摘要
目的:探究腹腔镜子宫肌瘤剔除术患者创伤后应激障碍(PTSD)水平与术后恐惧疾病进展、生活质量的相关性,分析影响患者发生PTSD的相关因素。方法:选取2022年4月至2024年4月于瑞金市人民医院接受腹腔镜子宫肌瘤剔除术的120例患者,术后1个月采用创伤后应激障碍平民版量表(PCL-C)评估PTSD发生情况,疾病进展恐惧问卷简化版(FoP-Q-SF)评估恐惧疾病进展程度,子宫肌瘤症状及健康相关生命质量问卷(UFS-QOL)评估生活质量。分析腹腔镜子宫肌瘤剔除术患者PTSD水平与术后恐惧疾病进展、生活质量的相关性,多因素Logistic回归分析腹腔镜子宫肌瘤剔除术患者发生PTSD的因素。结果:腹腔镜子宫肌瘤剔除术PTSD得分(36.93±5.69)分,术后恐惧疾病进展得分(26.00±1.66)分,生活质量得分(54.27±4.82)分。PCL-C总分与FoP-Q-SF总分呈正相关,与UFS-QOL总分呈负相关(P<0.05)。术后1个月根据是否发生PTSD分为PTSD组(n=30)和非PTSD组(n=90)。单因素分析结果显示,PTSD组和非PTSD在年龄、文化程度、家庭收入、肌瘤数量、手术时间、术前焦虑水平等方面比较有差异(P<0.05)。多因素Logistic回归分析结果显示,年龄≥35岁、手术时间≥90 min、术前焦虑水平为中重度、FoP-Q-SF总分升高是腹腔镜子宫肌瘤剔除术患者发生PTSD的独立危险因素(P<0.05),UFS-QOL总分升高是保护因素(P<0.05)。结论:腹腔镜子宫肌瘤剔除术患者PTSD水平与术后恐惧疾病进展呈正相关,与生活质量呈负相关。年龄、手术时间、术前焦虑、恐惧疾病进展、生活质量等是PTSD发生的影响因素。
Objective:To explore the correlation between the post-traumatic stress disorder(PTSD)level and postoperative fear disease progression and quality of life in patients undergoing laparoscopic myomectomy,and to analyze the related factors affecting the occurrence of PTSD in patients.Methods:120 patients who underwent laparoscopic myomectomy in Ruijin People's Hospital from April 2022 to April 2024 were selected,the PTSD occurrence was assessed with the Civilian version of PTSD checklist-civilian version(PCL-C)1 month after operation,and the progression of fear of Disease was assessed with the fear of progression questionnaire-short form(FoP-Q-SF),the quality of life was assessed with uterine fibroid symptoms and health-related quality of life questionnaire(UFS-QOL).The correlation between PTSD level and postoperative fear disease progression and quality of life in patients undergoing laparoscopic myomectomy was analyzed,and the factors of PTSD in patients undergoing laparoscopic myomectomy were analyzed by multivariate Logistic regression.Results:PTSD scores of in patients undergoing laparoscopic myomectomy was(36.93±5.69)score,fear of disease progression was(26.00±1.66)score,quality of life was(54.27±4.82)score.The total score of PCL-C was positively correlated with the total score of FoP-Q-SF,and negatively correlated with the total score of UFS-QOL(P<0.05).The patients were divided into PTSD group(n=30)and non-PTSD group(n=90)according to whether or not occurrence of PTSD at 1 month after operation.Univariate analysis showed that,there were significant differences in age,education level,family income,number of fibroids,operation time and preoperative anxiety level between the PTSD group and the non-PTSD group(P<0.05).Multivariate Logistic regression analysis showed that age≥35 years old,operation time≥90 min,preoperative anxiety level of moderate to severe,and increased total score of FoP-Q-SF were independent risk factors for PTSD in patients undergoing laparoscopic myomectomy(P<0.05),and increased total score of UFS-QOL were protective factors(P<0.05).Conclusion:The PTSD level in patients undergoing laparoscopic myomectomy is positively correlated with fear disease progression and negatively correlated with quality of life.Age,operation time,preoperative anxiety,fear disease progression and quality of life were the factors that influenced the occurrence of PTSD.
作者
王俊清
钟红
张秀芳
WANG Jun-qing;ZHONG Hong;ZHANG Xiu-fang(Department of Gynaecology and Obstetrics,Ruijin People's Hospital,Ruijin,Jiangxi,342500,China)
出处
《现代生物医学进展》
2025年第13期2174-2180,共7页
Progress in Modern Biomedicine
