经体外循环心脏手术病人创伤后应激障碍症状及相关因素研究  

Study on symptoms of posttraumatic stress disorder in patients after undergoing cardiac surgery via extracorporeal circulation and its related factors

作　　者：曹丹凤[1] 陈倩倩[2] 王君芝[1] 

机构地区：[1]山东省千佛山医院 [2]山东大学护理学院

出　　处：《护理研究（上旬版）》2013年第5期1175-1178,共4页Chinese Nursing Researsh

摘　　要：[目的]探讨经体外循环心脏手术病人创伤后应激障碍(PTSD)症状发生情况,探讨其相关因素。[方法]应用创伤后应激障碍筛查量表平民版(PCL-C)、心理弹性量表(CD-RISC)、儿童期创伤问卷(CTQ)及自制的一般资料问卷、应激源问卷对92例经体外循环心脏手术病人进行调查。[结果]7.61%的病人PTSD症状阳性;PTSD症状与感知到的应激源(P<0.01)、儿童期创伤经历(P<0.05)呈正相关,与心理弹性呈负相关(P<0.01);感知到的应激源、儿童期创伤经历、心理弹性因素进入PCL-C得分的回归方程,可解释总变异的37.5%。[结论]经体外循环心脏手术病人存在PTSD症状,病人感知到的应激源越多,儿童期创伤经历越多,PTSD症状水平越高;而心理弹性越好,PTSD症状越轻。Objective：To probe into incidence of symptoms of posttraumatic stress disorder （PTSD） in patients after undergoing cardiac surgery via ex- tracorporeal circulation and to probe into its related factors. Methods：A to- tal of 92 patients after cardiac surgery via extracorporeal circulation were investigated by using Posttraumatic Stress Disorder Checklist - Civilian Version （PCL- C）, Connor- Davidson Resilience Scale （CD- RISC）, Childhood Trauma Questionnaire （CTQ） and self - made general informa- tion questionnaires and stressors questionnaire. Results：The PTSD symp- toms were positive in 7.61X of patients. PTSD symptoms were positively related with perceived stressors （P〈0. 01） and childhood trauma experi- ences（P〈0.05） ,and negatively related with psychological resilience （P〈 0.01） ; The perceived stressors, childhood trauma experience and psycho- logical resilience factors entered the regression equation of PTSD symp- toms,which explained 37. 5% of total variance. Conclusion： PTSD symp- toms existed among patients after cardiac surgery via extracorporeal circu- lation. The more perceived stressors of patients and childhood trauma ex- periences are,the higher PTSD symptoms level is. The better psychological resilience of patients,and the lighter PTSD symptoms level is.

关 键 词：心脏手术 应激源 创伤后应激障碍 心理弹性 儿童期创伤经历 

分 类 号：R473.6[医药卫生—护理学]