骨折管理仅仅是一个物理过程吗? 探索内部和外部固定的心理影响
Qiyu Jia1, Zhenlei Peng2, Anqi Huang3
1Department of Trauma Orthopedics, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.
Journal of orthopaedic surgery and research
|April 8, 2024
概括
与外部固定相比,远半径骨折的内部固定导致了更好的精神和身体健康恢复. 接受内部固定治疗的患者在手术后经历的焦虑,抑郁和失眠较少,改善了他们的生活质量.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 患者研究成果研究结果
背景情况:
- 内部和外部固定是骨折的标准治疗方法.
- 这些手术方法对心理影响和生活质量 (QoL) 影响的研究不足.
- 距离半径骨折 (DRF) 患者的心理健康结果需要进一步调查.
研究的目的:
- 评估内部固定与外部固定对DRF患者焦虑,抑郁,失眠和整体健康的影响.
- 在内部固定和外部固定组之间比较心理状态和生活质量 (QoL).
- 为了确定最佳的外科手术方法,考虑到患者的福祉.
主要方法:
- 一项对96名DRF患者的回顾性研究 (57人内定,39人外定).
- 评估使用视觉模拟量表 (VAS),医院焦虑和抑郁量表 (HADS),雅典失眠量表 (AIS) 和SF-36问卷.
- 在手术前和手术后7天,1个月,3个月收集的数据.
主要成果:
- 与外部固定组 (EFG) 相比,内部固定组 (IFG) 在手术后7天和1个月报告了较低的疼痛分数 (VAS).
- 在所有术后点,EFG显示焦虑 (HADS-A),抑郁 (HADS-D) 和失眠 (AIS) 分数显著更高.
- IFG在手术后表现出优异的物理组件总结 (PCS) 和精神组件总结 (MCS) 分数.
结论:
- 与外部固定相比,内部固定为DRF患者提供了更好的术后身体和精神健康恢复.
- 心理健康应该是选择DRF手术方法的关键考虑因素,当迹象不是绝对的.
- 内部固定可能会导致改善患者报告的结果和生活质量 (QoL).
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