同时的精神疾病诊断和创伤复发的可能性
Molly A Bauer1, Ann M Mayo, Ruth A Bush
1University of San Diego, Hahn School of Nursing and Health Science, San Diego, California.
概括
创伤复发症,定义为在五年内再次受伤,与精神疾病有关. 患有多种心理健康诊断的个体具有明显更高的重复创伤风险,突出显示了查和干预的需要.
科学领域:
- 创伤学 创伤学 创伤学
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
背景情况:
- 创伤是年轻成年人 (1-44岁) 死亡的主要原因.
- 创伤复发症,定义为五年内经历一次以上的重大伤害,是一个关键的公共卫生问题.
- 创伤复发与患者的感知或特定风险因素之间的联系仍然不清楚.
研究的目的:
- 调查社会人口统计学和临床因素之间的关联,威胁导向,以及在创伤患者中感知到复发伤害的可能性.
- 为了确定创伤复发的关键预测因素.
主要方法:
- 一项前性横截面研究与南加州84名II级创伤住院患者进行.
- 数据是通过出院前调查和电子健康记录收集的.
- 研究期间为2021年10月至2022年1月.
主要成果:
- 创伤复发率为31%,创伤复发率为31%.
- 精神疾病和更长的住院时间与创伤复发率有显著的关联.
- 两个或两个以上精神疾病诊断的患者患创伤复发的几率大约是创伤复发的6.5倍 (OR = 6.48,95% CI: 1.7-24.6).
结论:
- 创伤是一种可预防的公共卫生问题,需要早期识别和干预风险因素.
- 精神疾病是重复创伤的主要因素,必须在临床实践中加以解决.
- 创伤提供者应该选精神疾病,以防止进一步的伤害和死亡,采用上游方法.
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