Analysis of transitional post-traumatic stress disorder and its influencing factors in patients undergoing cardiac surgery
10.3969/j.issn.1672-8467.2024.06.009
- VernacularTitle:心脏外科术后患者过渡期创伤后应激障碍及其影响因素分析
- Author:
Xiao LIU
1
;
Hui-Juan LU
;
Yu-Xia ZHANG
;
Wen-Yan PAN
;
Shi-Ning CAI
Author Information
1. 复旦大学附属中山医院重症监护室 上海 200032
- Keywords:
cardiac surgery;
postoperation;
post-traumatic stress disorder(PTSD);
psychological resilience
- From:
Fudan University Journal of Medical Sciences
2024;51(6):939-948
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the prevalence of post-traumatic stress disorder(PTSD)in patients during the postoperative period following cardiac surgery and to identify its influencing factors.Methods Post-cardiac surgery patients hospitalized during Sep to Nov,2023 were surveyed using questionnaires consisting of a general information questionnaire,PTSD checklist,resilience scale,social support rating scale,anxiety and depression self-rating scale,and simple coping style questionnaire.Then we analyzed the factors influencing PTSD symptoms after cardiac surgery.Results A total of 267 cases were enrolled.The mean PTSD score of the post-cardiac surgery patients was 16.51±12.31,with 29 patients at high risk for developing PTSD.Stepwise regression analysis revealed that low educational level,use of cardiopulmonary bypass,long stay in ICU,high pain scores,low levels of psychological resilience and social support,as well as high depression score were associated with higher PTSD scores in post-cardiac surgery patients(P<0.05).Conclusion The occurrence of PTSD symptoms in patients after cardiac surgery is common and varies in severity.The influencing factors include the patient's educational level,use of extracorporeal circulation during surgery,length of ICU stay,duration of ventilator use,pain,patient's depression score,psychological resilience,and social support.Medical staff should pay more attention to the mental health level of high-risk patients and take targeted intervention measures in a timely manner.
