急腹症患者急性应激障碍现状及影响因素分析  

Current situation and influencing factors of acute stress disorder in patients with acute abdomen

作　　者：王明君[1] 杨芳[1] 郑景珍[1] 金亚军[2] 张青松[1] WANG Ming-jun;YANG Fang;ZHENG Jing-zhen;无(General Surgery,Kailuan General Hospital of Tangshan City;General Surgery Department,Tangshan Third Hospital,Tangshan063000,China)

机构地区：[1]唐山市开滦总医院普外科 [2]唐山市第三医院普外科,河北唐山063000

出　　处：《中国实验诊断学》2023年第1期24-26,共3页Chinese Journal of Laboratory Diagnosis

基　　金：河北省医学科学研究课题计划项目(20211328)。

摘　　要：目的探讨急腹症患者急性应激障碍(Acute stressdisorders,ASD)现状及影响因素。方法以唐山市开滦总医院2019年7月-2021年6月收治的96例急腹症患者为研究对象,采用单因素及多因素Logistic回归模型,分析影响急腹症患者ASD的相关因素。结果急腹症患者ASD得分为(47.38±9.25)分,其中中度ASD患者17例(17.71%)、重度ASD患者32例(33.33%),患者ASD总发生率51.04%。单因素分析结果显示,患者文化水平、家庭月收入、婚姻状况、居住地、疾病类型和治疗方式与急腹症患者ASD具有相关性(P<0.05)。进一步多元线性回归分析显示,患者文化程度、家庭月收入与患者斯坦福急性应激反应问卷(Stanford acute stress reaction questionnaire,SASRQ)得分呈负相关,疾病类型、治疗方式、婚姻状况及居住地与患者SASRQ得分呈正相关(P<0.05)。结论急腹症患者ASD发生率较高,与治疗方式、疾病类型等因素有关,临床治疗应掌握患者心理变化,给予社会家庭支持等干预降低患者治疗期间ASD的发生率。Objective To explore the current situation and influencing factors of acute stress disorder in patients with acute abdomen.Methods 96 patients with acute abdomen treated in our hospital from July 2019 to June 2021 were analyzed by Stanford acute stress response questionnaire(sasrq),pain visual analogue scale(VAS),social support rating scale(SSRs)and family care index questionnaire(Apgar),hospital anxiety and Depression Scale(HADS)and Psychological Resilience Scale(cd-risc)were used to observe patients with acute stress disorder,and sasrq was used as independent variable to observe its influencing factors.Results The score of acute stress disorder in patients with acute abdomen was(47.38±9.25),There were 17 patients with moderate ASD(17.71%)and 32 patients with severe ASD(33.33%),the total incidence of ASD was 51.04%.Univariate analysis showed that patients’education level,family monthly income,marital status,place of residence,disease type and treatment method were correlated with ASD in patients with acute abdomen(P<0.05).Further multiple linear regression analysis showed that the patient’s education level and monthly family income were negatively correlated with the patient’s Stanford acute stress response questionnaire(SASRQ)score,and the disease type,treatment method,marital status and residence were positively correlated with the patient’s SASRQ score(P<0.05).Conclusion The incidence of acute stress disorder in patients with acute abdomen is high,which is related to treatment methods,psychological state,social and family support.Clinical treatment should master the psychological changes of patients and give social and family support to reduce the incidence of ASD during treatment.

关 键 词：急腹症 应激性障碍 影响因素 

分 类 号：R656.1[医药卫生—急诊医学]