心理状态,修订的Müller AO分类和患者报告的结果之间的相关性:前性队列分析
Eduardo Campos Martins1,2, Thiago Martins Teixeira3
1Department of Surgery, Polydoro Ernani de São Thiago University Hospital, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil. martinseduardoc02@gmail.com.
Archives of orthopaedic and trauma surgery
|March 30, 2024
概括
骨折的严重程度和心理状态显著影响手术结果. 骨科创伤患者持续的焦虑和抑郁会增加不满意结果的风险.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 心理医学 心理医学
背景情况:
- 心理状态在医疗条件中至关重要,但在骨科创伤中没有得到充分的研究.
- 评估心理状态,骨折严重程度和患者结果之间的联系至关重要.
研究的目的:
- 评估心理状态,骨折严重程度和需要紧急手术治疗骨折的患者患者报告的结果之间的相关性.
- 确定骨科创伤中不令人满意的外科结果的预测因素.
主要方法:
- 139名肢体骨折患者接受了紧急手术.
- 骨折严重程度使用修订的AO Müller分类 (AO等级) 进行分级.
- 手术后评估了心理状态 (医院焦虑和抑郁评分 - HADS) 和疼痛 (VAS);结果在一年后进行评估.
主要成果:
- 较高的AO等级和VAS分数与焦虑 (HADS-A) 和抑郁 (HADS-D) 分数的增加相关.
- 持久的HADS得分≥8增加了不令人满意的结果的风险 (焦虑:RR 2.8;抑郁:RR 2.2).
- AO等级C和持续的焦虑/抑郁是不良结果的独立预测因素 (OR 1.7-2.9).
结论:
- 显著的,持续的心理痛苦 (焦虑/抑郁) 超过了骨折患者不满意的结果的风险的两倍.
- 心理状态的变化与骨折严重程度和疼痛程度有关.
- 骨科创伤患者的AO等级和HADS分数是结果的独立预测指标.
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