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创伤后应激障碍在直肠形和赫施普朗格病患者中

Andreina Giron¹, Zoe Flyer¹, John Schomberg¹

¹Division of Pediatric Surgery, Children's Hospital Orange County, Orange, CA, USA.

Journal of pediatric surgery

|April 12, 2025

概括

几乎一半的肠形 (ARM) 和赫斯普朗格病 (HD) 患者经历创伤后应激障碍 (PTSD) 症状. 这凸显了对这些复杂的胃肠道疾病的综合心理支持的需要.

科学领域:

儿科手术儿科手术
胃肠病学胃肠病学
精神病学是一个精神病学.

背景情况:

阳肠形 (ARM) 和赫施普朗格病 (HD) 需要广泛的医疗管理和长期的患者监测.
心理健康是关键的,但经常被忽视的,慢性胃肠道疾病患者的护理方面.

研究的目的:

在被诊断为ARM和/或HD的患者中调查创伤后应激障碍 (PTSD) 的患病率.
为了确定在这个患者群体中导致PTSD症状的潜在压力因素.

主要方法:

一组30名12岁及以上的ARM或HD患者完成了DSM-5 PTSD检查清单 (PCL-5).
PCL-5是一个20项调查问卷,用于评估PTSD症状,得分为31-33表示可能的PTSD.
排除标准包括同时出现的神经/染色体异常和12岁以下的年龄.

主要成果:

30名参与者中有12名 (44.4%) 在PCL-5上得分超过31分,符合PTSD的临时标准.
超过60%的受访者报告了所有评估领域中中度至严重的PTSD症状.
常见的压力因素包括门扩张/阴囊治疗 (43.2%) 和诊断对身体形象和社交生活的影响 (39.9%).

结论:

相当一部分ARM和HD患者表现出与PTSD一致的症状.
这些发现强调了积极的心理支持和将心理健康纳入这些患者的护理途径的必要性.
早期干预可以改善患者的整体结果和生活质量.

关键词:

结直肠疾病结直肠疾病心理健康心理健康儿科外科手术儿科外科手术拉通网络网络的拉通网络.生活质量生活的质量.

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