上消化道出血患者并发急性应激障碍的相关危险因素分析

Analysis of risk factors of acute stress disorder in patients with upper gastrointestinal hemorrhage

目的分析上消化道出血(UGIB)患者并发急性应激障碍(ASD)的相关危险因素。方法选取鹰潭市人民医院2020年2月-2022年7月收治的96例UGIB患者,采用斯坦福急性应激反应问卷(SASRQ)评估患者ASD发生情况,调查患者性别、年龄、婚姻状况等一般资料及相关疾病资料,将可能的因素纳入,重点分析UGIB患者并发ASD的相关危险因素。结果96例UGIB患者中有49例并发ASD,发生率为51.04%;经Logistic回归分析检验,结果显示,女性、重度疼痛、睡眠质量差、社会支持低下、心理弹性低下是UGIB患者并发ASD的危险因素(OR>1,P<0.05)。结论UGIB患者并发ASD的风险高,可能受性别、疼痛程度、睡眠质量、社会支持、心理弹性因素影响,可据此给予针对性护理,以期预防ASD发生。

Objective To analyze the risk factors of acute stress disorder(ASD)in patients with upper gastrointestinal hemorrhage(UGIB).Methods A total of 96 UGIB patients admitted to Yingtan People's Hospital from February 2020 to July 2022 were selected.The Stanford Acute Stress Response Questionnaire(SASRQ)was used to evaluate the incidence of ASD in patients.To analyze the risk factors of ASD in UGIB patients.Results Among 96 UGIB patients,49 cases were complicated with ASD,the incidence rate was 51.04%.The results of Logistic regression analysis showed that female,severe pain,poor sleep quality,low social support and low psychological resilience were the risk factors of ASD in UGIB patients(OR>1,P<0.05).Conclusions UGIB patients are at high risk of ASD,which may be affected by gender,pain degree,sleep quality,social support and psychological resilience.Targeted nursing can be given to prevent the occurrence of ASD.