Screening for traumatic stress among survivors of urban trauma
Screening for traumatic stress among survivors of urban trauma
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DOI：
10.1097/ta.0b013e31825ff713
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发表时间：
2012-08-01
影响因子：
3.4
通讯作者：
Bokhari, Faran
中科院分区：
文献类型：
--
作者：
Reese, Carol;Pederson, Tabitha;Bokhari, Faran
目的：本研究在门诊患者中试用初级护理PTSD（PC-PTSD）筛查工具，以确定其更广泛使用的效用，并收集直接受试者中创伤应激症状的数据。（患者）和间接（家庭）创伤幸存者。方法：使用PC-PTSD加上一个探索寻求帮助的开放性问题，参与者在城市一级创伤中心的门诊接受PTSD筛查。调查在2011年4月至9月的23周期间分发。屏幕是自我管理，方便的样本，参与是自愿和匿名的。结果：与66%的响应率，307调查完成。42%的参与者有一个积极的屏幕。受伤后超过30天和90天的患者的阳性筛查率分别是受伤后不到30天的患者的1.5倍和1.7倍。枪伤患者的筛查结果呈阳性的可能性是福尔斯患者的13倍，是车祸患者的两倍。60%的患者与积极的屏幕指出，这将是有帮助的交谈someone.CONCLUSION：PC-PTSD是一个容易管理的筛选工具。患者报告PTSD症状的比率高于以前的研究。枪伤患者和从筛查开始超过30天的受伤患者更有可能报告PTSD症状。虽然男性占阳性筛查的82%，但由于女性人数较少，男性和女性参与者之间的PTSD症状没有统计学差异。家庭也报告了显著水平的PTSD。在创伤后早期，患者和家属都可以从额外的筛查和干预中受益。（J Trauma Acute Care Surg.2012; 73：462-468.版权所有（C）2012 Lippincott威廉姆斯& Wilkins）
OBJECTIVE: This study piloted the use of the Primary Care PTSD (PC-PTSD) screening tool in an outpatient setting to determine its utility for broader use and to gather data on traumatic stress symptoms among direct (patients) and indirect (families) survivors of traumatic injuries.METHODS: Using the PC-PTSD plus one question exploring openness to seeking help, participants were screened for PTSD in the outpatient clinic of an urban Level 1 trauma center. The survey was distributed during a 23-week period from April to September 2011. The screen was self-administered, a sample of convenience, and participation was voluntary and anonymous.RESULTS: With a response rate of 66%, 307 surveys were completed. Forty-two percent of participants had a positive screen. Patients greater than 30 and 90 days from injury had 1.5 and 1.7 times more positive screens than those less than 30 days. Patients with gunshot wounds were 13 times as likely as those with falls and twice as likely as those in a motor vehicle crash to have a positive screen. Sixty percent of patients with a positive screen noted it would be helpful to talk to someone.CONCLUSION: The PC-PTSD was an easy to administer screening tool. Patients reported PTSD symptoms at higher rates than previous studies. Patients with gunshot wounds and those injured greater than 30 days from the time of the screen were more likely to report PTSD symptoms. Although males represented 82% of positive screens, there was no statistical difference in PTSD symptoms between male and female participants because of the small number of females represented. Families also reported significant levels of PTSD. Both patients and families may benefit from additional screening and intervention in the early posttrauma period. (J Trauma Acute Care Surg. 2012; 73: 462-468. Copyright (C) 2012 by Lippincott Williams & Wilkins)