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伊朗东南部心肺复苏术幸存者的创伤后应激与成长

Post-traumatic stress and growth among CPR survivors in the southeast of Iran.

作者信息

Seyed Bagheri Seyed Hamid, Iranmanesh Sedigheh, Rayyani Masoud, Dehghan Mahlagha, Tirgari Batool, Hosseini Seyed Habibollah

机构信息

Nursing research center, Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.

Nursing research center, Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran, Phone: +989134421012, Fax: +983431325218.

出版信息

Int J Adolesc Med Health. 2018 Jan 13;32(3):ijamh-2017-0138. doi: 10.1515/ijamh-2017-0138.

DOI:10.1515/ijamh-2017-0138
PMID:29332015
Abstract

Background Almost 7.2%-10.6% of patients survive CPR in Iran. Most of them experience post-traumatic stress disorder (PTSD) and post-traumatic growth (PTG). There are limited studies to assessing the correlation between these two psychological outcomes among CPR survivors. Objective This study aimed to examine the correlation between PTSD and PTG among CPR survivors in South-East Iran. Subjects Using Quota sampling, 163 CPR survivors in two provinces in the South-East of Iran were selected to participate in this study. Method A descriptive-correlational study was used to fulfill the aim of the study. The impact of Event Scale-Revised (IES-R) for assessing PTSD and Post-traumatic growth questionnaires were used to assess PTG. Results The mean score of PTSD was 39.89 and according to the cutoff point, 87.1% of participants suffered from PTSD. The mean score of PTG was 78.6. PTSD and PTG had significant negative correlation. The result of multi-variate logistic regression showed that only the PTG score predicted PTSD (Odds ratio = 0.79, CI = 0.72-0.87; and p < 0.001). The result of multi-variate linear regression indicated that PTSD, time passed since CPR, and physical disability caused by CPR predicted PTG score significantly. Conclusion This study provides CPR survivors and health care personnel with some valuable insights about cultural aspects of PTSD and PTG among CPR survivors and that PTG is positively influenced by physical disability and time passed since CPR. CPR survivors may gain positive experience and valuable insight in group meetings and discussions with their counterparts.

摘要

背景

在伊朗,近7.2%-10.6%的患者在心肺复苏后存活。他们中的大多数经历了创伤后应激障碍(PTSD)和创伤后成长(PTG)。评估心肺复苏幸存者这两种心理结果之间相关性的研究有限。目的:本研究旨在探讨伊朗东南部心肺复苏幸存者中PTSD与PTG之间的相关性。对象:采用配额抽样法,选取伊朗东南部两个省份的163名心肺复苏幸存者参与本研究。方法:采用描述性相关性研究来实现研究目的。使用事件量表修订版(IES-R)评估PTSD,使用创伤后成长问卷评估PTG。结果:PTSD的平均得分为39.89,根据临界值,87.1%的参与者患有PTSD。PTG的平均得分为78.6。PTSD与PTG呈显著负相关。多变量逻辑回归结果显示,只有PTG得分可预测PTSD(比值比=0.79,可信区间=0.72-0.87;p<0.001)。多变量线性回归结果表明,PTSD、心肺复苏后经过的时间以及心肺复苏导致的身体残疾显著预测PTG得分。结论:本研究为心肺复苏幸存者和医护人员提供了一些关于心肺复苏幸存者中PTSD和PTG文化方面的宝贵见解,且PTG受到身体残疾和心肺复苏后经过时间的积极影响。心肺复苏幸存者可能在与同行的小组会议和讨论中获得积极体验和宝贵见解。

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