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    张媛媛, 汪立, 赵贵, 李婷. 急性呼吸衰竭病人创伤后应激障碍与恐惧疾病进展、ICU环境压力源的相关性研究[J]. 蚌埠医科大学学报, 2023, 48(8): 1147-1151. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.029
    引用本文: 张媛媛, 汪立, 赵贵, 李婷. 急性呼吸衰竭病人创伤后应激障碍与恐惧疾病进展、ICU环境压力源的相关性研究[J]. 蚌埠医科大学学报, 2023, 48(8): 1147-1151. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.029
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    ZHANG Yuan-yuan, WANG Li, ZHAO Gui, LI Ting. Study on the correlation between post-traumatic stress disorder and fear disease progression, ICU environmental stressors in patients with acute respiratory failure[J]. Journal of Bengbu Medical University, 2023, 48(8): 1147-1151. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.029
    Citation: ZHANG Yuan-yuan, WANG Li, ZHAO Gui, LI Ting. Study on the correlation between post-traumatic stress disorder and fear disease progression, ICU environmental stressors in patients with acute respiratory failure[J]. Journal of Bengbu Medical University, 2023, 48(8): 1147-1151. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.029
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    急性呼吸衰竭病人创伤后应激障碍与恐惧疾病进展、ICU环境压力源的相关性研究

    Study on the correlation between post-traumatic stress disorder and fear disease progression, ICU environmental stressors in patients with acute respiratory failure

      摘要
    • 摘要:
      目的分析急性呼吸衰竭(ARF)病人创伤后应激障碍(PTSD)与恐惧疾病进展、ICU环境压力源之间的相关性, 为临床针对ARF病人制定切实有效的护理干预措施提供指导。
      方法选取142例ARF病人为研究对象, 采用一般情况调查表, 中文版ICU环境压力源量表(ESQ-C), 疾病进展恐惧问卷简化版量表(FoP-Q-SF)和创伤后应激障碍量表-平民版(PCL-C)对其进行问卷调查, 采用Pearson分析法分析ARF病人PTSD与恐惧疾病进展、ICU环境压力源之间的相关性。
      结果128例ARF病人PTSD得分(39.60±4.58)分; 恐惧疾病进展得分(35.63±5.46)分; ICU环境压力源得分(121.55±14.35)分; 性别、文化程度、并发症和心理资本是ARF病人PTSD的影响因素(P < 0.05);Pearson分析结果显示, ARF病人PTSD与恐惧疾病进展、ICU环境压力源间呈正相关关系, ICU环境压力源与恐惧疾病进展间呈正相关关系(P < 0.05)。
      结论ARF病人PTSD与恐惧疾病进展、ICU环境压力源得分均处于中等水平, 且PTSD与恐惧疾病进展、ICU环境压力源三者间互相影响。临床医护人员应关注ARF病人ICU环境压力源和恐惧疾病进展水平, 针对性地采取措施以降低PTSD症状水平。

       

      Abstract:
      ObjectiveTo analyze the correlation between post-traumatic stress disorder (PTSD) and fear of disease progression, ICU environmental stressors in patients with acute respiratory failure (ARF), and to provide guidance for clinically formulating effective nursing interventions for ARF patients.
      MethodsA total of 142 patients with ARF were selected as the research objects, and they were investigated with the general situation questionnaire, the Chinese version of the ICU environmental stressor scale (ESQ-C), the simplified version of the fear of disease progression questionnaire (FoP-Q-SF) and the post-traumatic stress disorder scale-civilian version (PCL-C). Pearson analysis was used to analyze the correlation between PTSD and fear of disease progression, ICU environmental stressors in ARF patients.
      ResultsThe PTSD score of 128 patients points with ARF was (39.60±4.58) points, the score of fear of disease progression was (35.63±5.46) points, and the ICU environmental stressor score was (121.55±14.35) points. Gender, educational level, comorbidities and psychological capital were the influencing factors for PTSD in ARF patients (P < 0.05).Pearson analysis results showed that there was a positive correlation between PTSD in ARF patients and fear of disease progression, ICU environmental stressors, and there was a positive correlation between ICU environmental stressors and fear of disease progression (P < 0.05).
      ConclusionsThe scores of PTSD, fear of disease progression, and ICU environmental stressors in ARF patients are all at a moderate level, and there is an interplay between PTSD and fear of disease progression and ICU environmental stressors. Clinical medical staff should pay attention to ICU environmental stressors and fear of disease progression in ARF patients, and take targeted measures to reduce the level of PTSD symptoms.

       

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