在骨科创伤后,通过参与心理社会编程来减少创伤复发
Isabella M Heimke1, Ryan Furdock1, Natasha M Simske1
1MetroHealth Medical Center, Western Reserve University, Cleveland, OH, United States.
Injury
|October 25, 2023
概括
参与多重创伤恢复服务 (TRS) 显著降低严重骨折治疗患者创伤复发的风险. 多方面的支持是防止重复伤害和改善患者结果的关键.
科学领域:
- 创伤外科手术是什么
- 患者的康复 患者的康复
- 公共卫生 公共卫生
背景情况:
- 创伤复发症,定义为因新伤而返回创伤中心,是一个重大问题.
- 旨在提高患者参与度的干预措施,如创伤恢复服务 (TRS),可以减轻这一问题.
- TRS包括教育,咨询,同行指导和其他支持资源.
研究的目的:
- 调查使用创伤恢复服务 (TRS) 与严重骨折治疗的成年患者中创伤复发率之间的关联.
- 为了确定该患者群体中复发的预测因素.
主要方法:
- 在1级创伤中心5年内对954名成年患者进行了骨,脊柱和大腿骨骨折手术治疗的回顾性审查.
- 复发被定义为在30个月内返回创伤中心,因为新的,无关的伤害.
- 使用多变量逻辑回归来分析复发的预测因素,所有患者都接受了TRS.
主要成果:
- 在954名患者中,397名 (42%) 使用了TRS. 总的来说,有136名患者 (14%),因为与创伤无关的创伤事件而返回.
- 虽然75%的重复犯罪者参与了TRS,但非重复犯罪者更有可能使用多种服务类型 (49%与34%,p=0.002) 并与同行导师接触一次以上 (91%与81%,p=0.03).
- 多变量分析表明,使用多种康复服务的患者的复发风险显著降低 (p=0.04,或0.42).
结论:
- 多方面的参与创伤恢复计划与严重受伤后的复发率降低有关.
- 这些发现表明,全面的支持系统对于防止重复创伤事件至关重要.
- 进一步研究这些干预措施的成本效益是有必要的.
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