ICU患者健康赋权认知情况与创伤性应激障碍的相关性研究

Health empowerment cognition is negatively correlated with traumatic stress disorder in ICU patients

目的探讨ICU患者健康赋权认知与创伤性应激障碍(PTSD)的现状,以及两者的相关性。方法对ICU收治的240例患者采用PTSD检查量表平民版和中文版健康赋权量表测量个体认知改变和PTSD发生情况。结果共发放调查问卷240份,其中有效问卷224份,有效回收率为93.3%。224例患者健康赋权总得分为(38.72±7.31)分,处于中低度水平。信息维度与个体化维度得分较高,自我管理维度和决策化维度得分较低。224例患者的PCL-C总分为(43.59±13.74)分,PTSD阳性(≥50分)患者107例,占47.77%,88例患者存在一定的PTSD症状(38~49分),占39.29%。ICU患者赋权总得分与PTSD检查量表总得分呈负相关(r=-0.382,P<0.05)。结论 ICU患者健康赋权认知与PTSD两者均处于中低度水平,且两者为负相关,提示ICU患者健康赋权能力较高的患者,其PTSD的严重程度较轻。

Objective To investigate the correlation of health empowerment cognition with traumatic stress disorder in ICU patients.Methods A convenient sampling method was used to select 240 ICU patients.The patients were assessed with Post-traumatic Stress Disorder Cheeklist-civilian version(PCL-C)and the Chinese version of Patient Perception of Empowerment Scale(PPES).Results A total of 240 questionnaires were distributed and 224 were valid with a recovery rate of 93.3%.The total score of PPES in 224 patients was(38.72±7.31),which was at a medium level.The information dimension and the individual dimension scored higher,and the self-management dimension and the decision-making dimension scored lower.The total PCL-C score was 43.59±13.74 in 224 patients;among whom 107 patients showed positive PTSD(≥50),accounting for 47.77%and 88 patients had certain PTSD symptoms(38-49),accounting for 39.29%.A negative correlation was found between the total score of PPES and the total score of PCL-C(r=-0.382,P<0.05)in ICU patients.Conclusion The health empowerment cognition and post-traumatic stress disorder in ICU patients are both at the middle level,which are negatively correlated.The results suggest that the severity of traumatic stress disorder in patients with higher health empowerment ability in ICU patients is less severe.