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[Psychological evaluation in patients treated with external fixator].
M M Rius-Zavala1, C A Orellana-Reta1, S Fuentes-Figueroa1
1Hospital Shriners para Niños, Av. del Iman 257, Pedregal de Sta Úrsula, 04600, Ciudad de México. México.
Acta Ortopedica Mexicana
|April 12, 2018
Summary
Psychological disturbances in patients treated with external fixators correlate with treatment complications and readmissions. Preteen patients (10-12 years) experienced more psychological distress, suggesting age-specific interventions are crucial.
Area of Science:
- Orthopedic surgery
- Psychological impact of medical devices
- Patient outcomes
Background:
- External fixators are used for complex orthopedic treatments.
- Psychological well-being can influence treatment adherence and outcomes.
- Limited research exists on the psychological impact of external fixator use in pediatric patients.
Purpose of the Study:
- To investigate the relationship between psychological disturbances and complications, readmissions, and reinterventions in patients treated with external fixators.
- To determine if external fixator type, patient age, and duration of use are associated with psychological aspects.
Main Methods:
- Retrospective, observational, and transversal study of patients treated with external fixators between 2005 and 2010.
- Analysis of clinical records using statistical tests, including Student's t-test.
- Utilized IBM SPSS Statistics version 24 for data analysis.
Main Results:
- A significant association was found between age and psychological alterations in patients with circular fixators (p=0.024).
- Psychological alterations were significantly related to complications in circular fixator users (p=0.048).
- A significant relationship was observed between readmissions and psychological alterations in monoplanar fixator users (p=0.038).
Conclusions:
- Psychological disturbances in patients and families can negatively impact treatment and lead to complications.
- Patients aged 10-12 years (preteens) exhibited greater psychological distress and anxiety.
- Psychological intervention is vital throughout the treatment process; avoiding external fixators in preteens may mitigate psychological distress.
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