摘要
目的探讨主动脉夹层术后患者发生创伤后应激障碍现状及影响因素。方法便利抽样法选取2017年1月至2021年12月在南华大学附属第一医院胸心血管外科行手术治疗的240例主动脉夹层患者为研究对象,采用一般资料进行创伤后应激障碍(PTSD)、心理韧性量表(CD-RISC)、领悟社会支持量表(PSSS)调查,采用logistic回归分析影响PTSD发生的危险因素。结果本研究发放问卷240份,回收有效问卷236份,有效回收率为98.33%;236例主动脉夹层术后PTSD总分为(39.28±4.81)分,其中87例发生PTSD,发生率为36.86%,平均(50.31±5.32)分。主动脉夹层术后两组PTSD患者的家庭人均月收入、CD-RISC评分、PSSS水平比较,差异有统计学意义(P<0.05);logistic回归分析显示,家庭人均月收入<3000元(OR=2.252,95%CI:1.175~4.318)、CD-RISC评分低水平(OR=3.575,95%CI:1.924~6.642)、PSSS中等水平(OR=4.641,95%CI:2.518~8.555)为影响PTSD发生的危险因素(P<0.05)。结论主动脉夹层术后患者发生PTSD与家庭收入、心理韧性及领悟社会支持情况密切相关。
Objective To explore the current situation and influencing factors of post-traumatic stress disorder in patients after dissection of aorta.Methods A total of 240 patients with aortic dissection who underwent surgical treatment in the Department of Thoracic and Cardiovascular Surgery of the First Affiliated Hospital of the University of South China from January 2017 to December 2021 were selected as subjects by convenience sampling method.Post-traumatic stress disorder(PTSD),connor-davidson resilience scale(CD-RISC)and perceived social support scale(PSSS)were surveyed using general data.The logistic regression analysis was used to identify the risk factors that affect the occurrence of PTSD.Results In this study,240 questionnaires were distributed,236 valid questionnaires were recovered,with effective recovery of 98.33%.The total score of postoperative PTSD in 236 cases of aortic dissection was(39.28±4.81)points,of which 87 cases developed PTSD,with an incidence rate of 36.86%and an average of(50.31±5.32)points.There were statistically significant differences in the average monthly income,CD-RISC score and PSSS level between the two groups of PTSD patients after aortic dissection surgery(P<0.05).Logistic regression analysis showed that household per capita monthly income<3000 yuan(OR=2.252,95%CI:1.175-4.318),low CD-RISC score(OR=3.575,95%CI:1.924-6.642)and moderate PSSS level(OR=4.641,95%CI:2.518-8.555)were risk factors affecting the occurrence of PTSD(P<0.05).Conclusion The occurrence of PTSD in patients after aortic dissection surgery is closely related to family income,psychological resilience and understanding of social support.
作者
罗娟
伍娟
尹金芝
全翠芳
许丽君
LUO Juan;WU Juan;YIN Jinzhi;QUAN Cuifang;XU Lijun(Department of Thoracic and Cardiovascular Surgery,the First Affiliated Hospital of University of South China,Hunan Province,Hengyang 421001,China)
出处
《中国当代医药》
CAS
2023年第26期9-12,共4页
China Modern Medicine
基金
湖南省衡阳市指导性计划项目(衡研发〔2021〕51号)。
关键词
主动脉夹层
创伤后应激障碍
创伤后成长
应对方式
心理韧性
Dissection of aorta
Post-traumatic stress disorder
Post-traumatic growth
Coping style
Psychological resilience
