Mutayomba Aimable, Ogendi Japheths
Public Health, College of Health Sciences, Mount Kenya University, Kigali, Rwanda.
Outpatient Department, Muhima Hospital, Kigali, Rwanda.
Rwanda J Med Health Sci. 2024 Nov 30;7(3):423-434. doi: 10.4314/rjmhs.v7i3.4. eCollection 2024 Nov.
Post-traumatic Stress Disorder (PTSD) affects approximately 4% of the world's population and is one of the most prevalent mental illnesses among survivors of road traffic crashes; however, it has received little attention in the clinical setting.
The objective of this study was to evaluate the prevalence and factors associated with PTSD among survivors of road traffic crash injuries aged not less than 18 years obtaining follow-up care in public hospitals in Kigali, Rwanda.
This cross-sectional study included 288 survivors of road traffic crash injuries who were obtaining care in three public hospitals in Kigali for two months, from 1st August to 30th September 2023. The PTSD was diagnosed using a clinician-administered PTSD scale described in DSM V. Binary logistic regression was used to identify the factors linked to PTSD. The previous history of traumatic events was assessed using a Life Event Checklist for Diagnostic Statistical Manual-V (DSM-V).
Of the 288 survivors, 50 (17.36%), were diagnosed to experience PTSD. The following were found to be positively associated with PTSD: age bracket of 32 to 38 (p = 0.001) and 39 to 45 years (p=0.001); absence of formal education (p=0.03); a history of family conflict (p=0.001); severe injuries (p=0.001); and; history of previous traumatic event (p=0.02).
Post-traumatic stress disorder is a public health concern among RTC survivors. Screening programs that capture PTSD should be an important intervention strategy.
创伤后应激障碍（PTSD）影响着全球约4%的人口，是道路交通事故幸存者中最常见的精神疾病之一；然而，它在临床环境中很少受到关注。
本研究的目的是评估在卢旺达基加利的公立医院接受随访护理的18岁及以上道路交通事故受伤幸存者中PTSD的患病率及相关因素。
这项横断面研究纳入了288名道路交通事故受伤幸存者，他们于2023年8月1日至9月30日在基加利的三家公立医院接受了两个月的治疗。使用《精神疾病诊断与统计手册》第五版（DSM-V）中描述的临床医生管理的PTSD量表诊断PTSD。采用二元逻辑回归来确定与PTSD相关的因素。使用《精神疾病诊断与统计手册第五版》（DSM-V）生活事件清单评估创伤事件的既往史。
在288名幸存者中，50人（17.36%）被诊断患有PTSD。以下因素被发现与PTSD呈正相关：年龄在32至38岁（p = 0.001）和39至45岁（p = 0.001）；未接受正规教育（p = 0.03）；有家庭冲突史（p = 0.001）；重伤（p = 0.001）；以及有既往创伤事件史（p = 0.02）。
创伤后应激障碍是道路交通事故幸存者中的一个公共卫生问题。开展PTSD筛查项目应成为一项重要的干预策略。
