脊髓损伤患者创伤后应激障碍的影响因素及护理对策

Influencing factors and nursing countermeasures of post-traumatic stress disorder in patients with spinal cord injury

目的分析脊髓损伤患者创伤后应激障碍(PTSD)的影响因素,并提出相应护理对策。方法选取2019年1月-2020年6月收治的脊髓损伤患者194例为本次研究对象,根据PTSD检查表平时版(PCL-C)评价标准将患者分为PTSD组及非PTSD组,并采用单因素及多因素Logistic回归分析脊髓损伤患者发生PTSD的影响因素。结果194例患者中,47例患者发生应激障碍,发生率为24.23%。单因素分析显示,不同性别、年龄、文化程度、性格、损伤类型、伤后昏迷、疼痛程度、心理弹性、社会支持水平的脊髓损伤患者PTSD发生率相比,差异具有统计学意义(均P<0.05)。多因素分析显示,性别、文化程度、疼痛程度、心理弹性、社会支持水平是脊髓损伤患者发生PTSD的主要影响因素(P<0.05)。结论脊髓损伤患者创伤后应激障碍与性别、文化程度、疼痛程度、心理弹性、社会支持水平正相关,临床上应高度重视其影响因素,加强早期干预,以降低PTSD的发生风险。

Objective Investigate the influencing factors of post-traumatic stress disorder(PTSD)in patients with spinal cord injury,and propose corresponding nursing strategies.Methods Selected 194 patients with spinal cord injury admitted to our hospital from January 2019 to June 2020 as the research objects.According to the evaluation criteria of the civilian version of the PTSD checklist,the patients were divided into PTSD group and non-PTSD group.Use univariate and multivariate Logistic regression to analyze patients with spinal cord injury factors influencing the occurrence of PTSD.Results Among the 194 patients,47 patients developed stress disorder,with an incidence rate of 24.23%;single factor analysis showed that different gender,age,education level,personality,injury type,post-injury coma,pain degree,psychological flexibility,and social support level compared with the incidence of PTSD in patients with spinal cord injury,the difference was statistically significant(P<0.05 for each);multi-factor analysis showed that gender,education level,pain level,psychological flexibility,and social support were the influencing factors of PTSD in patients with spinal cord injury(P<0.05).Conclusion Post-traumatic stress disorder in patients with spinal cord injury is postively related to gender,education level,pain level,psychological flexibility,and level of social support.Clinically,attention should be paid to its influencing factors and early intervention should be strengthened to reduce the risk of PTSD.