“后疫情时期”新冠肺炎患者创伤后应激障碍现状及影响因素分析

Analysis of the Status and Influencing Factors of Post-Traumatic Stress Disorder of COVID-19 Patients During “Post-Epidemic Period”

目的通过研究"后疫情时期"新冠肺炎患者创伤后应激障碍现状及其影响因素,为探索改善类似呼吸道传染性疾病暴发时患者负性心理状况的干预方法提供依据。方法采用便利抽样法选取2021年1月19日至26日黑龙江省某三甲医院收治的4个病区共146名新冠状肺炎患者进行焦虑、抑郁、创伤后应激障碍以及领悟社会支持问卷调查。结果(1) 10例(6.8%)患者创伤后应激障碍阳性,28例(19.2%)有焦虑症状,26例(17.8%)有抑郁症状;(2)创伤后应激障碍在性别和疾病严重程度方面差异有统计学意义(P<0.05);(3)性别、疾病严重程度和领悟社会支持对创伤后应激障碍具有预测作用。结论 "后疫情时期"应给予女性和重症新冠肺炎患者更多的心理支持,并重点关注焦虑、抑郁、创伤后应激障碍患病患者,医护人员应采取措施提高患者的领悟社会支持水平以减轻创伤后应激障碍的发生。

Objective By studying the status of post-traumatic stress disorder(PTSD)of COVID-19 patients in the"post-epidemic period"and its influencing factors,to provide a basis for exploring intervention methods to improve patients’negative psychological conditions during outbreaks of similar respiratory infectious diseases.Methods Through convenience sampling method,146 patients with COVID-19 in 4 wards admitted to a 3 A grade hospital in Heilongjiang Province from January 19 to 26,2021 were selected to to do questionnaire survey on anxiety,depression,post-traumatic stress disorder,and comprehension of social support.Results(1)10 patients(6.8%)were positive for PTSD,28 cases(19.2%)had anxiety symptoms,and 26 cases(17.8%)had depression symptoms;(2)Post-traumatic stress disorder has statistically significant differences in gender and disease severity(P<0.05);(3)Gender,type of disease and perceived social support have predictive effects on post-traumatic stress disorder.Conclusion During the"post epidemic period",more psychological support should be given both the women and critically ill patients,as well as pay more attention on patients with anxiety,depression and post traumatic stress disorder.Medical staff should take measures to improve their perceived social support level so as to reduce the incidence of PTSD.