Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.61186/jrums
fa
jalali
1401
6
1
gregorian
2022
9
1
21
6
online
1
fulltext
fa
بررسی اختلال استرس پس از سانحه در بین نجاتیافتگان همهگیری بیماری کووید-19 یک ماه پس از ترخیص از بیمارستان واسعی سبزوار در سال 1399: یک گزارش کوتاه
Post-Traumatic Stress Disorder among COVID-19 Survivors at 1-Month Follow-up after Vasei Hospital of Sabzevar Discharge in 2019: A Short Report
بهداشت
Environmental Health
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">چکیده</span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">زمینه و هدف: </span></span></span></b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">هدف مطالعه حاضر تعیین شیوع </span></span></span><i><span dir="LTR" style="font-size:11.0pt"><span style="line-height:120%">PTSD</span></span></i><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> و عوامل مرتبط با آن در نجات­­یافتگان بیماری کووید-19 بود. </span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">مواد و روش­ها:</span></span></span></b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> در این مطالعه توصیفی، تعداد 413 بیمار که سابقه بستری در بیمارستان به دلیل بیماری کووید-19 را داشتند به روش در دسترس انتخاب شدند. داده­ها با استفاده از </span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">پرسش­نامه­</span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> جمع­آوری و به وسیله رگرسیون لجستیک دو وجهی (</span></span></span><i><span dir="LTR" style="font-size:11.0pt"><span style="line-height:120%">Binary logistic regression</span></span></i><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">) تحلیل شدند.</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">یافته­ ها:</span></span></span></b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> از مجموع 402 شرکت ­کننده، 148 نفر ­(8/36 درصد) دارای </span></span></span><i><span dir="LTR" style="font-size:11.0pt"><span style="line-height:120%">PTSD</span></span></i><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> بودند. به علاوه، </span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">ابتلاء به بیماری عروق کرونری قلب (80/1=</span></span></span><i><span dir="LTR" style="font-size:11.0pt"><span style="line-height:120%">OR</span></span></i><span lang="FA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">، 001/0></span></span></span><i><span dir="LTR" style="font-size:11.0pt"><span style="line-height:120%">P</span></span></i><span lang="FA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">) و وضعیت نامطلوب سلامت روان (21/1=</span></span></span><i><span dir="LTR" style="font-size:11.0pt"><span style="line-height:120%">OR</span></span></i><span lang="FA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">، 001/0></span></span></span><i><span dir="LTR" style="font-size:11.0pt"><span style="line-height:120%">P</span></span></i><span lang="FA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">) نسبت شانس ابتلاء به </span></span></span><i><span dir="LTR" style="font-size:11.0pt"><span style="line-height:120%">PTSD</span></span></i><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> را به ترتیب 80 درصد و 21 درصد افزایش می­دادند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">نتیجه­ گیری:</span></span></span></b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> این مطالعه نشان داد که بیش از یک سوم از نجات­یافتگان کووید-19 مبتلاء به </span></span></span><i><span dir="LTR" style="font-size:11.0pt"><span style="line-height:120%">PTSD</span></span></i><span style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> هستند. بنابراین، توصیه می­شود غربالگری وضعیت سلامت روان در برنامه­های ترخیص از بیمارستان این بیماران ادغام شود.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">واژههای کلیدی:</span></span></span></b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> کووید-19، اختلال استرس</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">،</span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> پس از سانحه، شیوع، ایران، سلامت روان</span></span></span><span dir="LTR" style="font-size:20.0pt"><span style="line-height:120%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:150%">Background and Objectives:</span></b><span style="line-height:150%"> The present study aimed to determine the prevalence of post-traumatic stress disorder (PTSD) and its related factors in the survivors of Covid-</span><span style="line-height:150%"><span calibri="" style="font-family:">19</span></span><span style="line-height:150%">.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:150%">Materials and Methods:</span></b><span style="line-height:150%"> In this descriptive study </span><span style="line-height:150%">413</span><span style="line-height:150%"> patients who had a history of hospitalization due to covid-</span><span style="line-height:150%"><span calibri="" style="font-family:">19</span></span><span style="line-height:150%"> disease were selected using the convenience sampling method. Data were collected using a questionnaire and analyzed by binary logistic regression.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:150%">Results:</span></b><span style="line-height:150%"> Out of 402 participants, 148 participants (36.8%) had PTSD. In addition, suffering from coronary heart disease (OR=1.80, p<0.001) and adverse mental health status (OR=1.21, p<0.001) increased the odds ratio of PTSD by 80% and 21%, respectively.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:150%">Conclusion:</span></b><span style="line-height:150%"> This study showed that more than one-third of the survivors of Covid-</span><span style="line-height:150%"><span calibri="" style="font-family:">19</span></span><span style="line-height:150%"> have PTSD. Therefore, it is recommended mental health status screening be integrated into the discharge plans of these patients.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:150%">Key words:</span></b> <a href="https://www.ncbi.nlm.nih.gov/mesh/2052179" style="color:#0563c1; text-decoration:underline"><span style="line-height:150%">COVID-</span><span style="line-height:150%"><span calibri="" style="font-family:">19</span></span></a><span style="line-height:150%">, Stress disorders, Post-traumatic, </span><a href="https://www.ncbi.nlm.nih.gov/mesh/68015995" style="color:#0563c1; text-decoration:underline"><span style="line-height:150%">Prevalence</span></a><span style="line-height:150%">, Iran, Mental health <b> </b></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:150%"></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:150%">Funding: </span></b><span style="line-height:150%">This study was funded by Sabzevar University of Medical Sciences.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:150%">Conflict of interest: </span></b><span style="line-height:150%">None declared.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:150%">Ethical approval: </span></b><span style="line-height:150%">The Ethics Committee of Sabzevar University of Medical Sciences approved the study (IR.MEDSAB.REC.1399.019).</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span dir="RTL" lang="FA" style="font-size:5.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span dir="RTL" lang="AR-SA" style="font-size:2.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:150%">How to cite this article:</span></b><i> </i><span style="font-size:9.0pt"><span style="line-height:150%">Salehabadi Raha, Roshanfekr Mohammadjavad, Salehi Kian Neda, Salehi Kian Hoda, Vejdani Marjan, Yarelahi Mahsa. Post-Traumatic Stress Disorder among COVID-19 Survivors at 1-Month Follow-up after Vasei Hospital of Sabzevar Discharge in 2019: A Short Report.<i> J Rafsanjan</i></span></span><span style="font-size:9.0pt"><span style="line-height:150%"> <i>Univ Med Sci</i> 2022; 21 (06): 687-95. [Farsi]</span></span></span></span></span></span></span><br>
کووید-19, اختلال استرس, پس از سانحه, شیوع, ایران, سلامت روان
COVID-19, Stress disorders, Post-traumatic, Prevalence, Iran, Mental health
687
696
http://journal.rums.ac.ir/browse.php?a_code=A-10-5887-1&slc_lang=fa&sid=1
Raha
Salehabadi
رها
صالح آبادی
rahasalehabadi@gmail.com
6900319475328460051551
6900319475328460051551
No
Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran
مرکز تحقیقات سلامت سالمندان، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
Mohammadjavad
Roshanfekr
محمدجواد
روشنفکر
mahsa.yar@yahoo.com
6900319475328460051552
6900319475328460051552
No
Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran
کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
Neda
Salehi Kian
ندا
صالحی کیان
yarelahi.mahsa@gmail.com
6900319475328460051553
6900319475328460051553
No
Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran
کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
Hoda
Salehi Kian
هدی
صالحی کیان
mahsa.yarelahi@gmail.com
6900319475328460051554
6900319475328460051554
No
Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran
کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
Marjan
Vejdani
مرجان
وجدانی
masa.yarelahi@gmail.com
6900319475328460051555
6900319475328460051555
No
PhD Candidate of Health Services Management, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran
دانشجوی دکترای تخصصی مدیریت خدمات بهداشتی درمانی، کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی مشهد، مشهد، ایران
Mahsa
Yarelahi
مهسا
یاراللهی
mah.yarelahi@uswr.ac.ir
6900319475328460051556
6900319475328460051556
Yes
Department of Health Promotion and Aging, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
گروه ارتقاء سلامت و سالمندی، دانشکده بهداشت، دانشگاه علوم پزشکی شیراز، شیراز، ایران