SARS患者创伤后应激障碍的随访研究

A follow-up study of post-traumatic stress disorder of SARS patients after discharge

目的:探讨SARS患者创伤后应激障碍及其相关的影响因素。方法:对SARS患者采用PTSD-SS量表、社会支持量表、艾森克人格问卷分别于创伤后3个月及1年进行评定,并用CCMD-Ⅲ中有关创伤后应激障碍诊断标准进行再诊断。结果:创伤后应激障碍3个月、1年的阳性率为46.2%、38.8%,1年内累积阳性率为55.2%。相关的影响因素有职业、精神质、主观支持和对支持的利用度。结论:健全患者人格,使患者获得更多的社会支持,可降低创伤后应激障碍发生的危险。

Objective：To study the relative factors of posttraumatic stress disorder （PTSD） of SARS patients after diseharge.Method：SARS patients were tested with PTSD-SS, society sustainment scale, and personality scale in the 3rd month and the 12th month after discharge,respectively,then re-diagnosed by CCMD-Ⅲ.Result：The positive rate of PTSD in the 3rd mouth and 12th mouth after discharge were 46.2% and 38.8% respectively, and the cumulate positive rate 55.2%. The relative factors were career,psychosis tendency,subject support and sustain utilanee.Conclusion：The better patient＇s personality,the more social support; and it results in the lesser positive rate of PTSD.