护理研究2025，Vol.39Issue(1)：40-45,6.DOI:10.12102/j.issn.1009-6493.2025.01.007
ICU多发伤青少年病人创伤后应激障碍的潜在剖面分析及影响因素
Potential profile analysis and influencing factors of post-traumatic stress disorder in adolescent patients with multiple injuries in the ICU
摘要
Abstract
Objective:To explore the current status of post-traumatic stress disorder(PTSD)in adolescent patients with multiple injuries in the ICU and to analyse the differences in the potential characteristics of PTSD in different categories of adolescent patients.Methods:304 adolescent patients with multiple injuries in the comprehensive ICU of a tertiary hospital in Zhengzhou from January 2022 to September 2023 were selected.Patients were assessed using the Posttraumatic Stress Disorder Inventory-Civilian version(PCL-C)at 1 month of transfer out of the ICU.The potential profile of PTSD symptoms in adolescent patients with multiple injuries in ICU was analyzed,and the influencing factors were identified by disordered multiple classification Logistic regression.Results:The incidence of PTSD in adolescent patients with multiple injuries in the ICU was 51.6%,with a PCL-C score of 48.26±4.73.PTSD symptom profiles were divided into 3 potential profile categories,which were"a low stress group"(31.2% ),"a high symptom group"(38.9% ),and"an alert stress group"(29.9% ).The probability of being attributed to the stress low group was higher in the symptomatic high group compared to the stress low group in patients who were not mechanically ventilated(OR=0.040,P=0.032)and who were not sedated(OR=0.049,P=0.043)and the probability of being attributed to the stress low group was higher in patients who had a higher ISS score(OR=1.220,P=0.040)and a higher APACHE Ⅱ score(OR=1.997,P=0.001)were higher,the higher the probability of belonging to the symptomatic high incidence group.Male patients(OR=0.020,P<0.001)had a higher probability of belonging to the stress low group compared to the alert stress group,and higher APACHE Ⅱ scores(OR=1.622,P=0.007)were associated with a higher probability of belonging to the alert stress group.Conclusion:There is heterogeneity in PTSD symptoms in adolescent patients with multiple injuries.Sex,mechanical ventilation,use of sedative drugs or not,ISS scores and APACHE Ⅱ scores were influencing factors of different categories.Clinical staff should pay attention to the heterogeneity of PTSD symptom profiles in adolescent patients with multiple injuries in the ICU and give targeted interventions to different categories of patients.关键词
重症监护室/青少年/创伤后应激障碍/潜在剖面分析/影响因素/调查研究Key words
intensive care unit,ICU/adolescents/post-traumatic stress disorder,PTSD/potential profile analysis/influencing factors/investigation and research引用本文复制引用
李丽青,陈震,董子倍,李航博,吴艳梅,闫倩倩,张亚琴..ICU多发伤青少年病人创伤后应激障碍的潜在剖面分析及影响因素[J].护理研究,2025,39(1):40-45,6.基金项目
河南省高等学校重点科研项目,编号:22B320020 （）
郑州市2023年度社会科学调研项目,编号:ZSLX20231874 （）
