内蒙古某医院ICU患者家属创伤后应激障碍及其影响因素研究

目的　描述ICU患者家属的创伤后应激障碍水平，探究其影响因素。方法　采用一般资料调查表、疾病不确定感家属量表-中文版、匹兹堡睡眠质量指数量表、创伤后应激障碍症状清单-平民版对内蒙古一所三级甲等医院270名ICU患者家属进行问卷调查。结果　ICU患者家属创伤后应激障碍筛查阳性率为33.33%，得分均分为（37.80(5.38）分，创伤后应激障碍的3个症状中回避/麻木症状最为常见，其次为警觉性增高症状。多因素logistic回归分析显示，女性（OR=3.004，95%CI:1.185~7.610）、睡眠障碍严重（OR=2.045，95%CI:1.521~2.750）、疾病不确定感高（OR=1.285，95%CI:1.185 ~1.394）是ICU患者家属创伤后应激障碍发生的危险因素。结论　医护人员对女性家属需要给予更多的关注，努力为家属营造良好的睡眠环境，实行弹性探视制度，加强与家属的交流和沟通，为家属提供全面、准确的患者的信息，以降低ICU患者家属的创伤后应激障碍水平。

Influencing factors of post-traumatic stress disorder among family members of ICU

Objective　To describe the level of post-traumatic stress disorder among the family members of ICU patients, and to explore its influencing factors. [WTHZ]Methods　A questionnaire survey was conducted among 270 family members of ICU patients from a tertiary hospital of Inner Mongolia using General Information Questionnaire, Parent Perception of Uncertainty Scale-Family Member, Pittsburgh Sleep Quality Index and Post-traumatic Stress Disorder Check-list-Civilian Version. [WTHZ]Results　The survey showed that 33.33% research objects with the positive symptom of PTSD. The average score of PTSD was 37.80 5.38, and the most common symptom of PTSD was avoiding/numbness, followed by increased alertness. Multivariate logistic regression analysis showed that female (OR=3.004, 95%CI: 1.185~7.610), high level of sleep disorder (OR=2.045, 95%CI: 1.521~2.750), and high level of uncertainty in illness (OR=1.285, 95%CI: 1.185~1.394) were risk factors for PTSD. [WTHZ]Conclusion　The medical staff should pay more attention to women, take efforts to create a good environment for family members, implement elastic visit regime, strengthen exchanges and communication with family members, and provide more comprehensive and accurate information about patients in order to reduce the level of PTSD of ICU patients’ family members.