Investigation on the Related Factors of Posttraumatic Stress Disorder in Patients with Severe Trauma and Analysis of its Prevention and Treatment Strategies
Objective:To explore the related factors and prevention and treatment strategies of severe trauma patients complicated with post-traumatic stress disorder.Methods:A retrospective analysis was conducted on the clinical data of 95 patients with severe trauma admitted to the hospital from April 2021 to April 2023.The level of post-traumatic stress disorder was evaluated with PTSD-SS scale,and they were divided into two groups based on their scores.General information about patients,chronic health status scoring system(APACHF Ⅱ)scores,social support,and medical treatment time(≥4 hours,＜4 hours)were collected.Single factor analysis on general data,and multivariate logistic regression analysis on those with statistical differences were conducted.Results:A total of 38 cases of post-traumatic stress disorder occurred in 95 patients,with an incidence rate of 40.00％.Univariate analysis showed that there was statistically significant difference between the two groups in terms of monthly income level,trauma type,presence of sepsis,residual disability,psychological resilience,APACHF Ⅱscore,and social support(x2=18.581,12.789,5.247,11.053,18.581,8.118,8.143;P＜0.05).Logistic regression analysis showed that family monthly income level＜5000 yuan,open trauma,sepsis,residual disability,poor psychological resilience,APACHF Ⅱ score≥20 points,and poor social support were independent risk factors for severe trauma patients complicated with post-traumatic stress disorder(OR=7.207,4.800,5.398,5.195,7.207,3.459,3.897).Conclusion:Family monthly income levels＜5 000 yuan,open trauma,sepsis,residual disability,poor psychological resilience,APACHF Ⅱ score≥20 points,and poor social support are the main causes of post-traumatic stress disorder in severe trauma patients.Clinical attention should be paid to it,and targeted prevention and treatment strategies should be developed.
Severe traumaPost traumatic stress disorderInfluencing factorPrevention and control measuresPsychological resilienceSocial support
万方数据
维普
