交通事故幸存者急性应激症状及相关因素

摘要

Objective:Traffic accidents is one of the most common causes of acute stress disorder (ASD), and it will affect the health of patients.This study aimed to investigate the acute stress symptoms and related factors in traffic accident survivors.Methods:A cross-sectional survey was conducted.The general information questionnaire, Acute Stress Disorders Scale (ASDS), Patient health questionnaire-9 (PHQ-9) and Patient' s Health Questionnaire (PHQ-15) were used to investigate survivors in admission 2-30 days.Results:Fourteen survivors had acute stress symptoms in 63 (22.2％) survivors.Stepwise multiple regression analysis showed that survivors with depression, more serious physical symptoms and whether alone when the accident happened was a common experience accounted for 66.8％ of the survivors' acute stress disorder.Conclusion:This study suggests the detection of acute stress symptoms in traffic accident survivors is higher, and there is a correlation with survivors' depression, physical symptoms, and whether alone when the accident happened.Acute stress symptoms could be screened in time for survivors with depressive and severe somatic symptoms.%目的:威胁生命的交通事故是发生急性应激障碍最常见原因之一,影响幸存者的健康,本研究调查交通事故幸存者急性应激症状情况及相关因素,为早期预防急性应激障碍提供依据.方法:采用横断面调查法,使用患者一般资料调查问卷、急性应激障碍量表(ASDS)、患者健康问卷抑郁症量表(PHQ-9)、患者健康问卷躯体症状(PHQ-15)在幸存者入院2～30天内对其进行问卷调查.结果:63名幸存者中有14名存在急性应激症状,检出率为22.2％.多元回归分析显示,幸存者焦虑、抑郁得分、躯体症状得分及车祸是否有共同经历者可解释患者急性应激症状66.8％的变异量.结论:本研究提示交通事故幸存者急性应激症状检出率较高,且与幸存者抑郁、躯体症状、独自发生交通事故等因素存在相关性,对存在以上因素的幸存者可及时进行急性应激症状筛查.