Citation

Yuan P, Hu X, Qi G, Dai X, Chu X, Chen W, Shi X. Nan Fang Yi Ke Da Xue Xue Bao 2024; 44(6): 1166-1172.

Copyright

(Copyright © 2024, Nanfang yi ke da xue xue bao bian ji bu)

DOI

10.12122/j.issn.1673-4254.2024.06.18

PMID

38977347

Abstract

OBJECTIVE: To evaluate the impact of poor sleep quality on occurrence of post-traumatic stress disorder (PTSD) in trauma patients.

METHODS: We prospectively recruited 256 trauma patients hospitalized in 4 general hospitals in Zunyi during the period from October, 2021 to November, 2022, and 226 of the participants completed the PTSD survey and assessment. The patients' sleep quality within a month before trauma was estimated using Pittsburgh Sleep Quality Index (PSQI), and their sleep quality within 7 days after admission was monitored by smart bracelet sleep monitoring; the PTSD Checklist-Civilian Version (PCL-C) was used to detect the occurrence of PTSD during the follow-up.

RESULTS: The detection rate of PTSD in the patients was 19.47% at 1 month and 17.61% at 3 months after trauma. The patients who developed PTSD had poorer sleep quality before the trauma, as shown by significantly higher PSQI scale scores (P < 0.001), than those without PTSD, and they showed a sleep abnormality rate as high as 72.73% prior to PTSD onset. Within 7 days after admission, the patients developing PTSD had lower sleep quality scores with more frequent night awakenings (P < 0.05). A 1 month and 3 months after trauma, the patients with PTSD had significantly higher PSQI scores than those without PTSD (P < 0.05).

CONCLUSION: PTSD is more likely to occur in trauma patients with poor sleep quality before trauma.

Language: zh

Keywords

Humans; Adult; Female; Male; trauma; risk factors; Prospective Studies; Surveys and Questionnaires; post-traumatic stress disorder; sleep disorder; *Sleep Quality; *Stress Disorders, Post-Traumatic/etiology; Sleep Wake Disorders/etiology; Wounds and Injuries/complications/psychology