急诊重症患者机械通气脱机后创伤后应激障碍危险因素分析
Analysis of Risk Factors of Post-Traumatic Stress Disorder in Patients with Emergency Critical Illness after Offline Mechanical Ventilation
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2020, 47(6) |
| 作者 |
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| 作者单位 |
河南大学第一附属医院，急诊科 ;
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| 摘要 |
摘要 目的：探讨急诊重症患者机械通气脱机后创伤后应激障碍（PTSD）的危险因素。方法：选择2017年12月-2019年12月180例急诊重症机械通气患者为研究对象，采用创伤后应激障碍自评量表(PTSD-SS)进行PTSD评估，并设为PTSD组与非PTSD组，比较两组患者年龄、性别等病历资料，采用单因素及多因素分析调查PTSD的危险因素。结果：180例患者发生PTSD 55例，发生率30.55%；单因素分析显示，两组机械通气时间、年龄、镇痛镇静效果、焦虑、人格特征、应对方式、性别差异具有统计学意义（P<0.05），疾病种类、婚姻差异无统计学意义（P>0.05）；多因素分析结果显示，机械通气＞7d、镇痛镇静效果差、焦虑、内向型人格、消极应对是急诊重症患者机械通气脱机后PTSD的独立危险因素。结论：急诊重症患者机械通气脱机后易发生PTSD，受到通气时间、焦虑情绪等因素的影响。
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| Abstract |
[Abstract] Objective To explore the risk factors of post-traumatic stress disorder (PTSD) in emergency critical patients after offline mechanical ventilation. Methods A total of 180 patients with emergency severe mechanical ventilation from December 2017 to December 2019 were selected as the research object. The PTSD-SS was used to evaluate the PTSD. They were set as the PTSD group and the non-PTSD group. The medical records of patients, such as age and gender were compared between the two groups, and single factor and multifactor analysis were used to investigate the risk factors of PTSD. Results There were 55 cases of PTSD in 180 patients, the incidence rate was 30.55%; single factor analysis showed that the differences in mechanical ventilation time, age, analgesia and sedation effect, anxiety, personality characteristics, coping style, and gender were statistically significant (P<0.05). There was no statistically significant difference in disease type and marriage (P>0.05); and multivariate analysis showed that mechanical ventilation >7 days, poor analgesia and sedation effects, anxiety, introverted personality, and negative coping are after emergency mechanical ventilation in severely ill patients were the independent risk factors for PTSD. Conclusion PTSD is prone to occur in emergency critically ill patients after offline mechanical ventilation, which is affected by factors such as ventilation time and anxiety.
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| 关键词 |
关键词：急诊重症；机械通气；脱机；创伤后应激障碍；危险因素
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| KeyWord |
Key words Emergency Critical Illness; Mechanical Ventilation; Offline; Post-Traumatic Stress Disorder; Risk Factors
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| 基金项目 |
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| 页码 |
1228-1230 |
徐欣*.
急诊重症患者机械通气脱机后创伤后应激障碍危险因素分析 [J].
国际精神病学杂志.
2020; 47; (6).
1228 - 1230.