颅内动脉支架置入术患者创伤后应激障碍水平与疾病感知控制及社会支持的相关性研究  

Correlation between the level of post-traumatic stress disorder and disease perception control and social support in patients undergoing intracranial arterial stenting

作　　者：路红燕 孟文娟 张素霞 LU Hongyan;MENG Wenjuan;ZHANG Suxia(Department of Neurology,Xingtai City Central Hospital,Xingtai 054000,China)

机构地区：[1]邢台市中心医院神经内科,河北邢台054000

出　　处：《现代医学》2025年第1期63-68,共6页Modern Medical Journal

基　　金：河北省邢台市科技局科研计划项目(2022ZC130)。

摘　　要：目的:分析颅内动脉支架置入术患者创伤后应激障碍(PTSD)水平与疾病感知控制及社会支持的相关性。方法:采用随机抽样法选取我院2020年1月至2021年12月收治的200例颅内动脉支架置入术患者,以创伤后应激障碍症状筛查量表(PCL-C)调查患者术后3 d PTSD发生情况,并分析影响患者PTSD的相关因素,采用Pearson相关性分析患者PTSD与疾病感知控制及社会支持的相关性。结果:患者PTSD-SS量表得分为36~83分,平均(55.34±8.14)分,其中95例患者≥50分,PTSD阳性率为47.50%(95/200)。年龄<60岁患者PTSD-SS量表得分高于年龄≥60岁患者(P<0.05)。患者简易疾病感知问卷(BIPQ)平均得分为(44.57±4.80)分,社会支持评定量表(SSRS)平均得分为(37.29±3.94)分,得分均处于中等水平。Pearson相关性分析显示,PTSD-SS量表各维度评分及总分与BIPQ量表总分成正相关、与SSRS量表总分呈负相关(均P<0.05)。多元线性回归分析显示,年龄、疾病感知控制及社会支持均为患者PTSD影响因素(均P<0.05)。结论:颅内动脉支架置入术患者PTSD水平与疾病感知控制水平呈正相关,与社会支持呈负相关,且疾病感知控制及社会支持均为患者发生PTSD影响因素。Objective:To analyze the correlation among the level of post-traumatic stress disorder(PTSD)and the disease perception control and social support in patients undergoing intracranial arterial stenting.Methods:Random sampling method was used to select 200 patients with intracranial arterial stenting admitted to our hospital from January 2020 to December 2021.Post-Traumatic Stress Disorder Checklist-Civilian Version(PCL-C)was used to investigate the occurrence of PTSD 3 days after surgery.The related factors affecting PTSD were analyzed,and Pearson correlation was used to analyze the correlation of PTSD with perceived disease control and social support.Results:The PTSD-SS scale scores of the patients ranged from 36 to 83 points with an average of(55.34±8.14)points,of which 95 patients were≥50 points,and the positive rate of PTSD was 47.50%(95/200).The score of PTSD-SS in patients<60 years old was higher than that in patients≥60 years old(P<0.05).The mean scores of patients on the Brief Illness Perception Questionnaire(BIPQ)and social support rating scale(SSRS)were(44.57±4.80)points and(37.29±3.94)points,respectively,both of which were in the middle level.Pearson correlation analysis showed that the score and total score of each dimension of PTSD-SS scale were positively correlated with the total score of BIPQ scale and negatively correlated with the total score of SSRS scale(all P<0.05).Multiple linear regression analysis showed that age,perception disease control and social support were the influencing factors for PTSD(all P<0.05).Conclusion:The level of PTSD in patients with intracranial arterial stenting is positively correlated with the level of perception and control of disease,and negatively correlated with social support,and both perception and control of disease and social support are influencing factors for the development of PTSD.

关 键 词：颅内动脉支架置入术 创伤后应激障碍 疾病感知控制 社会支持 相关性 

分 类 号：R743.3[医药卫生—神经病学与精神病学]