目的:探究甲状腺切除术患者创伤后应激障碍(post traumatic stress disorder,PTSD)发生风险及影响因素.方法:采用方便抽样,选取2019年6月至2022年6月临泉县人民医院行甲状腺切除术患者,根据PTSD诊断结果分为对照组和PTSD组,以多因素Logistic回归分析PTSD发生的危险因素.结果:189例甲状腺切除术患者PTSD发生率为32.80％;事件冲击量表(impact of event scale-revised,IES-R)总分为(27.15±2.35)分,处于中度PTSD水平;年龄、文化程度、家庭收入、社会支持,术前焦虑、抑郁,术前心理弹性水平及术后发生并发症是甲状腺切除术患者PTSD发生的危险因素(P均＜0.05).结论:甲状腺切除术患者术后PTSD发生风险较高,应多关注年龄小、文化程度低、家庭收入低、社会支持水平低、术前心理状态较差及术后发生并发症的患者.
Occurrence risk and influencing factors of post traumatic stress disorder in patients undergoing thyroidectomy
Objective:To explore the occurrence risk and influencing factors of post traumatic stress disorder(PTSD)in patients underwent thyroidectomy.Method:Patients who underwent thyroidectomy in Linquan County People's Hospital from June 2019 to June 2022 were selected by convenience sampling.According to PTSD diagnostic results,the patients were divided into the control group and the PTSD group.Multivariate Logistic regression analysis was conducted to identify the risk factors for PTSD.Results:The incidence of PTSD in this study was 32.80％.The total score of the impact of events scale-revised(IES-R)was(27.15±2.35),indicating middle level of PTSD.Age,educational level,family income,social support,preoperative anxiety and depression,preoperative psychological resilience,and postoperative complications were risk factors for PTSD in patients underwent thyroidectomy(all P＜0.05).Conclusion:The risk of PTSD is relatively high in patients underwent thyroidectomy.More attention should be paid to younger patients,patients with low educational level,low family income,low social support level,poor preoperative psychological state and postoperative complications.
post traumatic stress disorderthyroidectomyinfluencing factorpostoperative recovery
万方数据
维普
