首页|ARDS患者撤呼吸机后并发创伤应激障碍的影响因素分析

ARDS患者撤呼吸机后并发创伤应激障碍的影响因素分析

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目的 分析急性呼吸窘迫综合征(ARDS)患者撤呼吸机后并发创伤后应激障碍(PTSD)的影响因素.方法 选取2021 年3 月至2023 年8 月我院收治的94 例ARDS患者作为研究对象,以创伤后应激障碍量表-平民版(PCL-C)评估PTSD并发情况,并自拟基线资料调查表记录患者一般资料,采用Logistic回归分析ARDS患者撤呼吸机后并发PTSD的影响因素.结果 94 例ARDS患者撤呼吸机后,30 例并发PTSD(分为并发组),发生率为31.91%;未并发PTSD 64 例(分为未并发组).并发组患者的文化程度为小学或初中、机械通气时间>7d、消极应对方式、人格特征为内向的占比均高于未并发组,差异均具有统计学意义(均P<0.05).两组患者的其他资料比较,差异无统计学意义(P>0.05).经Logistic回归分析显示,文化程度为小学或初中、机械通气时间>7d、消极应对方式、内向人格均为ARDS患者撤呼吸机后并发PTSD的影响因素(P<0.05).结论 ARDS患者撤呼吸机后并发PTSD的影响因素为消极应对方式、通气时间长、学历低下及内向人格.
Analysis of influencing factors of traumatic stress disorder in ARDS patients after ventilator withdrawal
Objective To analyze the influencing factors of post-traumatic stress disorder(PTSD)in patients with acute respiratory distress syndrome(ARDS)after ventilator withdrawal.Methods A total of 94 ARDS patients admitted to our hospital from March 2021 to August 2023 were selected as the study objects.The post-traumatic stress disorder(PTSD)scale-civilian version was used to assess the complications of PTSD,and the general data of patients were recorded in a self-designed baseline data questionnaire.Logis-tic regression was used to analyze the influencing factors of PTSD in ARDS patients after withdrawal.Results After the withdrawal of ARDS,30 cases were complicated with PTSD(31.91%).Non-concurrent PTSD64 cases(divided into non-concurrent PTSD group).The proportion of patients in the concurrent group with primary or junior high school education,mechanical ventilation time>7 days,negative coping style and introverted personality characteristics were higher than those in the non-concurrent group,and the differences were statistically significant(all P<0.05).There was no significant difference in the general data between the two groups(P>0.05).Logistic regression analysis showed that educational background of primary or junior high school,mechanical ventilation time>7 days,negative coping style and introverted personality were the influencing factors of PTSD in ARDS patients after withdrawal(P<0.05).Conclusion The influencing factors of PTSD in ARDS patients were negative coping style,long ventilation time,low educational background and introverted personality.

Acute respiratory distress syndromePost-traumatic stress disorderCoping stylePersonality characteristics

熊维、廖浩、潘婕、吴颖

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联勤保障部队第九〇八医院重症医学科,江西南昌 330001

急性呼吸窘迫综合征 创伤后应激障碍 应对方式 人格特征

2024

蛇志
中国蛇协

蛇志

影响因子:0.439
ISSN:1001-5639
年,卷(期):2024.36(4)