烧伤感染患者发生创伤后应激障碍的影响因素

Influencing Factors of Post-traumatic Stress Disorder in Patients with Burn Infection

目的分析烧伤感染患者创伤后应激障碍(PTSD)情况及其影响因素。方法以睢县中心医院2019年1月至2021年12月收治的224例烧伤感染患者为研究对象,根据是否发生PTSD将患者分为PTSD组(85例)和非PTSD组(139例)。收集两组临床资料,比较两组性别、年龄、受教育程度、职业、婚姻状况、家庭人均月收入、既往手术史、距烧伤事故发生时间、烧伤原因、烧伤面积、烧伤部位、烧伤深度、躯体功能、抗生素使用时间、休克、反刍思维量表(RRS)评分、心理弹性问卷(CD-RIRS)评分、大五人格问卷神经质分量表(NEO FFI-N)评分、伤残接受度量表(AODS)评分。通过多因素logistic回归分析烧伤感染患者发生PTSD的影响因素。结果224例烧伤感染患者出现PTSD的比率为37.95%。PTSD组和非PTSD组在烧伤面积、烧伤部位、CD-RISC评分、NEO FFI-N评分、AODS评分、RRS评分方面差异有统计学意义(P<0.05)。logistic回归模型显示,烧伤面积≥40%、烧伤部位(头面部)、RRS评分、CD-RISC评分、AODS评分、NEO FFI-N评分是烧伤感染患者发生PTSD的影响因素(P<0.05)。结论烧伤感染患者PTSD受AODS评分、NEO FFI-N评分、烧伤面积等因素影响,医护人员可结合以上因素对患者进行干预,以减轻患者应激障碍。

Objective To analyze the status and influencing factors of post-traumatic stress disorder(PTSD)in patients with burn infection.Methods A total of 224 patients with burn infection admitted to Suixian Central Hospital from January 2019 to December 2021 were selected as the research objects,and the patients were divided into PTSD group(85 cases)and non-PTSD group(139 cases)according to whether PTSD occurred.The clinical data of the two groups were collected,and the gender,age,educational level,occupation,marital status,per capita monthly income of the family,previous surgical history,time since the occurrence of the burn accident,burn cause,burn area,burn location,burn depth,physical function,antibiotic use time,shock,ruminative responses scale(RRS)score,Connor-Davidson resilience scale(CD-RIRS)score,NEO five-factor inventory-neuroticism subscale(NEO FFI-N)score,acceptance of disability scale(AODS)score were compared between the two groups.Logistic multivariate regression model was used to analyze the factors affecting the occurrence of PTSD in patients with burn infection.Results The rate of PTSD in 224 patients with burn infection was 37.95%.There were differences in burn site,CD-RISC score,burn area,NEO FFI-N score,AODS score,and RRS score between PTSD group and non-PTSD group(P<0.05).Logistic regression model analysis results showed that burn area(≥40%),burn site(head and face),RRS score,CD-RISC score,AODS score,NEO FFI-N score were risk factors for PTSD in patients with burn infection(P<0.05).Conclusion PTSD in patients with burn infection is affected by AODS score,NEO FFI-N score,burn area and other factors.Medical staff can intervene patients in combination with the above factors to reduce the stress disorder of patients.