重症创伤患者应激障碍对睡眠质量及心理健康的影响

The Effect of Stress Disorder on Sleep Quality and Mental Health of Patients with Severe Trauma

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(2)
作者
作者单位

平煤神马医疗集团总医院重症医学科 ;

摘要
【摘要】探讨重症创伤患者应激障碍对睡眠质量及心理健康的影响。方法 本研究对象为2017年10月至2019年10月我院120例重症创伤患者,采用创伤后应激障碍自评量表(PTSD- SS)、匹兹堡睡眠质量指数(PSQI)以及症状自评量表(SCL-90)评估创伤后应激障碍、睡眠质量以及心理健康现状,并分析PTSD- SS量表与PSQI量表、SCL-90量表之间的相关性。结果 120例患者回收有效问卷112份,回收率93.33%;重症创伤患者PTSD- SS总分(46.34±8.12)分,其中>50分的阳性患者54例,创伤后应激障碍阳性率48.21%; SCL-90总分(258.48±43.76)分,其中抑郁、焦虑、恐怖分量表评分较高,分别为(35.28±6.34)分、(32.88±5.02)分、(30.77±4.01)分;PSQI总分(8.67±2.01)分,其中入睡时间评分最高,为(1.48±0.40)分;PTSD- SS量表与PSQI量表、SCL-90量表各分量表之间均存在显著正相关关系(P<0.05)。结论 重症创伤患者创伤后应激障碍检出率较高,与睡眠质量对心理健康具有显著相关性,患者普遍存在睡眠障碍,心理健康水平下降现象。
Abstract
[Abstract] Objective To discuss the effect of stress disorder on sleep quality and mental health of patients with severe trauma. Methods A total of 120 patients with severe trauma in our hospital from October 2017 to October 2019 were the subjects of this study. The post-traumatic stress disorder self-rating scale (PTSD-SS), Pittsburgh sleep quality index (PSQI) and symptom self-rating scale (SCL-90) were used to assess the status of post-traumatic stress disorder, sleep quality and mental health, and analyze the correlation between the PTSD-SS scale, PSQI scale and SCL-90 scale. Results 120 patients returned 112 valid questionnaires, with a recovery rate of 93.33%. The total score of PTSD-SS in severe trauma patients was (46.34±8.12), of which 54 were positive patients with >50 points, and the positive rate of PTSD was 48.21%. The total score of SCL-90 is (258.48±43.76), and the scores of depression, anxiety, and horror are higher, which are (35.28±6.34), (32.88±5.02) and (30.77±4.01) respectively. The total PSQI score was (8.67±2.01), of which the time to fall asleep was the highest, which was (1.48±0.40). There was a significant positive correlation between the PTSD-SS scale and the PSQI scale and the subscales of the SCL-90 scale (P<0.05). Conclusion The detection rate of post-traumatic stress disorder in severe trauma patients is relatively high, which is significantly related to the quality of sleep and mental health. Sleep disorders are common in patients, and their mental health levels are reduced.
关键词
关键词:重症创伤;创伤后应激障碍;睡眠质量;心理健康
KeyWord
Key words Severe Trauma; Post-Traumatic Stress Disorder; Sleep Quality; Mental Health
基金项目
页码 378-380
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李淑敏*. 重症创伤患者应激障碍对睡眠质量及心理健康的影响 [J]. 国际精神病学杂志. 2021; 48; (2). 378 - 380.

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