重症肺炎机械通气患者撤机后发生PTSD的相关危险因素分析

Analysis of Related Risk Factors of PTSD in Patients with Severe Pneumonia after Mechanical Ventilation

目的分析重症肺炎机械通气患者撤机后发生PTSD的相关危险因素。方法选取2021年8月至2022年10月期间医院收治的重症肺炎机械通气撤机患者78例为研究对象,于撤机后1个月内采用创伤后应激障碍自评量表(PTSD-SS)患者创伤后应激障碍自评量表(PTSD-SS)评估患者发生PTSD情况,根据是否发生PTSD将其分为发生组与未发生组,并比较两组相关资料,找出影响患者撤机后发生PTSD的相关危险因素。结果78例重症肺炎机械通气患者撤机后发生PTSD共21例,发生率为26.92%;两组机械通气时间、镇静镇痛治疗、应对方式、焦虑比较,差异有统计学意义(P<0.05);经多项logistic回归分析结果显示,机械通气时间长、未进行镇静镇痛治疗、消极应对、伴有焦虑情绪是影响重症肺炎机械通气患者撤机后发生PTSD的危险因素(OR>1,P<0.05)。结论重症肺炎机械通气患者撤机后发生PTSD风险较高,受到机械通气时间长、未进行镇静镇痛治疗、消极应对、焦虑情绪等危险因素的影响。

Objective To analyze the risk factors of PTSD in patients with severe pneumonia after mechanical ventilation.Methods A total of 78 patients with severe pneumonia who underwent mechanical ventilation withdrawal from the hospital from August 2021 to October 2022 were selected as the study subjects.Within one month after the withdrawal,the patients were assessed with the Post-traumatic Stress Disorder Self-Assessment Scale(PTSD-SS)and the Post-traumatic Stress Disorder Self-Assessment Scale(PTSD-SS).According to the occurrence of PTSD,they were divided into the occurrence group and the non-occurrence group,and the relevant data of the two groups were compared,Find out the relevant risk factors that affect the occurrence of PTSD after withdrawal.Results Twenty-one of 78 patients with severe pneumonia had PTSD after mechanical ventilation,with an incidence of 26.92%;There were significant differences in mechanical ventilation time,sedative and analgesic treatment,coping style and anxiety between the two groups(P;The results of multiple logistic regression analysis showed that long mechanical ventilation time,no sedation and analgesia treatment,negative coping,and anxiety were the risk factors for PTSD in patients with severe pneumonia after mechanical ventilation(OR>1,P<0.05).Conclusion The risk of PTSD in patients with severe pneumonia after mechanical ventilation is high,which is affected by risk factors such as long mechanical ventilation time,no sedation and analgesia treatment,negative coping,anxiety and so on.