创伤重症监护入院一年后与焦虑和抑郁相关的因素:一项多中心研究
Victoria Nicholson1, Elaine Cole1, Robert Christie1
1Queen Mary University of London, UK.
Injury
|December 21, 2024
概括
在严重受伤后,焦虑和抑郁是常见的,影响三分之二的患者在创伤后一年的重症监护. 年龄较小,先前的心理问题和疼痛是这些长期心理健康影响的关键风险因素.
科学领域:
- 创伤重症监护医学 创伤重症监护医学
- 心理医学 心理医学
- 公共卫生 公共卫生
背景情况:
- 严重伤害的恢复可能受到心理因素的影响.
- 焦虑和抑郁症 (AoD) 是创伤幸存者的重要关注点.
- 了解AOD的患病率和后临床护理的影响对于患者的治疗结果至关重要.
研究的目的:
- 在创伤重症监护室入院一年后调查焦虑和抑郁症的患病率.
- 评估AOD对与健康相关的生活质量的影响.
- 在重伤幸存者中识别与AOD相关的因素.
主要方法:
- 在四个1级重症监护单位招募成年创伤患者的前景.
- 通过使用 EQ-5D-5L 问卷,在释放后的一年后进行后续调查.
- 多变量后勤回归用于识别AOD的预测因素.
主要成果:
- 在一年的随访中,44%的应答率 (290/657名幸存者) 实现了.
- 三分之二 (63%) 的幸存者报告了焦虑或抑郁.
- AoD与较差的健康状况 (EQ-VAS 60 vs. 80),年轻年龄,先前的心理发病率和更长的住院时间有关.
结论:
- 焦虑和抑郁是严重伤害的重大长期后果.
- 年轻的年龄,透的创伤,心理并发症和持续的疼痛与AOD有关.
- 在创伤后一年解决疼痛是一个可修改的目标,以改善心理结果.
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