骨科创伤住院患者创伤后应激障碍与创伤后成长现状及其影响因素研究

Clinical study of posttraumatic stress disorder and posttraumatic growth in orthopedic trauma inpatients

目的调查北京大学人民医院骨科创伤患者创伤后应激障碍、创伤后成长的发生现状并分析其影响因素。方法:2019年1月9日—9月24日,采用自行设计的一般资料调查表及创伤后应激障碍筛查量表、创伤后成长量表对符合研究标准的患者进行创伤后应激障碍、创伤后成长及其影响因素现状调查,P<0.05差异有统计学意义。结果135名患者参与本次调查,其中应激障碍阳性患者14例(10.4%),不同年龄、不同收入占家庭收入的比例之间差异有统计学意义。127例(94.1%)患者创伤后成长处于低水平,创伤后成长与创伤后应激障碍正相关,相关系数为0.277,不同文化程度患者创伤后成长得分差异有统计学意义。结论骨科患者创伤后应激障碍发生率较高,创伤后成长水平较低,对于高危人群应给予重点关注。

Objective To investigate the occurrence of posttraumatic stress disorder and posttraumatic growth and ana⁃lyze its influencing factors in Peking University People's Hospital.Methods From January 9 to September 24,2019,the self-designed general information questionnaire,posttraumatic stress disorder screening scale and posttraumatic growth scale were used to conduct a survey among the patients who met the study criteria.P<0.05 was considered statis⁃tically significant.Results 135 patients participated in the study,and 14 patients(10.4%)were positive for posttraumat⁃ic stress disorder.And the difference between ages and incomes in the proportion of family income was statistically sig⁃nificant.Posttraumatic growth of 127 patients(94.1%)was at a low level.Posttraumatic growth was positively correlated with posttraumatic stress disorder,with a correlation coefficient of 0.277.And the different educational levels were sta⁃tistically significant.Conclusion The incidence of posttraumatic stress disorder in orthopedics and traumatology was high,and the level of posttraumatic growth was low.We should focus on high-risk groups.