脑出血病人创伤后应激障碍的潜在剖面分析及其影响因素OA

Objective:To identify latent profiles of post-traumatic stress disorder(PTSD)in patients with cerebral hemorrhage and explore its influencing factors.Methods:A total of 200 patients with cerebral hemorrhage admitted to the neurosurgery department of Qianjiang Central Hospital from March 2022 to March 2025 were selected as the research subjects by using the convenience sampling method.The general information questionnaire,Post-Traumatic Stress Disorder Checklist-C(PCL-C),Connor-Davidson Resilience Scale(CD-RISC),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),and Social Support Rating Scale(SSRS)were used for the investigation.The latent profile analysis of PTSD in patients with cerebral hemorrhage was conducted using Mplus 8.3 software,and the influencing factors of different potential categories were analyzed through Logistic regression.Results:The average score of PCL-C items in patients with cerebral hemorrhage was(3.02±0.89),and their PTSD could be divided into three potential categories,the low-symptom group(45.50％),the medium-symptom group(44.00％),and the high-symptom group(10.50％).The results of Logistic regression analysis showed that age[OR=0.883,95％CI(0.832,0.936)],educational level[OR=0.508,95％CI(0.342,0.753)],psychological resilience[OR=0.920,95％CI(0.882,0.959)],anxiety[OR=1.135,95％CI(1.071,1.203)],depression[OR=1.199,95％CI(1.112,1.291)],social support[OR=0.931,95％CI(0.887,0.976)]were independent influencing factors of the latent profiles of PTSD in patients with cerebral hemorrhage(P＜0.05).Conclusions:The PTSD of patients with cerebral hemorrhage is at a moderate level,and there is heterogeneity among the groups.Medical staff need to accurately identify patients with cerebral hemorrhage who have a high level of PTSD and implement targeted intervention based on their characteristics to reduce the PTSD level.