ICU患者创伤后应激障碍的影响因素研究

Influencing factors of patients with post-traumatic stress disorder in ICU

目的探讨ICU治疗后生存者创伤后应激障碍(PTSD)的影响因素。方法选取本院ICU患者208例,采集一般人口学资料,采用创伤后应激障碍自评量表(PCL-C)评估ICU患者的心理状况,应用SPSS进行统计描述和分析。结果PTSD症状的检出率为23%(48/208),Logistic回归分析显示,PTSD发生的影响因素为年龄较小、ApacheⅡ评分较低、病前精神病理和ICU期间谵妄(<0.05)。结论ICU患者若年龄较小、ApacheⅡ评分较低、病前精神疾病和ICU期间谵妄可能更容易出现PTSD。

Objective To explore the Influencing factors of post-traumatic stress disorder in intensive care unit(ICU)patients.Methods Totally 208 ICU patients were enrolled in the survey.Psychological status of ICU patients were assessed by post-traumatic stress disorder self-rating scale(PCL-C).Results The rate of PTSD symptoms was 23%(48/208).The logistic regression results showing that,the significant predictors of post-traumatic stress disorder were younger age,lower ApacheⅡscores,pre-illness psychopathology and delirium during the ICU stay(<0.05).Conclusion ICU patients who were younger age,lower ApacheⅡscore,pre-illness psychopathology and delirium during the ICU stay,and were more likely to experience PTSD.