中青年子宫腺肌症全子宫切除患者创伤后应激障碍现状及影响因素分析

Analysis of the status and influencing factors of post-traumatic stress disorder in young and middle-aged patients with adenomyosis undergoing total hysterectomy

目的:调查中青年子宫腺肌症全子宫切除患者创伤后应激障碍现状,分析创伤后应激障碍的影响因素,为今后临床制定干预方案提供参考。方法:选取2022年3月—2023年2月在右江民族医学院附属医院妇科门诊回院复查的210例中青年子宫腺肌症全子宫切除患者。采用一般资料调查问卷、创伤后应激障碍清单-平民版量表、大五人格问卷、事件相关性反刍性沉思量表对其进行调查。发放问卷210份,回收率100%。采用单因素分析、二元Logistic回归方法对创伤后应激障碍的影响因素进行分析。结果:210例中青年子宫腺肌症全子宫切除患者创伤后应激障碍总分(38.93±10.18)分,创伤后应激障碍阳性发生率为22.4%。多因素结果显示,是否有子女,工作状况、神经质、目的性反刍性沉思、侵入性反刍性沉思是中青年子宫腺肌症全子宫切除患者是否发生创伤后应激障碍的影响因素(P<0.05)。结论:中青年子宫腺肌症全子宫切除患者创伤后应激障碍现状不容乐观,应针对性地采取预防措施,有效降低中青年子宫腺肌症全子宫切除患者创伤后应激障碍的发生率。

Objective To investigate the status of post-traumatic stress disorder(PTSD)in young and middle-aged patients with adenomyosis after hysterectomy and analyze its influencing factors,so as to provide reference for future clinical intervention plans.Methods From March 2022 to February 2023,210 young and middle-aged patients with adenomyosis undergoing total hysterectomy at the Gynecology Clinic of the Affiliated Hospital of Youjiang Medical University for Nationalities were selected as the study subjects.The survey was conducted using the General Information Questionnaire,the Post-Traumatic Stress Disorder Checklist-Civilian Version Scale,the NEO Five Factor Inventory,and the Event-Related Rumination Inventory.In this study,210 questionnaires were distributed,with a recovery rate of 100%.Single factor analysis and binary logistic regression methods were used to analyze the influencing factors of post traumatic stress disorder.Result Total score of post-traumatic stress disorder(38.93±10.18)in 210 young and middle-aged patients with adenomyosis undergoing hysterectomy,and the positive rate of post-traumatic stress disorder was 22.4%(47/210).Multi-factor result display that whether there were children,working status,neuroticism,purposeful ruminant inventory and invasive ruminant inventory were the influencing factors of post-traumatic stress disorder in young and middleaged patients with adenomyosis undergoing total hysterectomy.Conclusion The status of post-traumatic stress disorder in young and middle-aged patients with adenomyosis undergoing total hysterectomy is not optimistic.Targeted preventive measures should be taken to effectively reduce the incidence of post-traumatic stress disorder in young and middle-aged patients with adenomyosis undergoing total hysterectomy.