目的 分析四肢骨折患者创伤后应激障碍（post-traumatic stress disorder,PTSD）现状及与应对方式的相关性。方法 纳入2021年6月—2024年6月期间沧州市人民医院收治四肢骨折的560例患者进行调查。采用一般资料调查表、创伤后应激障碍筛查量表（post-traumatic stress disorder checklist-civilian,PCL-C）、简易应对方式问卷（simple coping style questionnaire,SCSQ）对其进行调查,评估患者PCL-C、SCSQ各维度评分,并以Pearson相关性模型分析二者之间相关性。结果 四肢骨折患者中PTSD阳性检出率为87.55%（485/554）,PCL-C评分中重新体验维度（15.10±1.31）分,高度警觉维度（15.95±1.24）分,情感麻木维度（20.09±1.13）分,总分为（51.14±2.20）分;SCSQ评分中积极应对维度（9.84±0.39）分,消极应对维度（10.80±0.52）分,总分为（20.64±0.66）分。经Pearson相关性分析,四肢骨折患者PCL-C中各维度评分与SCSQ中积极应对维度评分呈负相关（P<0.05）;与SCSQ中消极维度评分呈正相关（P<0.05）。结论 四肢骨折患者PTSD发生风险较高,且PTSD发生与其应对方式密切相关。
Abstract
Objective To analyze the status of post-traumatic stress disorder (PTSD) in patients with limb fractures and its correlation with coping styles. Methods Totally 560 patients with limb fractures admitted to Cangzhou People's Hospital from June 2021 to June 2024 were included in the survey. The general data questionnaire, post-traumatic stress disorder checklist-civilian (PCL-C) and simple coping style questionnaire (SCSQ) were used for investigation. The scores of dimensions of PCL-C and SCSQ were evaluated, and the correlation between the above scores was analyzed by Pearson correlation analysis model. Results Among patients with limb fractures, the positive rate of PTSD was 87.55% (485/554). The scores of re-experience dimension, high alertness dimension and emotional numbness dimension and total score of PCL-C in patients with limb fractures were (15.10±1.31) points, (15.95±1.24) points, (20.09±1.13) points and (51.14±2.20) points, and the scores of positive coping dimension and negative coping dimension and total score of SCSQ were (9.84±0.39) points, (10.80±0.52) points and (20.64±0.66) points. Pearson correlation analysis indicated that the scores of dimensions of PCL-C were negatively correlated with the score of positive coping dimension of SCSQ (P<0.05), and were positively correlated with negative coping dimension score of SCSQ (P<0.05). Conclusion Patients with limb fractures have a higher risk of PTSD, and the occurrence of PTSD is closely related to the coping styles.
关键词
四肢骨折 /
创伤后应激障碍 /
应对方式 /
相关性
Key words
limb fractures /
post-traumatic stress disorder /
coping styles /
correlation
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基金
河北省2022年度医学科学研究课题“合并距下关节炎的内翻型踝关节炎的临床疗效评价”（20220328）
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