| Abstract |
[Abstract] Objective To investigate the risk factors of post-traumatic stress disorder (PTSD) after cardiopulmonary bypass surgery in the elderly. Methods A total of 150 elderly patients with heart disease from May 2019 to May 2020 were selected as the research objects, and all of them were treated with cardiopulmonary bypass surgery, and the PTSD screening scale-resident version (PCL-C) was used for PTSD screening, and set as the PTSD group and the non-PTSD group. Single factor analysis was performed on the age, gender, heart function and other data of the two groups of patients, and the risk factors for PTSD were investigated through multivariate analysis. Results 36 cases of PTSD occurred in 150 patients after operation, the incidence was 24.00%. Univariate analysis showed that the two groups had statistical differences in education level, mental resilience, cardiac function classification, combined anxiety, coping style, ICU treatment time, and postoperative atrial fibrillation (P<0.05). There was no significant difference in age, operation type, gender, and marital status between the two groups (P>0.05). Multivariate logistic regression analysis showed that, primary school and below education level, low level of mental flexibility, combined anxiety, negative coping, cardiac function grade Ⅲ-Ⅳ independent risk factors for PTSD after cardiopulmonary bypass surgery in the elderly. Conclusion The detection rate of PTSD after cardiopulmonary bypass surgery in the elderly is relatively high. It is affected by factors such as education level, mental flexibility, and cardiac function. Therefore, relevant risk factors should be targeted for intervention to reduce the incidence of PTSD.
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