在创伤中心使用医疗保健的人际暴力受害者恢复服务
Kristie J Sun1, Kevin Y Zhu1, Tyler J Moon1
1MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio.
The Journal of surgical research
|October 9, 2023
概括
创伤恢复服务 (TRS) 被人际暴力 (IPV) 患者广泛使用,与随访,急诊和更长的住院时间增加相关. 了解患者的人口统计和社会因素可以优化TRS利用,以获得更好的康复结果.
科学领域:
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
- 社会工作 社会工作 社会工作
背景情况:
- 人际暴力 (IPV) 患者的护理因社会和心理健康并发症而复杂化.
- 美国外科医生协会 (ACS) 要求在受伤恢复过程中提供心理社会支持.
- 创伤恢复服务 (TRS) 为IPV幸存者提供关键的食物,住房和宣传援助.
研究的目的:
- 评估人际暴力 (IPV) 患者中创伤恢复服务 (TRS) 的使用情况.
- 确定TRS对患者结局的影响,包括停留时间和后续访问.
- 确定影响IPV群体中TRS使用的人口和社会因素.
主要方法:
- 从2018年9月到2020年12月,对502名IPV患者进行了回顾性队列研究.
- 收集有关人口统计,TRS使用情况和提供特定服务的数据.
- 统计分析包括t测试,奇平方测试和多变量回归来评估停留时间 (LOS) 和急诊室 (ED) 访问等结果.
主要成果:
- 78.5%的IPV患者使用了TRS,老年人和无家可归的人更有可能使用服务.
- 使用TRS与较长的初始LOS,更多的急救访问以及受伤后门诊访问的增加有关.
- 食品,住房和交通等特定服务与较长的LOS和更高的访问频率有关.
结论:
- 创伤恢复服务 (TRS) 受到IPV患者的高度利用,与医疗保健利用率的增加和更长的住院时间有关.
- 人口和社会因素在IPV患者中显著影响TRS吸收.
- 专注于损伤机制和社会决定因素的进一步研究可以完善对TRS的患者选择.
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