Post-traumatic stress symptoms in hemodialysis patients with MERS-CoV exposure
Post-traumatic stress symptoms in hemodialysis patients with MERS-CoV exposure
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DOI：
10.1186/s13030-020-00181-z
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发表时间：
2020-04-15
影响因子：
2.1
通讯作者：
Wong, Ae Kyeong
中科院分区：
文献类型：
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作者：
Cho, A. Jin;Lee, Hong-Seock;Wong, Ae Kyeong
背景创伤后应激症状可发生在患有内科疾病的患者中。在2015年韩国中东呼吸综合征（MERS）疫情期间，三个中心的一些透析患者偶然接触了确诊感染MERS-CoV的患者或医务人员，他们被隔离，以阻断感染的传播。我们的目的是调查这些患者的创伤后应激症状和危险因素。材料和方法总共有116名血液透析（HD）患者与MERS-CoV确认的受试者接触，使用三种策略进行隔离，即单室隔离，队列隔离和自我隔离。我们使用事件影响量表修订版韩国（IES-R-K），以检查创伤后应激症状在隔离期后12个月。结果116例HD患者中，27例失访。89例患者中，67例（75.3%）完成了问卷调查。40例（58.8%）患者采用单室隔离，20例（29.4%）患者采用队列隔离，8例（11.8%）患者采用自我隔离。总体而言，17.9%的参与者（n = 12）报告创伤后应激症状超过IES-R-K的截止点（>= 18）。IES-R-K >= 18的患病率根据隔离方法没有显著差异。然而，隔离持续时间与IES-R-K评分呈线性相关（标准化β系数-0.272，P = 0.026）。隔离时间越长的患者在回避、情感麻木和分离子量表得分越高。结论MERS是隔离HD患者的创伤性经历。IES-R-K评分在隔离方法中无显著差异。然而，短暂的隔离与创伤后应激症状有关。
Background Post-traumatic stress symptoms can occur in patients with medical illness. During the Middle East Respiratory Syndrome (MERS) outbreak in South Korea in 2015, some dialysis patients in three centers who were incidentally exposed to patients or medical staff with confirmed MERS-CoV infection were isolated to interrupt the spread of the infection. We aimed to investigate post-traumatic stress symptoms and risk factors among these patients. Materials and methods In total, 116 hemodialysis (HD) patients in contact with MERS-CoV-confirmed subjects were isolated using three strategies, namely, single room isolation, cohort isolation, and self-quarantine. We used the Impact of Event Scale-Revised-Korean (IES-R-K) to examine post-traumatic stress symptoms at 12 months after the isolation period. Results Of the 116 HD patients, 27 were lost to follow-up. Of the 89 patients, 67 (75.3%) completed the questionnaires. Single room isolation was used on 40 (58.8%) of the patients, cohort isolation on 20 (29.4%), and self-imposed quarantine on 8 (11.8%). In total, 17.9% of participants (n = 12) reported post-traumatic stress symptoms exceeding the IES-R-K's cutoff point (>= 18). Prevalence rates of IES-R-K >= 18 did not differ significantly according to isolation method. However, isolation duration was linearly associated with the IES-R-K score (standardized beta coefficient - 0.272, P = 0.026). Scores in Avoidance, Emotional numbing and Dissociation subscale were higher in patients with longer isolation period. Conclusion MERS was a traumatic experience for quarantined HD patients. IES-R-K scores were not significantly different by isolation methods. However, short isolation was associated with post-traumatic stress symptoms.