巨大子宫肌瘤根治术后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 after radical surgery of giant uterine fibroids

目的:分析巨大子宫肌瘤根治术后患者发生创伤后应激障碍(PTSD)的影响因素。方法:选取2018年1月至2021年1月在该院接受巨大子宫肌瘤根治术治疗的80例患者进行前瞻性研究。所有患者均于术后次日采用创伤后应激障碍量表平民版(PCL-C)评估PTSD水平,并对巨大子宫肌瘤根治术后患者发生PTSD的影响因素进行单因素分析和Logistic回归分析。结果:80例巨大子宫肌瘤根治术后患者发生PTSD 35例,占43.75%;巨大子宫肌瘤根治术后发生PTSD患者与未发生PTSD患者的年龄、体质量指数、肌瘤类型和子宫肌瘤直径比较,差异均无统计学意义(P>0.05);巨大子宫肌瘤根治术后发生PTSD患者初中及以下文化水平、自费医疗、家庭关怀度差、自我感受负担重占比均明显高于未发生PTSD患者,差异有统计学意义(P<0.05);Logistic回归分析结果显示,初中及以下文化水平、自费医疗、家庭关怀度差、重度自我感受负担均为巨大子宫肌瘤根治术后患者发生PTSD的危险因素(OR>1,P<0.05)。结论:初中及以下文化水平、自费医疗、家庭关怀度差、重度自我感受负担均为巨大子宫肌瘤根治术后患者发生PTSD的危险因素。

Objective: To analyze influencing factors of post-traumatic stress disorder(PTSD) in patients after radical surgery of giant uterine fibroids. Methods: A prospective study was conducted on 80 patients who underwent radical surgery of giant uterine fibroids in the hospital from January 2018 to January 2021. All patients were assessed for PTSD using the post-traumatic stress disorder scale-civilian version(PCL-C) the next day after the surgery. Univariate analysis and logistic regression analysis were performed on the influencing factors of PTSD in the patients after radical surgery of giant uterine fibroids. Results: There were 35 cases of PTSD in the 80 patients with giant uterine fibroids after radical surgery,accounting for 43.75%. There were no significant differences in age, BMI, fibroid type and uterine fibroid diameter between the PTSD patients and the non-PTSD patients after radical surgery(P>0.05). The proportions of those with junior high school education and below, self-paid medical care, poor family care, and heavy self-perceived burden in the patients with PTSD after radical surgery of giant uterine fibroids were significantly higher than those of the patients without PTSD, and the differences were statistically significant(P<0.05). Logistic regression analysis showed that the education level of junior high school and below, the self-paid medical treatment, the poor family care, and the heavy self-perceived burden were all risk factors for PTSD in the patients after radical surgery of giant uterine fibroids(OR>1, P<0.05). Conclusions: The education level of junior high school and below,the self-paid medical treatment, the poor family care, and the heavy self-perceived burden are the risk factors for PTSD in the patients after radical surgery of giant uterine fibroids.