【摘要】：目的:調(diào)查慢性阻塞性肺疾病(COPD)患者創(chuàng)傷后應(yīng)激障礙(PTSD)癥狀群的發(fā)生情況,探討PTSD癥狀群的心理易感因素。方法:采用一般資料調(diào)查表、知覺壓力量表、反芻思維量表、情緒調(diào)節(jié)問卷、創(chuàng)傷后應(yīng)激障礙測評量表第五版對94名COPD患者進行調(diào)查。結(jié)果:COPD患者中PTSD的陽性率為25.5%,分別有58人(61.7%)、36人(38.3%)、57人(60.6%)、60人(63.8%)存在再體驗、回避、認知與情緒的負性改變、喚醒癥狀群。分層線性回歸結(jié)果顯示,知覺壓力、癥狀反芻均是回避[β=0.34(P=0.001),β=0.46(P=0.009)]、認知與情緒的負性改變[β=0.38(P0.001),β=0.54(P=0.001)]、喚醒[β=0.21(P=0.044),β=0.64(P=0.001)]癥狀群的危險因素。此外,知覺壓力還是再體驗[β=0.33(P=0.001)]癥狀群的危險因素。結(jié)論:知覺壓力、癥狀反芻水平高的患者更容易發(fā)生PTSD癥狀群。
[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.
【作者單位】： 山東大學(xué)護理學(xué)院;山東中醫(yī)藥大學(xué)附屬醫(yī)院;
【基金】：山東省科技重大專項(2015ZDXX0801A01)
【分類號】：R563.9;R749.5

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