患有骨和软组织肉瘤的患者的心理健康障碍和手术结果
Orthopedics
|August 20, 2024
概括
患有肉瘤和精神健康诊断 (MHD) 的患者经历了更长的住院时间,更高的再入院率和更多的感染. 在癌症治疗期间的早期诊断加剧了这些患者的再入院风险.
科学领域:
- 整形外科手术 整形外科手术
- 在瘤学瘤学.
- 精神病学是一个精神病学.
背景情况:
- 研究精神健康诊断 (MHD) 与骨科肉瘤患者的结果之间的联系.
- 假设手术前的MHD会对结果产生负面影响并增加并发症.
研究的目的:
- 确定心理健康诊断和手术后结果之间的关联,在接受骨和软组织肉瘤手术的患者中.
- 在这个患者群体中确定受MHD影响的特定并发症和康复指标.
主要方法:
- 对356名因骨或软组织肉瘤进行手术治疗的患者进行了回顾性审查.
- 在有抑郁症,焦虑症,双相情感障碍或精神分裂症史的患者和没有患者之间进行比较.
- 使用独立的t,曼-惠特尼U和千平方测试进行统计分析.
主要成果:
- 观察到群体之间在停留时间,90天再入院率和手术部位感染发病率方面存在显著差异.
- 患有MHD的患者在术后住院时间较长.
- 在MHD组中,90天的再入院率显著更高,特别是在肉瘤治疗期间诊断出来的患者中.
结论:
- 患有MHD的骨科肉瘤患者面临更长时间住院,更高的再入院率和手术部位感染的风险.
- 整形外科医生必须认识到精神疾病对肉瘤患者术后恢复的影响.
- 意识到这些差异是非常重要的,鉴于心理健康障碍的患病率越来越高.
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