【摘要】 目的:探讨外伤住院患者创伤后应激障碍症状(PTSD)的相关因素。方法:选取武汉市两家医院外伤住院患者426例,采集一般人口学资料,采用社会支持评定量表评估社会支持情况,采用抑郁自评问卷(BDI)评估抑郁症状,采用PTSD自评量表评定(PTSD)症状。结果:PTSD症状的检出率为24.2%(103/426),家人关心减少(OR=2.47,95%CI:1.35~4.53)、入院时意识昏迷(OR=3.02,95%CI:1.39~6.54)、交通伤(OR=2.31,95%CI:1.31~4.05)、院内感染(OR=3.38,95%CI:1.31~8.74)、焦虑(OR=4.31,95%CI:1.11~16.74)、噩梦(OR=25.34,95%CI:5.30~121.31)、有些担心/很担心/非常担心死亡(OR=3.89/3.61/2.43,95%CI:1.59~9.53/1.32~9.92/0.86~6.84)和抑郁症状(OR=7.24,95%CI:3.38~15.49)是PTSD的危险因素。结论:家人关心减少、入院时意识昏迷、交通伤、院内感染、焦虑、噩梦、担心死亡和出现抑郁症状的外伤患者可能更容易出现PTSD。更多还原

【Abstract】 Objective:To explore the related factors of post-traumatic stress disorder(PTSD) symptoms(PTSD) in trauma patients.Methods:Totally 426 trauma patients were enrolled in the survey in two teaching hospitals in Wuhan.They were assessed with the Social Support Rating Scale,Beck Depression Inventory,and PTSD Checklist-Civilian Version(PCL-C) to evaluate social support,depression symptoms and PTSD symptoms respectively.Chi-square test an-d multivariate non-conditional logistic regression analysis were used to analyze the risk factors.Results:The rate of PTSD symptoms was 24.2%(103/426).The risk factors included less family care(OR=2.47,95%CI:1.35-4.53),unconsciousness(OR=3.02,95%CI:1.39-6.54),traffic injuries(OR=2.31,95%C/:1.31-4.05),nosocomial infection(OR =3.38,95%CI:1.31-8.74),anxiety(OR=4.31,95%CI:1.11-16.74),nightmares(OR =25.34,95%CI:5.30-121.31),fear of death(OR=3.89/3.6112.43,95%CI:1.59-9.53/1.32-9.92/0.86-6.84) and depression(OR =7.24,95%CI:3.38-15.49).Conclusion:Trauma patients with less family care,unconsciousness,traffic injuries,nosocomial infection,anxiety,nightmares,worries of death and depressive symptom are liable to the postlraumatic stress disorder symptoms.更多还原