参与并跟踪患有创伤后应激障碍症状风险的身体伤害幸存者:一项25个地点的美国国家研究
Jake Shoyer1, Kenneth J Ruggiero2, Khadija Abu1
1Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, USA.
Injury
|February 29, 2024
概括
年轻的患者,有公共保险的人以及缺乏手机或互联网接入的个人更有可能错过创伤后续预约. 需要制定战略来改善这些弱势群体的参与和坚持.
科学领域:
- 创伤外科手术是什么
- 精神病学是一个精神病学.
- 医疗服务研究 医疗服务研究
背景情况:
- 创伤后应激障碍 (PTSD) 的早期干预需要患者的参与.
- 创伤中心必须根据美国外科医生协会的指导方针对高风险患者进行查和转诊.
- 了解影响患者随访的因素对于有效的创伤护理至关重要.
研究的目的:
- 确定与创伤护理中患者随访相关的因素.
- 评估技术获取,人口统计和伤害特征对遵守后续评估的影响.
主要方法:
- 一项随机临床试验的二次分析,涉及635名患有高PTSD症状水平的成年患者.
- 收集关于技术使用,人口统计和伤害特征的基线数据.
- 使用回归分析来检查缺乏后续结果评估的关联,在3,6个月和12个月.
主要成果:
- 31%的参与者错过了至少一个后续评估.
- 年龄较小,缺乏手机/互联网接入,以及公共保险增加了错过预约的风险.
- 较少的慢性并发症和更好的伤害前心理健康与更高的随访率有关.
结论:
- 较年轻,公共保险或无保险的患者具有有限的技术访问,有更高的风险错过创伤后续.
- 创伤中心应该制定有针对性的策略,以加强风险患者的参与和坚持.
- 改善后续护理对于有效的PTSD查和创伤人群的干预至关重要.
更多相关视频
09:55Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
Published on: March 8, 2018
12.4K
10:43Developing Neuroimaging Phenotypes of the Default Mode Network in PTSD: Integrating the Resting State, Working Memory, and Structural Connectivity
Published on: July 1, 2014
15.1K
相关概念视频
01:27Post-traumatic Stress Disorder
34
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
34
01:27Introduction to Stress and Lifestyle
109
Stress is a multifaceted response to events perceived as challenging or threatening, highlighting physical, emotional, cognitive, and behavioral reactions. Physically, stress can lead to fatigue, sleep disruptions, and various health issues such as frequent colds, chest pains, and nausea. Emotionally, it can manifest as anxiety, depression, irritability, and anger triggered by both minor and major life events. Cognitively, it may result in difficulty in concentration, memory, and...
109