创伤性骨折后患者并发急性应激障碍的相关因素分析及防护

Analysis and protection of related factors of concurrent acute stress disorder in patients after traumatic fracture

目的探讨创伤性骨折后患者并发急性应激障碍的相关因素并探讨预防护理措施。方法选择2018年6月至2019年6月68例创伤性骨折患者为研究对象,采用斯坦福急性应激反应问卷(SASRQ)调查患者急性应激障碍发生情况,采用多因素logistic回归分析创伤性骨折后并发急性应激障碍的相关因素。结果68例创伤性骨折患者术后发生急性应激障碍21例,发生率30.88%。多因素logistic回归分析显示,伤后VAS评分>7分、重度创伤、既往创伤史、汉密尔顿焦虑量表(HAMA)评分>14分是创伤性骨折后并发急性应激障碍的独立危险因素(P<0.05)。结论创伤性骨折患者易发生急性应激障碍,受到焦虑情绪、重度创伤、既往创伤史、伤后VAS评分等多种因素影响,需根据相关因素开展针对性护理措施,以降低急性应激障碍发生风险。

Objective To explore the related factors of concurrent acute stress disorder in patients after traumatic fracture and discuss preventive nursing measures.Methods We selected 68 cases of patients with traumatic fractures from June 2018 to June 2019 as the study objects,a Stanford acute stress reaction questionnaire(SASRQ)was used to investigate the occurrence of acute stress disorder in patients,and multivariate logistic regression was used to analyze the relevant factors of acute stress disorder after traumatic fracture.Results There were 21 cases of acute stress disorder in 68 cases of patients with traumatic fractures after operation,with an incidence rate of 30.88%.Multivariate logistic regression analysis showed that the post-traumatic VAS score>7 points,severe trauma,previous trauma history,and Hamilton anxiety scale(HAMA)score>14 points were the independent risk factors for acute stress disorder after traumatic fracture(P<0.05).Conclusion Patients with traumatic fractures were prone to acute stress disorder,and it was affected by various factors such as anxiety,severe trauma,past trauma history,post-injury VAS score,etc.,so targeted nursing measures should be carried out according to relevant factors to reduce the occurrence of acute stress disorder risk.