摘要

【摘要】
目的 分析烧伤患者创伤后应激障碍（Post-traumatic stress disorder，PTSD）症状与家庭功能、应对方式的相关性。

方法 纳入我院在2022年12月至2024年12月期间接诊的烧伤患者共计80例，将其设为研究组，并纳入同一时期在我院接受体检的90例健康者设为对照组。记录两组研究对象PTSD检查量表平民版（PTSD Check List-Civilian Version，PCL-C）各维度评分，观察两组研究对象家庭功能评定量表（Family Assessment Device，FAD）评分及医学应对问卷（Medical Coping Modes Questionnaire，MCMQ）各维度评分，并采用Spearman相关性分析烧伤患者PTSD症状与家庭功能、应对方式的关系。

结果 在PCL-C各维度评分方面，研究组再体验症状、回避症状、高警觉症状得分更高（P＜0.05）；相比于对照组，研究组FAD总分更高（P＜0.05）；在MCMQ各维度评分方面，研究组面对因子得分更低，回避、屈服因子得分更高（P＜0.05）；相关性分析显示，再体验症状、回避症状、高警觉症状与FAD总分、回避、屈服因子得分呈正相关，与面对因子得分呈负相关（P＜0.05）

结论 烧伤患者PTSD症状、家庭功能失调明显，且应对方式多呈现消极状态，同时三者存在明显相关性，临床上应引起足够重视。

关键词：【关键词】烧伤；创伤后应激障碍；家庭功能；应对方式

ABSTRACT

【Abstract】
Objective To analyze the correlation between post-traumatic stress disorder (PTSD) symptoms, family functioning, and coping strategies in burn patients.

Methods A total of 80 burn patients treated in our hospital from December 2022 to December 2024 were included as the study group, and 90 healthy individuals who underwent physical examinations in our hospital during the same period were included as the control group. Record the scores of each dimension of the PTSD Check List Civilian Version (PCL-C) for two groups of research subjects, observe the scores of the Family Assessment Device (FAD) and the Medical Coping Modes Questionnaire (MCMQ) dimensions for both groups of research subjects, and use Spearman correlation analysis to investigate the relationship between PTSD symptoms, family functioning, and coping styles in burn patients.

Results In terms of PCL-C scores in various dimensions, the research group scored higher on re experience symptoms, avoidance symptoms, and high alertness symptoms (P<0.05); Compared to the control group, the research group had a higher FAD total score (P<0.05); In terms of MCMQ scoring in various dimensions, the research group scored lower in the face factor and higher in the avoidance and yielding factors (P<0.05); Correlation analysis showed that the re experience symptoms, avoidance symptoms, and high alertness symptoms were positively correlated with the FAD total score, avoidance, and surrender factor scores, and negatively correlated with the face factor scores (P<0.05).

Conclusion   Burn patients have obvious PTSD symptoms and family dysfunction, and their coping strategies often present a negative state. At the same time, there is a significant correlation between the three, which should be given sufficient attention in clinical practice.

Key words: 【Key words】Burn; Post-traumatic stress disorder; Family functions; coping strategies