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| Study on the occurrence and influencing factors of post-traumatic stress disorder in ICU patients |
| SANG Yanjie HUANG Qiongqiong CAO Yanhui |
| Department of Critical Care Medicine, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China |
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Abstract Objective To explore and analyze the occurrence of post-traumatic stress disorder (PTSD) in patients in intensive care unit (ICU) and its influencing factors. Methods From June 2016 to June 2018, 86 patients admitted to the First Affiliated Hospital of Harbin Medical University who had undergone comprehensive ICU and with stable condition and consciousness were selected as study subjects. The patients were evaluated by the basic situation questionnaire and the Impact of Event Scale-Revised (IES-R) and Intensive Care Experience with Mechanical Ventilation (ICE-MV) to explore the occurrence and influencing factors of PTSD in ICU patients. Results The patient′s PTSD score was 1 to 57 points, with an average of (33.45±12.73) points. In the three dimensions, the invasive dimension factor score (total score of the dimension items/the number of the dimension items) was the highest. Using the total score of PTSD as a dependent variable, mechanical ventilation or not, different types of surgery, ICU stay time, emotional state, previous severe trauma history, history of alcohol dependence, and negative life events were included in the independent variables. Logistic multivariate regression analysis showed that mechanical ventilation or not, ICU stay time, emotional state, previous severe trauma history, and negative life events were the influencing factors of PTSD (P < 0.05). Conclusion Mechanical ventilation or not, ICU stay time, emotional state, previous severe trauma history, negative life events can be used as high-risk factors affecting the occurrence of PTSD. Clinical staff need to develop different interventions to protect patients′ life and health.
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