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烧伤幸存者的配偶及近亲中的焦虑、抑郁和创伤后应激障碍相关症状:当支持者需要被支持时。

Anxiety, depression and PTSD-related symptoms in spouses and close relatives of burn survivors: When the supporter needs to be supported.

作者信息

Bond Suzie, Gourlay Catherine, Desjardins Alexandra, Bodson-Clermont Paule, Boucher Marie-Ève

机构信息

Unité des grands brûlés, Centre hospitalier de l'Université de Montréal, Montréal, Canada; Centre de recherche du Centre hospitalier de l'Université de Montréal, Montréal, Canada.

Unité des grands brûlés, Centre hospitalier de l'Université de Montréal, Montréal, Canada.

出版信息

Burns. 2017 May;43(3):592-601. doi: 10.1016/j.burns.2016.09.025. Epub 2016 Oct 15.

Abstract

OBJECTIVES

The aim of the study was to assess the prevalence of anxiety, depression and PTSD-related symptoms reported by spouses and close relatives of adult burn survivors. Potential associations between these symptoms and variables such as the severity of the burn were also explored.

METHOD

Participants were spouses (n=31) and close relatives (n=25) of hospitalized patients with acute burns. Anxiety and depression symptoms were assessed by the Hospital Distress Anxiety and Depression Scale and PTSD-related symptoms by the Modified PTSD Symptom Scale at both admission to and discharge from the burn unit.

RESULTS

At admission, 77% of spouses and 56% of close relatives of burn patients reported anxiety, depression or PTSD-related symptoms in the clinical range. While spouses had higher scores than close relatives on symptom measures, significant differences were only established for anxiety symptoms (p<.02). A significant effect was found for gender, with women reporting more anxiety (p=.01) and depression (p=.02) symptoms than men. Results also showed a main effect for time, with anxiety (p<.0001), depression (p<.0001) and PTSD-related (p<.0001) symptoms being higher at admission than at discharge. Variables associated with the index patient, such as total body surface area burned, length of stay, number of ventilated days, facial burns, or level of care at admission, were not associated with outcome measures.

CONCLUSIONS

Spouses and close relatives of burn survivors showed high levels of psychological distress in the first few days following admission, and more than a quarter still reported symptoms in the clinical range at discharge. Our analysis points to the need to offer psychological support and guidance to family members so that they can in turn provide effective support to the burn survivor.

摘要

目的

本研究旨在评估成年烧伤幸存者的配偶和近亲报告的焦虑、抑郁及创伤后应激障碍(PTSD)相关症状的患病率。还探讨了这些症状与烧伤严重程度等变量之间的潜在关联。

方法

参与者为急性烧伤住院患者的配偶(n = 31)和近亲(n = 25)。在烧伤科入院时和出院时,通过医院焦虑抑郁量表评估焦虑和抑郁症状,通过改良的创伤后应激障碍症状量表评估创伤后应激障碍相关症状。

结果

入院时,77%的烧伤患者配偶和56%的近亲报告有临床范围内的焦虑、抑郁或创伤后应激障碍相关症状。虽然配偶在症状测量上的得分高于近亲,但仅在焦虑症状方面存在显著差异(p <.02)。发现性别有显著影响,女性报告的焦虑(p =.01)和抑郁(p =.02)症状比男性更多。结果还显示时间有主要影响,入院时焦虑(p <.0001)、抑郁(p <.0001)和创伤后应激障碍相关(p <.0001)症状高于出院时。与索引患者相关的变量,如烧伤总面积、住院时间、通气天数、面部烧伤或入院时的护理级别,与结果测量无关。

结论

烧伤幸存者的配偶和近亲在入院后的头几天表现出高度的心理困扰,超过四分之一的人在出院时仍报告有临床范围内的症状。我们的分析表明需要为家庭成员提供心理支持和指导,以便他们能够反过来为烧伤幸存者提供有效的支持。

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