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摘要

介绍。新冠肺炎疫情对生活产生了负面影响,患者可能会出现绝望、极度悲伤、无助、焦虑、抑郁症状等情绪问题。特别是在住院的COVID-19幸存者中,会出现焦虑、抑郁和创伤后应激障碍(PTSD)等后遗症。COVID-19幸存者经历的创伤后应激障碍将影响患者未来的生活质量。本研究旨在评估在安达拉斯大学医院住院的COVID-19幸存者患PTSD的风险。方法。对在Andalas大学医院住院的年龄≥15岁的COVID-19幸存者进行了横断面描述性研究。采用全抽样方法选择样本,纳入标准为在感染新冠病毒期间出现轻度、重度或危重临床症状,已从安达拉斯大学医院出院6个月及以上,并签署知情同意书愿意参加研究。符合纳入标准的样本填写印尼语版的PTSD -5 (DSM-5 PTSD Checklist for DSM-5)问卷,并对其效度和信度进行检验。如果问卷结果显示得分≥23分,被调查者被归类为有PTSD风险。随后使用单变量分析对收集的数据进行分析。结果。共有75名受访者被纳入研究,其中9.3%(7)被发现有潜在的或有创伤后应激障碍的风险。有PTSD风险的被调查者大多为女性,她们都经历了四种PTSD症状(入侵/再体验、逃避、认知和情绪的负面改变和过度觉醒)。在受访者中,导致PTSD最常见的触发因素是之前威胁生命的创伤事件的经历(71.43%)。此外,PTSD风险组中最常见的临床症状是重症临床症状(71.43%)。结论。有可能患上创伤后应激障碍的COVID-19幸存者主要是女性幸存者,她们有严重的临床症状,经历了所有四种创伤后应激障碍症状,并在COVID-19住院期间经历了创伤性威胁生命的经历。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gambaran Risiko Post-Traumatic Stress Disorder (PTSD) pada Penyintas COVID-19 di Rumah Sakit Universitas Andalas
Introduction. The COVID-19 pandemic has a negative impact on life where sufferers can experience emotional problems such as despair, deep sadness, helplessness, anxiety, and depressive symptoms. Especially in hospitalized COVID-19 survivors, there are sequelae in the form of anxiety, depression, and Post-traumatic Stress Disorder (PTSD). PTSD experienced by COVID-19 survivors will affect the patient’s quality of life in the future. This study aimed to assess the risk of PTSD in COVID-19 survivors who had been hospitalized at Andalas University Hospital. Methods. A cross-sectional descriptive study was conducted among COVID-19 survivors aged ≥15 years who had been hospitalized at Andalas University Hospital. Samples were selected by using total sampling method with inclusion criteria included experiencing mild, severe, or critical clinical symptoms during COVID-19 infection, being discharged from Andalas University Hospital for six months or more, and willing to participate in the study by signing an informed consent. Samples who have met the inclusion criteria completed the Bahasa Indonesia version of PCL-5 (PTSD Checklist for DSM-5) questionnaire which has been tested for its validity and reliability. Respondents were categorized as having PTSD risk if the questionnaire results showed a score of ≥23. The collected data were subsequently analyzed using univariate analysis. Results. A total of 75 respondents were included in the study, of which 9.3% (7) were found to be potentially or at risk of PTSD. The group of respondents who were at risk of PTSD was mostly comprised of females, and all of them experienced the four PTSD symptoms (intrusion/re-experiencing, avoidance, negative alterations in cognition and mood, and hyperarousal). The most common trigger that causes PTSD among respondents was the experience of a previous life-threatening traumatic event (71.43%). In addition, the most frequent clinical symptoms of COVID-19 in the PTSD risk group were severe clinical symptoms (71.43%). Conclusions. COVID-19 survivors who have the potential to experience PTSD are predominantly female survivors with severe clinical symptoms, experiencing all four PTSD symptoms, and having a traumatic life-threatening experience during COVID-19 hospitalization.
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