社会关系质量对中青年首发脑卒中患者早期创伤后应激障碍的影响

Impact of social relational quality on early posttraumatic stress disorder among young and middle aged patient with first stroke

目的了解中青年首发脑卒中患者的社会关系质量、早期创伤后应激障碍的现状,探讨分析社会关系质量对中青年首发脑卒中患者早期创伤应激障碍(PTSD)的影响,为寻求不同社区干预途径提高出院后患者生存质量提供依据。方法于2015年1—12月,以便利抽样法选择浙江省人民医院住院治疗的中青年脑卒中患者为研究对象,应用社会关系质量量表、创伤后应激障碍症状清单对226例患者进行问卷调查,用SPSS 16.0统计学软件进行数据处理,采用单因素分析和分层回归分析了解其早期创伤后应激障碍的影响因素。结果首发脑卒中患者的PTSD得分为(58.08±12.47)分,98名患者(43.36%)诊断为PTSD阳性;患者PTSD与社会关系质量呈负相关,差异具有统计学意义(P<0.05);家庭月人均收入、Barthel指数、家庭亲密度、家庭承担、朋友关系为其创伤后应激障碍的主要影响因素(P<0.01)。结论中青年首发脑卒中患者社会关系质量与其早期创伤后应激障碍呈负相关,即社会关系质量越高,其早期创伤后应激障碍水平越低,医务工作者可以从家庭亲密度、家庭承担、朋友关系3个方面着手进行干预,以降低出院后患者的早期创伤后应激障碍水平。

Objective To investigate the degree and influencing factors of social relational quality and early posttraumatic stress disorder（PTSD） among young and middle aged patient with first stroke, and to provide the different communities evidence for improving the quality of life of patients after discharge. Methods From January to December in 2015, total 226 young and middle aged patient with first stroke in Zhejiang province people＇ s hospital were investigated by the social relational quality scale（SRQS） and PTSD Checklist-Civilian Version. A database of survey questionnaire was established with SPSS 16.0 software was used for date management and analysis, and then the multiple regression analysis was used to analyze the influencing factors of early posttraumatic stress disorder. Results The scores of PTSD was 58.08 ± 12.47, and 43.36% （98 cases） of patients with first stroke was positive. There was negative correlation between PTSD and social relational quality, and the difference was statistically significant （ P 〈 0.05 ）. The income, BI index, family intimacy, family commitment and friend relationship were the main influencing factors for PTSD （ P 〈 0.01 ）. Conclusion The early PTSD is negatively correlated with the social relational quality among the young and middle aged patient with first stroke. The higher level of social relational quality will lower PTSD. The family intimacy, family commitment and friend relationship should be paid more attention during the intervention to reduce the level of early PTSD after the discharge.