Study On The Incidence And Factors Of Post-traumatic Stress Disorder After Acute Coronary Syndrome

Objective: To investigate the incidence and factors of post-traumatic stress disorder(PTSD)after acute coronary syndrome(ACS).Methods: 1.Objectives: A total of 291 patients with acute coronary syndrome were selected from Grade-A Tertiary Hospital in Xinjiang from September 2017 to July 2018.2.The tools of research: General information questionnaire,Post-traumatic Stress Disorder Checklist Civilian Version(PCL),Social Support Scale(SSRS),Toronto Alexithymia Scale(TAS),Simple Coping Style Scale(SCSQ),Self rating scale of sleep(SRSS),Seattle angina questionnaire(SAQ).3.The implementation process: 291 patients who met the criteria of acute coronary syndrome(ACS),General information questionnaire,Social Support Scale(SSRS),Toronto Alexithymia Scale(TAS),Simple Coping Style Scale(SCSQ),Self rating scale of sleep(SRSS)and Seattle angina questionnaire(SAQ)were performed by a psychologist on all hospitalized patients 3 days after ACS.The patients were followed up for 30 days and 60 days after ACS,The civil version of the checklist(PCL),with a measurement score of ≥ 50 and assessed by two psychologists for compliance with PTSD,was divided into PTSD and non-PTSD groups to analyze the influencing factors of post-traumatic stress disorder in acute coronary syndrome.4.Statistical analysis: A database was established and processed using SPSS20.0 statistical software.Metrological data subject to the normal distribution are expressed as mean(+standard deviation),and counting data are expressed as frequency and percentage.The measurement data were analyzed by variance analysis and the counting data were analyzed byχ2test.Comparison between groups of measurement data using t test.Multivariate impact analysis using logistic regression analysis.All statistical analysis were performed by bilateral test(P<0.05)with statistical significance.Result: 1.The prevalence of PTSD in patients with acute coronary syndrome is 16.5%;2.The social support degree of PTSD group was lower than that of non-PTSD group,the difference was statistically significant(P<0.05);3.The degree of alexithymia in the PTSD group was higher than that in the non-PTSD group,and the difference was statistically significant(P<0.05).4.The degree of sleep disorder in the PTSD group was higher than that in the non-PTSD group,and the difference was statistically significant(P<0.05).5.There was significant difference in coping style between PTSD group and non-PTSD group(P<0.05).6.There was no significant difference in SAQ scores between the PTSD group and the non-PTSD group in terms of physical activity limitation and angina attack frequency(P>0.05),but there was significant difference in stable state of angina pectoris,satisfaction degree of treatment and awareness of disease between PTSD group and non-PTSD group(P<0.05).7.Social support,coping style,sleep disorders and awareness of disease are factors influencing PTSD(P<0.05).Conclusion: 1.The prevalence of PTSD in patients with acute coronary syndrome is high;2.High social support and high awareness of the disease is a PTSD protection factor,negative coping and poor sleep status are risk factors for PTSD;...