心理弹性及睡眠状况对ICU患者PTSD的影响

Impact of Resilience and Sleep Quality on PTSD of ICU Patients

目的探讨ICU患者的心理弹性及睡眠状况对其创伤性应激障碍的影响。方法采用便利抽样法抽取温州市3所三甲医院的ICU住院患者281名进行问卷调查,了解ICU患者创伤性应激障碍、心理弹性及睡眠状况的现状,并探讨其间的关系。结果 ICU患者创伤性应激障碍的总分为(42.77±15.32)分,ICU患者PSQI与其PTSD呈正相关,CD-RISC与其PTSD呈负相关,回归分析显示,控制人口学变量之后,心理弹性、睡眠状况共可以解释ICU患者PTSD的28.4%。结论 ICU患者的创伤性应激障碍状况较严重,患者的心理弹性水平及睡眠状况可以预测其创伤性应激障碍水平,临床护理工作者应采取针对性措施降低ICU患者的创伤性应激障碍现状。

Objective To discuss the impact of resilience and sleep quality on post traumatic stress disorder in ICU patients. Methods With convenience sampling method,281ICU patients from three grade A tertiaryhospitals in Wenzhou took questionnaire survey regarding PTSD,resilienceand sleep quality, which aims to discuss their relations. Results The total score of ICU patients with PTSD was 42.77 15.32. PSQIhad positive correlation with PTSDwhile CD-RISC had negative relations with PTSD. Regression analysis showedresilienceand sleep quality could explain 28.4% of the variance of ICU patients with PTSD under taking demographic variables under control. Conclusion Resilience and sleep qualityof ICU patients with severe PTSD could predict their PTSD degree. Clinical nursing workers should take targeted measures to reduce the PTSD degree of ICU patients.