Post‐traumatic stress disorder in patients undergoing cardiopulmonary bypass surgery and its influen‐cing factors／ / 心血管康复医学杂志

ABSTRACT

Objective :To explore incidence rate of post‐traumatic stress disorder (PTSD) in patients undergoing car‐diopulmonary bypass surgery and its influencing factors .Methods :A total of 642 patients undergoing cardiopulmo‐nary bypass surgery in our hospital were selected .PTSD Checklist‐Civilian Version (PCL‐C) was used to assess post‐traumatic stress condition of patients ,and PCL‐C≥44 scores was defined as PTSD .Clin data and incidence rate of PTSD were observed ,and influencing factors of PTSD were analyzed .Results :Mean PCL‐C score was (33.24 ± 12. 26 ) score among the 642 patients ,there were 61 cases with PCL‐C score ≥44 scores ,and incidence rate of PTSD was 9. 50% .Multi‐factor Logistic regression analysis indicated that age ,preoperative anxiety emotion ,postopera‐tive atrial fibrillation and ICU stay time were independent risk factors for PTSD in patients undergoing cardiopulmo‐nary bypass surgery (OR＝1. 857～6.745 , P＜0. 01 all) ,while education level was its independent protective factor (OR＝0.674 , P＝0. 014).Conclusion :Advanced age ,preoperative anxiety emotion ,postoperative atrial fibrillation and prolonged ICU stay are independent risk factors for PTSD in patients undergoing cardiopulmonary bypass sur‐gery.Targeted intervention can be performed on these risk factors in clinic in order to reduce incidence of PTSD .