慢性阻塞性肺疾病患者创伤后应激障碍症状群及其心理易感因素

发布时间：2018-09-03 14:42

【摘要】：目的:调查慢性阻塞性肺疾病(COPD)患者创伤后应激障碍(PTSD)症状群的发生情况,探讨PTSD症状群的心理易感因素。方法:采用一般资料调查表、知觉压力量表、反刍思维量表、情绪调节问卷、创伤后应激障碍测评量表第五版对94名COPD患者进行调查。结果:COPD患者中PTSD的阳性率为25.5%,分别有58人(61.7%)、36人(38.3%)、57人(60.6%)、60人(63.8%)存在再体验、回避、认知与情绪的负性改变、唤醒症状群。分层线性回归结果显示,知觉压力、症状反刍均是回避[β=0.34(P=0.001),β=0.46(P=0.009)]、认知与情绪的负性改变[β=0.38(P0.001),β=0.54(P=0.001)]、唤醒[β=0.21(P=0.044),β=0.64(P=0.001)]症状群的危险因素。此外,知觉压力还是再体验[β=0.33(P=0.001)]症状群的危险因素。结论:知觉压力、症状反刍水平高的患者更容易发生PTSD症状群。
[Abstract]:Objective: to investigate the occurrence of (PTSD) symptom group in (COPD) patients with chronic obstructive pulmonary disease (COPD) and to explore the psychological predisposing factors of PTSD symptom group. Methods: 94 patients with COPD were investigated by general information questionnaire, perceptual stress scale, ruminant thinking scale, emotion regulation questionnaire and the fifth edition of post-traumatic stress disorder scale. Results the positive rate of PTSD was 25.5% in 58 patients (61.7%), 36 patients (38.3%), 57 patients (60.6%), 60 patients (63.8%) had reexperience, avoidance, negative cognitive and emotional changes, and arousal symptom group. The results of stratified linear regression showed that perceived stress and symptoms regurgitation were risk factors of the symptom group of avoidance [尾 0.34 (P0. 001), 尾 0. 46 (P0. 009)], negative changes of cognition and emotion [尾 0. 38 (P0.001), 尾-0. 54 (P0. 001)], arousal [尾 0. 21 (P0. 044), 尾-0. 64 (P0. 001)]. In addition, perceptual stress is also a risk factor for reexperience [尾 -0. 33 (P0. 001)] symptom group. Conclusion: patients with high sensory stress and ruminant level are more likely to develop PTSD symptom group.
【作者单位】：山东大学护理学院;山东中医药大学附属医院;
【基金】：山东省科技重大专项(2015ZDXX0801A01)
【分类号】：R563.9;R749.5

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