45,54,共5页
Journal of North China University of Science and Technology：Health Sciences Edition
基金
河北省卫健委重点课题(编号:20191119)。
关键词
急诊抢救患者
急性应激障碍
急诊分级
抢救经历
Emergency rescue patients
Acute stress disorder
Emergency classification
Rescue experience
