| 摘要 |
【摘要】目的 分析烧伤患者创伤后应激障碍（Post-traumatic Stress Disorder, PTSD）与疼痛程度、社会支持的相关性。方法 选择102例于2023年1月至2025年1月在我院就诊的烧伤患者的临床资料展开回顾性分析，随访3个月后依据创伤后应激障碍自评量表（PTSD checklist-civilian version,PCL-C）结果进行分组，PTSD组（n=26）、无PTSD组（n=76）。比较两组一般资料、数字评定量表（Numeric Rating Scale,NRS）、社会支持评定量表（Social Support Rating Scale,SSRS）评分，采用多因素Logistic回归分析烧伤患者PTSD的危险因素，通过ROC分析总烧伤面积、NRS评分、SSRS评分预测烧伤患者PTSD的价值。结果 PTSD组面部烧伤发生率、总烧伤面积、NRS评分均高于无PTSD组，SSRS评分低于无PTSD组（P＜0.05）；多因素Logistic回归分析证实，面部烧伤、总烧伤面积、NRS评分、SSRS评分是影响烧伤患者PTSD发生的危险因素，均有P＜0.05；ROC分析证实，总烧伤面积、NRS评分、SSRS评分可用于预测烧伤患者PTSD，曲线下面积分别为0.847、0.793、0.812，均有P＜0.05。结论 面部烧伤、总烧伤面积、NRS评分、SSRS评分是影响烧伤患者PTSD发生的危险因素，疼痛程度加剧、社会支持低将增加烧伤患者PTSD发生风险。
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| Abstract |
【Abstract】Objective To analyze the correlation between Post-traumatic Stress Disorder (PTSD) and pain degree as well as social support in burn patients.Method Select 102 cases from January 2023 to January 2025 burn patients in our hospital clinical data were retrospectively analyzed, follow-up after 3 months according to the self-assessment lists of post-traumatic stress disorder (PTSD checklist - civilian version, PCL-C) are grouped as a result, PTSD group (n=26), non-PTSD group (n=76).Compare two groups of general information, digital Rating Scale (Numeric Rating Scale, NRS), Social Support Rating Scale (Social Support Rating Scale, SSRS) score, using multiariable Logistic regression analysis of risk factors for burn patients with PTSD,ROC was used to analyze the value of total burn area, NRS score and SSRS score in predicting PTSD in burn patients.Result The incidence of facial burns, total burn area and NRS score in the PTSD group were all higher than those in the non-PTSD group, while the SSRS score was lower than that in the non-PTSD group (P < 0.05). Multivariate Logistic regression analysis confirmed that facial burns, total burn area, NRS score, and SSRS score were risk factors affecting the occurrence of PTSD in burn patients, all with P < 0.05. ROC analysis confirmed that the total burn area, NRS score, and SSRS score could be used to predict PTSD in burn patients. The areas under the curve were 0.847, 0.793, and 0.812 respectively, all with P < 0.05.Conclusion Facial burns, total burn area, NRS score and SSRS score are risk factors affecting the occurrence of PTSD in burn patients. Intensified pain and low social support will increase the risk of PTSD in burn patients.
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