中国现代神经疾病杂志 ›› 2021, Vol. 21 ›› Issue (5): 385-390. doi: 10.3969/j.issn.1672-6731.2021.05.009

• 中枢神经系统感染性疾病 • 上一篇    下一篇

2 病毒性脑炎患者创伤后成长状况及影响因素分析

徐梦露1, 彭叶捷2, 王德任2   

  1. 1 610041 成都, 四川大学华西医院门诊部;
    2 610041 成都, 四川大学华西医院神经内科
  • 收稿日期:2021-05-18 出版日期:2021-05-25 发布日期:2021-05-28
  • 通讯作者: 王德任,Email:wangderen@wchscu.cn
  • 基金资助:

    四川大学华西医院学科卓越发展1·3·5工程临床研究孵化项目（项目编号：2018HXFH041）

Post-traumatic growth and influencing factors in patients with viral encephalitis

XU Meng-lu1, PENG Ye-jie2, WANG De-ren2   

  1. 1 Department of Outpatient, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China;
    2 Department of Neurology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China
  • Received:2021-05-18 Online:2021-05-25 Published:2021-05-28
  • Supported by:

    This study was supported by 1·3·5 Engineering Clinical Research Incubation Project of West China Hospital, Sichuan University (No. 2018HXFH041).

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摘要：

目的 总结病毒性脑炎患者创伤后成长现状，并筛查其影响因素。方法 以2017年7月至2019年7月在四川大学华西医院诊断与治疗的病毒性脑炎患者为调查对象，采用横断面调查方法，包括一般资料调查表、创伤后成长评定量表（PTGI）、家庭关怀度指数问卷（APGAR）以及心理弹性量表（CD-RISC），分析PTGI评分与年龄、APGAR和CD-RISC评分的相关性，筛查创伤后成长相关影响因素。结果 共发放调查问卷110份，回收有效问卷105份，回收有效率95.45%。PTGI总评分平均为57.76 ±15.23，各维度评分依次为人际关系维度（16.92 ±3.49）、人生感悟维度（12.44 ±3.20）、个人力量维度（11.91 ±3.50）、精神改变维度（8.82 ±3.48）和新的可能性维度（7.67 ±3.49）。偏相关分析显示，PTGI总评分与APGAR评分（r=0.331，P=0.001）和CD-RISC评分（r=0.286，P=0.003）呈正相关关系。Logistic回归分析显示，存在并发症（OR=0.029，95% CI：0.003~0.320；P=0.004）负向影响PTGI评分，APGAR评分较高（OR=1.260，95% CI：1.051~1.511；P=0.013）和CD-RISC评分较高（OR=1.093，95% CI：1.035~1.153；P=0.001）正向影响PTGI评分。结论 病毒性脑炎患者创伤后成长水平欠佳。针对出现并发症的患者应强化心理干预，同时充分认识到家庭关怀度和人格坚韧程度对创伤后成长的协同促进作用，采取针对性措施，促使此类患者建立更好的创伤后心理调控机制，加快创伤后成长。

关键词: 脑炎, 病毒性, 应激障碍, 创伤后, Logistic模型, 横断面研究

Abstract:

Objective To investigate the status of post-traumatic growth of viral encephalitis patients and screen the influencing factors. Methods A total of 110 viral encephalitis patients who were diagnosed and treated in West China Hospital, Sichuan University from July 2017 to July 2019 were investigated. A cross-sectional survey were adopted, including general data questionnaire, Post-traumatic Growth Inventory (PTGI), Family Concern Index Questionnaire (APGAR) and Connor-Davidson Resilience Scale (CD -RISC). Correlation analysis were used to analyze the relationship between PTGI score and age, APGAR score or CD-RISC score, respectively. Logistic regression was used to analyze the influencing factors of post-traumatic growth in patients with viral encephalitis. Results A total of 110 questionnaires were sent out and 105 were effectively received, with an effective recovery rate of 95.45%. The mean total PTGI score was 57.76 ±15.23, and the score of dimensions of interpersonal relationship, life perception, personal strength, spiritual change and new possibilities was 16.92 ±3.49, 12.44 ±3.20, 11.91 ±3.50, 8.82 ±3.48 and 7.67 ±3.49, respectively. The partial correlation analysis showed that the total PTGI score was positively correlated with APGAR score (r=0.331, P=0.001) and CD-RISC score (r=0.286, P=0.003). Logistic regression analysis showed that higher APGAR score (OR=1.260, 95%CI:1.051-1.511; P=0.013) and higher CD-RISC score (OR=1.093, 95%CI:1.035-1.153; P=0.001) could positively affect post-traumatic growth, while complications (OR=0.029, 95%CI:0.003-0.320; P=0.004) was the opposite. Conclusions The status of post-traumatic growth of viral encephalitis patients is in the lower level. For patients with complications the psychological intervention should be strengthened. At the same time, family care and personality strength have additional effects on post-traumatic growth. We should take targeted measures to encourage such patients to establish better post-traumatic psychological regulation mechanism, and to accelerate the post-traumatic growth.

Key words: Encephalitis, viral, Stress disorders, post-traumatic, Logistic models, Cross-sectional studies

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