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紧急通用手术患者的精神病并发症:一个前性观察性研究

Timothy J Geier¹, Natasha Simske¹, Sarah Melin¹

¹Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Trauma surgery & acute care open

|August 25, 2023

概括

紧急普通手术患者的精神疾病发病率很高,包括抑郁症和PTSD. 解决心理健康需求可以改善康复,减少住院再接收.

科学领域:

手术手术手术术术
精神病学是一个精神病学.
医疗保健服务研究医疗服务研究

背景情况:

紧急普通手术 (EGS) 每年影响2700万美国成年人,并发症和再入院率高.
精神病并发症可能会对手术患者的治疗坚持,医疗费用和死亡率产生负面影响.
关于EGS患者精神疾病的患病率和影响的研究有限.

研究的目的:

描述EGS患者的心理健康状况.
检查EGS患者的精神病并发症,疼痛,社会支持和医疗保健利用之间的关系.

主要方法:

成年EGS患者 (n=95) 在入院7天内使用结构化临床诊断访谈进行评估.
通过记录审查收集了医疗变量,包括停留时间和90天再入院率.

主要成果:

31.6%的EGS患者至少有一次精神病诊断,包括严重抑郁症发作 (21.3%),物质使用障碍 (9.6%) 和PTSD (7.5%).
较低的社会支持和更高的疼痛严重程度与增加的抑郁和焦虑相关.
抑郁症与更长的住院时间有关,而PTSD与更高的再入院率有关.

结论:

与一般人群相比,EGS患者的精神疾病发病率更高,尤其是抑郁和焦虑.
实施查协议和综合心理/社会干预措施可以提高EGS后的恢复.

关键词:

紧急通用外科手术紧急情况疼痛疼痛疼痛疼痛精神疾病是一种精神疾病.

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