摘要
目的对急诊中毒患者出现急性应激障碍(Acute stress disorder,ASD)的现状进行调查分析。方法纳入界首市人民医院2020年2月~2023年3月88例急诊中毒患者,住院期间进行ASD筛查,并设为ASD组以及非ASD组,比较两组患者的性别、年龄、中毒类型等一般资料以及心理弹性、焦虑等心理状况,采用单因素与多因素分析的方式调查急诊中毒患者ASD影响因素。结果88例急诊中毒患者筛查出ASD 31例;ASD组与非ASD组的年龄、机械通气、中毒类型、心理弹性、焦虑、应对方式差异显著(P<0.05),两组性别、居住地、家庭月收入差异不显著(P>0.05)。logistics回归分析显示,急诊中毒患者年龄<60岁、机械通气、心理弹性低、回避应对是急诊中毒患者ASD的影响因素(P<0.05)。结论急诊中毒患者ASD发生率较高,年龄大、机械通气、心理弹性低等因素会增加ASD风险。
Objective To investigate and analyze the current status of acute stress disorder(ASD)in patients with poisoning in emergency medicine.Methods Eighty-eight patients with emergency poisoning in Jieshou People's Hospital from February 2020 to March 2023 were included,screened for ASD during hospitalization,and set into ASD group as well as non-ASD group.General data such as gender,age,type of poisoning,and psychological conditions such as psychological resilience and anxiety were compared between the two groups.A unifactorial and multifactorial analysis was used to investigate the factors affecting ASD in patients with emergency poisoning.Results Thirty-one cases of ASD were screened in 88 patients with emergency poisoning.age,mechanical ventilation,type of poisoning,psychological resilience,anxiety,and coping styles dffered significantly between the ASD and non-ASD groups(P<0.05).Differences in gender,place of residence,and monthly household income between the two groups were not significant(P>0.05).logistics regression analysis showed that age<60 years,mechanical ventilation,low psychological resilience,and avoidance coping were the influencing factors of ASD in patients with emergency poisoning(P<0.05).Conclusion Emergency poisoned patients have a higher incidence of ASD,and older age,mechanical ventilation,and low psychological resilience increase the risk of ASD.
作者
陈付磊
章功庆
曹亚飞
CHEN Fulei;ZHANG Gongqing;CAO Yafei(Anhui Jieshou People's Hospital Emergency Department,Fuyang 236500,China)
出处
《国际精神病学杂志》
2024年第2期603-605,共3页
Journal Of International Psychiatry
关键词
急诊
中毒
急性应激障碍
影响因素
Emergency Care
Poisoning
Acute stress disorder
Influencing factors
