Study On The Influencing Factors Of Acute Stress Disorder In Critically Ill Patients Undergoing Rescue

Objectives To explore the factors affecting the occurrence of acute stress disorder in emergency and critical patients undergoing rescue,in order to provide a theoretical basis for formulating the corresponding clinical nursing intervention measures.Methods This study is a case-control study.Selection in October 2018 to September 2019 in tangshan north China university of science and technology affiliated hospital emergency department visits and emergency rescue of emergency classification ?,?,?level of acute myocardial infarction,acute exacerbation of chronic obstructive pulmonary disease period,acute phase of cerebral infarction,the digestive tract hemorrhage,emergency survival in patients with multiple trauma,acute cholecystitis,as the research object,in a stable condition of rehabilitation in acute stress reaction questionnaire(SASRQ)screened at Stanford group and the control group,will be out of 144 cases of the rescue of critically ill patients with acute stress disorder patients in case group,A total of 288 rescued patients with acute and severe non-acute stress disorder were included in the control group.Visual analogue scale(VAS),social support rating scale(SSRS),family care index questionnaire(APGAR),hospital anxiety and depression scale(HADS),mental resilience scale(CD-RISC)were used to evaluate the two groups of patients,and general conditions,diseases and treatment conditions of the two groups were collected.SPSS17.0 was used for statistical analysis of the data.Chi-square test was used for single factor and Logistic regression analysis was used for multiple factors.Results 1 Single factor analysis of the influencing factors of acute stress disorder in emergency and critical patients Results show that the case group and control group in marriage,whether as breadwinners,and whether childhood trauma,experienced a few times in rescue,first ask,blood pressure,and whether there is a dying when grading,emergency rescue,whether fear save environment,save time,treatment,anxiety,depression,mental flexibility level,if there is a helpless when rescue/fear/fear,the sick bother,hospital sleep quality,actual sleep time,whether to affect sleep,pain,pain degree,to trust the doctor technology,trust,attitude to rescue the medical technology of the nurse satisfaction,satisfaction with the outcome,satisfied with the family care In terms of degree,social support level and other factors,the differences were statistically significant(P<0.05).2 after acute critically ill patients with acute stress disorder affecting factors of multi-factor analysis results show that the patients are not breadwinners(OR=0.421),emergency class ? and ?(OR=0.030,OR=0.008)and as breadwinners,emergency class ?compared is the protection factor in acute stress disorder;The rescue time of >20 minutes(OR=8.845),suspicious and definite depression(OR=6.281,OR=10.255),moderate and poor sleep quality in hospital(OR=3.814,OR=8.360),and low satisfaction with the treatment effect(OR=3.195)were risk factors for the occurrence of acute stress disorder in critically ill patients.In patients with acute myocardial infarction(OR=0.112),the risk of acute stress disorder was less than that of patients with multiple injuries,and the risk of acute cholecystitis(OR=7.369)was greater than that of patients with multiple injuries.Conclusions Whether patients are breadwinners and grade of disease,emergency treatment,emergency rescue time,depression,sleep quality in hospital,satisfaction with the outcome is rescuing the critical patients the influence factors of ASD,experience in rescuing the critical patients not breadwinners,degree of emergency classification the lighter in the risk of ASD is small;The longer the emergency rescue time,the higher the degree of depression,the worse the sleep quality in the hospital,and the lower the satisfaction to the treatment effect,the greater the risk of ASD.Rescue patients with acute myocardial infarction had less risk of ASD than those with multiple injuries,while rescue patients with acute cholecystitis had greater risk of ASD than those with multiple injuries.Figure1;Table14;Reference138...