在心脏中心接受治疗的年轻患者的创伤后应激障碍、抑郁症和心血管疾病症状:一项横断面研究。

Q3 Nursing
Malaysian Family Physician Pub Date : 2024-08-06 eCollection Date: 2024-01-01 DOI:10.51866/oa.557
Yoke Yong Chen, Siti Raudzah Ghazali, Asri Said
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引用次数: 0

摘要

简介探索创伤经历与后续健康结果之间的联系对于指导临床实践和公共卫生政策至关重要。本研究旨在探讨终生遭受创伤与创伤后应激障碍(PTSD)、抑郁症和心血管疾病(CVD)症状之间的关系:本研究共纳入了 171 名在当地心脏中心接受治疗的患者。方法:本研究共纳入了 171 名在当地心脏中心接受治疗的患者,并使用生活事件核对表-5、DSM-5 创伤后应激障碍核对表和患者健康问卷-9 等几种问卷分别测量他们的创伤经历、创伤后应激障碍和抑郁症状。此外,还对生理指标进行了检测。数据使用 SPSS 进行分析:卡方检验显示,心血管疾病患者(24.0%)、肾病患者(4.3%)和其他健康问题患者(7.1%)报告的创伤后应激障碍症状比例存在显著差异。心血管疾病患者报告的创伤后应激障碍和抑郁症状的比例明显高于其他疾病患者。与没有创伤后应激障碍症状的患者相比,报告有创伤后应激障碍症状的心血管疾病患者的收缩压(SBP)和心率有明显变化。报告有创伤后应激障碍症状的患者的睡眠时间明显短于同类患者。有创伤后应激障碍症状和无创伤后应激障碍症状的患者的收缩压和舒张压有明显差异:结论:建议及早发现、预防和干预创伤暴露和创伤后应激障碍症状,以降低心血管疾病风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Posttraumatic stress disorder, depressive and cardiovascular disease symptoms among young patients receiving medical treatment in a heart centre: A cross-sectional study.

Introduction: Exploring the connections between traumatic experiences and subsequent health outcomes is vital for informing clinical practices and public health policies. The study aimed to investigate the relationship between lifetime trauma exposure and posttraumatic stress disorder (PTSD), depressive and cardiovascular disease (CVD) symptoms.

Methods: A total of 171 patients who received treatment in a local heart centre were included in this study. Several questionnaires such as the Life Event Checklist-5, Posttraumatic Stress Disorder Checklist for DSM-5 and Patient Health Questionnaire-9 were used to measure their traumatic experiences and PTSD and depressive symptoms, respectively. Physiological measures were also examined. Data were analysed using SPSS.

Results: The chi-square test showed significant differences in the percentage of reported PTSD symptoms among the patients with CVD (24.0%), patients with kidney disease (4.3%) and patients with other health problems (7.1%). The patients with CVD reported having a significantly higher percentage of PTSD and depressive symptoms than the patients with other medical conditions. The patients with CVD who reported having PTSD symptoms had significant systolic blood pressure (SBP) and heart rate changes compared to the patients who did not. The patients who reported PTSD symptoms had a significantly shorter sleep duration than their counterparts. The SBP and diastolic blood pressure differed significantly between the patients with and without PTSD symptoms.

Conclusion: Earlier detection, prevention and intervention related to trauma exposure and PTSD symptoms are suggested to reduce the CVD risk.

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来源期刊
Malaysian Family Physician
Malaysian Family Physician Medicine-Family Practice
CiteScore
1.20
自引率
0.00%
发文量
41
审稿时长
24 weeks
期刊介绍: The Malaysian Family Physician is the official journal of the Academy of Family Physicians of Malaysia. It is published three times a year. Circulation: The journal is distributed free of charge to all members of the Academy of Family Physicians of Malaysia. Complimentary copies are also sent to other organizations that are members of the World Organization of Family Doctors (WONCA).
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