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台湾南部严重烧伤后的创伤后应激障碍

Post-traumatic stress disorder after severe burn in southern Taiwan.

作者信息

Lu Ming-Kun, Lin Yu-San, Chou Pesus, Tung Tao-Hsin

机构信息

Community Medicine Research Center & Institute of Public Health, National Yang-Ming University, Taiwan.

出版信息

Burns. 2007 Aug;33(5):649-52. doi: 10.1016/j.burns.2006.09.004. Epub 2007 May 4.

Abstract

This cross-sectional study was conducted to examine the prevalence and risk factors of post-traumatic stress disorder (PTSD) after severe burn, and the need for psychological intervention for burn patients in southern Taiwan. Participants (N=82) were assessed by means of the Mini-International Neuropsychiatry Interview (MINI) scale with a structured questionnaire. Results showed that the prevalence of post-traumatic stress disorder in burn patients who met the DSM-IV criteria for PTSD was 26.8%. The risk factors related to PTSD in burn patients were: female, unmarried, and a lack of leisure arrangements after adjusting for confounding factors. PTSD patients needed more psychological intervention than the non-PTSD patients. These results suggest that PTSD after severe burn was not uncommon in southern Taiwan. The identified risk factors could provide clues to help burn care professionals provide multidisciplinary intervention.

摘要

本横断面研究旨在调查台湾南部严重烧伤后创伤后应激障碍(PTSD)的患病率及危险因素,以及烧伤患者对心理干预的需求。采用简明国际神经精神访谈量表(MINI)和结构化问卷对82名参与者进行评估。结果显示,符合DSM-IV创伤后应激障碍标准的烧伤患者中,创伤后应激障碍的患病率为26.8%。调整混杂因素后,烧伤患者创伤后应激障碍的危险因素为:女性、未婚、缺乏休闲安排。创伤后应激障碍患者比非创伤后应激障碍患者需要更多的心理干预。这些结果表明,严重烧伤后创伤后应激障碍在台湾南部并不少见。所确定的危险因素可为烧伤护理专业人员提供多学科干预提供线索。

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