工伤患者心理应激反应特点分析

Analysis on Characteristics of Psychological Stress Reaction of Work-related Injury Patients

目的:分析工伤患者心理应激反应特点。方法:选取2022年8月—2023年4月青岛心血管病医院收治的178例工伤患者作为研究对象,均给予创伤后应激反应症状自评量表(PCL-C)、艾森克人格问卷(EPQ)、社会支持评定量表(SSRS)、简易应对方式问卷(SCSQ)进行问卷调查。分析178例患者心理应激反应特点。结果:178例工伤患者警觉性增高评分(14.78±1.35)分,反复重现体验评分(13.26±1.41)分,回避症状评分(11.54±1.30)分,PCL-C总分(45.69±4.02)分,存在创伤后应激障碍(PTSD)157例。PTSD阳性组P量表、N量表评分高于正常组,E量表评分低于正常组,差异有统计学意义(P<0.001);两组L量表评分比较,差异无统计学意义(P>0.05)。PTSD阳性组社会支持利用度、主观支持、客观支持评分及总分低于正常组,差异有统计学意义(P<0.001)。178例工伤患者积极应对评分(31.31±1.67)分,消极应对评分(20.09±1.55)分,SCSQ总分(51.68±2.04)分。警觉性增高评分、反复重现体验评分、回避症状评分与积极应对呈负相关,与消极应对呈正相关(P<0.05)。结论:工伤患者普遍存在PTSD,发生与其人格特点、社会支持度、应对方式密切相关。

Objective:To analyze the characteristics of psychological stress reaction of work-related injury patients.Methods:A total of one hundred and seventy-eight work-related injury patients admitted to Qingdao Cardiovascular Hospital from August 2022 to April 2023 were selected as the study objects.All of them were subjected to post-traumatic stress symptom checklist(PCLC),Eysenck personality questionnaire(EPQ),social support rating scale(SSRS)and simple coping style questionnaire(SCSQ).The characteristics of psychological stress reaction in one hundred and seventy-eight patients were analyzed.Results:Among the 178 work-related injury patients,increased alertness score(14.78±1.35),recurrent experience score(13.26±1.41),avoidance symptom score(11.54±1.30),PCL-C total score(45.69±4.02),and post-traumatic stress disorder(PTSD)were present in 157 cases;the scores of P scale and N scale in positive PTSD group were higher than those in normal group,and the scores of E scale were lower than those in normal group,the difference was statistically significant(P<0.001);there was no significant difference in L-scale scores between the two groups(P>0.05);the social support utilization,subjective support,objective support score and total score of PTSD positive group were lower than those of normal group,and the differences were statistically significant(P<0.001);the positive coping score of 178 work-related injury patients was(31.31±1.67),the negative coping score was(20.09±1.55),and the total SCSQ score was(51.68±2.04);increased alertness score,recurrent experience score and avoidance symptom score were negatively correlated with active coping,but positively correlated with negative coping(P<0.05).Conclusion:PTSD is common in workrelated injury patients,and its occurrence is closely related to personality,social support and coping style.