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烧伤患者及其家庭成员创伤后应激障碍的患病率及相关因素。

Prevalence and associated factors of post-traumatic stress disorder in burned patients and their family members.

机构信息

CAS Key Laboratory of Mental Health, Institute of Psychology, Beijing, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing, China.

Aiwuhen Burn Rehabilitation and Care Center, Beijing, China.

出版信息

Burns. 2021 Aug;47(5):1102-1109. doi: 10.1016/j.burns.2020.10.019. Epub 2020 Nov 7.

DOI:10.1016/j.burns.2020.10.019
PMID:33303262
Abstract

BACKGROUND

Post-traumatic stress disorder (PTSD) is common among burn patients and their family members. The objective of this study was to document the prevalence of PTSD and explore the sociodemographic and burn-specific associated factors of PTSD among Chinese burn survivors and their family members.

METHODS

A total of 131 adult patients with unintentional burns and 194 family members of burn patients were recruited from two burn units. All participants completed a general information form and the PTSD Checklist for the DSM-5 (PCL-5).

RESULTS

Fifty-five (42.0%) burn victims and ninety-nine (51.0%) family members of burn victims met the criteria for PTSD; the average score of the sample was 31.21 ± 21.56 and 33.16 ± 19.30. Logistic regression analysis revealed that middle age (45-55 years), poor economic status, greater total body surface area (TBSA) and longer time since the burn incident positively predicted the PTSD of patients and that female family members had a higher risk of PTSD.

CONCLUSIONS

Burn patients and their family members are susceptible to PTSD. Suitable and long-term psychological intervention programmes should be executed for burn patients and their family members.

摘要

背景

创伤后应激障碍(PTSD)在烧伤患者及其家属中较为常见。本研究旨在记录 PTSD 的患病率,并探讨中国烧伤幸存者及其家属 PTSD 的社会人口学和烧伤特异性相关因素。

方法

从两个烧伤病房共招募了 131 名意外烧伤的成年患者和 194 名烧伤患者的家属。所有参与者都完成了一般信息表和 DSM-5 的 PTSD 检查表(PCL-5)。

结果

55 名(42.0%)烧伤患者和 99 名(51.0%)烧伤患者家属符合 PTSD 标准;样本的平均得分为 31.21±21.56 和 33.16±19.30。Logistic 回归分析显示,中年(45-55 岁)、经济状况较差、更大的总体表烧伤面积(TBSA)和烧伤后时间较长均与患者 PTSD 呈正相关,女性家属发生 PTSD 的风险更高。

结论

烧伤患者及其家属易患 PTSD。应针对烧伤患者及其家属实施合适且长期的心理干预计划。

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