车祸所致骨折老年患者发生创伤性应激障碍的相关影响因素分析

Analysis on Related Influencing Factors of Posttraumatic Stress Disorder in Elderly Patients with Fractures Caused by Car Accidents

目的分析车祸所致骨折老年患者发生创伤性应激障碍(PTSD)的相关影响因素。方法选取2020年1月至2022年12月我院收治的105例车祸所致骨折老年患者,采用PTSD平民版筛查问卷(PCL-C)评价患者PTSD发生情况,收集其基线资料,采用单因素、多因素分析找出车祸所致骨折老年患者发生PTSD的相关影响因素。结果105例车祸所致骨折老年患者PTSD发生率为32.38%(34/105);经单因素及Logistic回归分析结果显示,年龄≥70岁、离异或丧偶、家庭人均月收入<5000元、合并并发症、入院时疼痛评分≥7分、家庭功能低水平是车祸所致骨折老年患者发生PTSD的危险因素(OR>1,P<0.05)。结论车祸所致骨折老年患者PTSD发生风险较高,PTSD的发生与患者年龄≥70岁、离异或丧偶、家庭人均月收入<5000元、合并并发症、入院时疼痛评分≥7分、家庭功能低水平等密切相关。

Objective To analyze the related influencing factors of posttraumatic stress disorder(PTSD)in elderly patients with fractures caused by car accidents.Methods 105 elderly patients with fractures caused by car accidents admitted to our hospital from January 2020 to December 2022 were selected.The occurrence of PTSD was evaluated by PTSD civilian version screening questionnaire(PCL-C),the baseline data of patients were collected,and univariate and multivariate analysis were used to find out the related influencing factors of PTSD in elderly patients with fractures caused by car accidents.Results The incidence of PTSD in 105 elderly patients with fractures caused by car accidents was 32.38%(34/105);Univariate and Logistic regression analysis showed that age≥70 years old,divorce or widowhood,family per capital monthly income<5 o00 yuan,comorbidities,pain score at admission≥7 points,and low level of family function were risk factors for PTSD in elderly patients with fractures caused by car accidents(OR>1,P<0.05).Conclusions Elderly patients with fractures caused by car accidents have higher risk of PTSD,which is closely related to age≥70 years old,divorce or widowhood,family per capital monthly income<50o0 yuan,comorbidities,pain score at admission≥7 points,and low level of family function.