创伤性脊髓损伤病人急性应激障碍危险因素分析及预测模型的构建.pdfVIP

·2892·CHINESENURSINGRESEARCHAugust,2022Vol.36No.16

·科研论著·

创伤性脊髓损伤病人急性应激障碍危险

因素分析及预测模型的构建

1，2122*

梅松利，唐凤娟，张秀英，李小麟

1.四川大学华西医院/四川大学华西护理学院，四川610041；2.四川大学华西护理学院

Analysisofriskfactorsforacutestressdisorderinpatientswithtraumaticspinalcordinjuryand

constructionofpredictivemodel

MEISongli,TANGFengjuan,ZHANGXiuying,LIXiaolin

WestChinaHospital,SichuanUniversity/WestChinaSchoolofNursing,Sichuan610041China

CorrespondingAuthorLIXiaolin,E⁃mail:qling100@163.com

AbstractObjective：Toinvestigatethestatusquoandcharacteristicsofpsychologicaldistressandacutestressdisorder（ASD）in

patientswithtraumaticspinalcordinjury，screentherelevantinfluencingfactorsofASDinpatientswithtraumaticspinalcordinjury，and

constructariskpredictionmodel.Methods：Theclinicaldataof241patientswithtraumaticspinalcordinjuryadmittedtoatertiarygrade

AhospitalfromJanuary2020toMay2021wereretrospectivelyanalyzed，andthepatientsweredividedintoASDgroups（n=84）andthe

non⁃ASDgroup（n=157）.Thegeneraldemographicdata，disease⁃relateddata，andresultsoftheStanfordAcuteStressReaction

Questionnaire（SASRQ），Connor⁃Davidsonresiliencescale（CD⁃RISC），andSocialSupportRatingScale（SSRS）werecollected.The

variableswithstatisticallysignificantdifferencesinunivariateanalysiswereincorporatedintothelogisticregressionmodeltoanalyzeits

riskfactorsandestablishapredictivemodel.Results：Among241patientswithtraumaticspinalcordinjury，84hadASD，withan

incidencerateof34.9%.UnivariateanalysisshowedthattheincidenceofASDinpatientswithdifferentgender，ages，maritalstatus，

injurytime，familyincome，injurylevel，andcomplicationshadstatisticallysignificantdifferences（P0.001）.Logisticregressionanalysis

showedthatfemale，unmarriedordivorced，andcomplicationswereriskfactorsforASDinpatientswithtraumaticspinalcordinjury；age，

injurylevel，toughnessdimensionandtotalsocialsupportscoreweretheprotectivefactors.Theareaunderthere