创伤性骨折患者急性应激障碍情况及其与焦虑、抑郁的相关性分析

Situation of acute stress disorder in patients with traumatic fracture and correlation analysis between it and anxiety, depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(3)
作者
作者单位

陕西省咸阳市中心医院 ;

摘要
【摘要】目的:探讨创伤性骨折患者急性应激障碍情况及其与焦虑、抑郁的相关性。方法:选择于2012年3月至2014年11月在我院收治的创伤性骨折患者共260例进行问卷调查,包括基本资料问卷表、焦虑抑郁量表以及斯坦福急性应激反应问卷。结果:260例创伤性骨折患者的SASRQ平均分为(31.97±24.86)分,共有70例(26.92%)急性应激障碍患者;性别、年龄、焦虑、抑郁、婚姻、文化程度是创伤性股则患者应激性障碍的影响因素,与SASRQA相关,而焦虑患者和抑郁患者各维度的SASRQ均高于非焦虑患者和非抑郁患者,差异具有统计学意义(均P<0.05);文化在SASRQ、分离、再体验、回避总分等维度中差异均无统计学意义(P=0.096,P=0.203,P=0.099,P=0.152),而在激惹维度中为影响因素,可进入回归方程(P<0.001);性别、年龄、婚姻、焦虑、抑郁均是所有维度的影响因素,均可进入回归方程(均P<0.005)。结论:焦虑和抑郁等不良心理因素可对创伤性骨折患者的应激性障碍产生显著的影响,临床上应给予足够的重视。
Abstract
[Abstract] objective To export the situation of acute stress disorder in patients with traumatic fracture and correlation analysis between it and anxiety, depression.Method Selected 260 cases of traumatic fracture patients in our hospital from March 2012 to November 2014 to make a questionnaire investigation,which was including basic data questionnaire, anxiety and depression scale, and Standfords acute stress response questionnaire.Results The average SASRQ score of 260 patients with traumatic fracture is (31.97 + 24.86),and there were 70 (26.92%) cases of patients with acute stress disorder.Gender, age, anxiety, depression, marriage, and the degree of education were the influencing factors of the stress disorder of traumatic femoral patients,which related to SASRQA.SASRQ of each dimension in patients wiht anxiety and depression were higher than those of non anxiety and non depressed patients,the difference was statistically significant (all P < 0.05);Culture in SASRQ, separation, and then experience, avoid the total score and other dimensions of the difference was not statistically significant (P=0.096, P=0.203, P=0.099, P=0.152),but it was a influence factor in the total score irritability dimension,which can enter the regression equation (P < 0.001);Gender, age, marriage, anxiety, depression were all factors affecting all dimensions,can enter the regression equation (all P < 0.005).Conclusion Anxiety and depression and other adverse psychological factors can significantly affect the stress disorder in patients with traumatic fracture,clinical should be given enough attention.
关键词
【关键词】创伤性骨折;焦虑;抑郁;急性应激障碍;相关性
KeyWord
[Key words] Traumatic fracture; anxiety; depression; acute stress disorder; correlation
基金项目
页码 489-492
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张文凯*. 创伤性骨折患者急性应激障碍情况及其与焦虑、抑郁的相关性分析 [J]. 国际精神病学杂志. 2016; 43; (3). 489 - 492.

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