精神疾病和对因人际暴力造成面部骨折的患者的干预措施
Annamari Arpalahti1, Aleksi Haapanen2, Kirsi Auro3,4
1Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, 00029, HUS, Finland. annamari.arpalahti@helsinki.fi.
Head & face medicine
|October 23, 2023
概括
患有亲密伴侣暴力 (IPV) 面部骨折的患者通常有精神问题. 识别那些需要额外支持的人,尤其是先前有心理健康状况或药物滥用的人,可以改善护理.
科学领域:
- 创伤外科手术是什么
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 亲密伴侣暴力 (IPV) 是面部骨折的一个重要原因.
- 了解这些患者的精神需求对于有效治疗至关重要.
- 这项研究调查了与IPV相关的面部骨折的精神病发病率和护理要求.
研究的目的:
- 为了确定与IPV相关的面部骨折患者精神病发病率的预测因素.
- 为了确定在这个人群中需要额外的精神病学干预的需要.
- 改善面部受伤的IPV幸存者的整体护理过程.
主要方法:
- 对807名患有IPV相关面部骨折的成年患者进行了回顾性分析.
- 收集的数据包括人口统计,精神病史,药物滥用,袭击细节和骨折特征.
- 在12个月内记录了精神病学干预.
主要成果:
- 25.4%的患者有先前存在的精神疾病,与女性性和药物滥用有关.
- 患有精神疾病的患者更有可能经历严重的暴力和组合骨折.
- 6.1%的人接受了精神干预,主要是因为焦虑/恐惧和精神病症状.
结论:
- 与IPV相关的面部骨折需要结构化的治疗方案.
- 患有先前存在的精神疾病,严重精神疾病或遭受武器攻击的患者需要有针对性的关注.
- 早期识别和干预可以改善患者的治疗结果.
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