在经过手术治疗的骨盆外伤患者中抑郁症的患病率
Piotr Walus1, Jakub Ohla2, Rafał Wójcicki1
1Department of Orthopaedics and Traumatology, Jan Kochanowski University, 25736 Kielce, Poland.
Diseases (Basel, Switzerland)
|April 25, 2025
概括
经过手术治疗的骨盆骨折患者中,近一半患有抑郁症. 这项研究发现,抑郁症的患病率为47%,女性报告更严重的症状和自杀念头. 慢性疼痛与较高的抑郁症得分有关.
科学领域:
- 整形外科手术 整形外科手术
- 精神病学是一个精神病学.
- 创伤护理 创伤护理
背景情况:
- 骨盆骨折,特别是骨和骨盆环损伤,往往导致显著的身体和心理后果.
- 了解心理健康的影响,特别是抑郁症,对于手术后全面的患者管理至关重要.
研究的目的:
- 确定在2017年至2022年期间接受骨盆骨折手术治疗的患者中抑郁症的患病率.
- 分析相关因素,包括慢性疼痛,自杀念头,年龄和性别.
主要方法:
- 评估了75名患者 (57名男性,18名女性) 的队列,这些患者手术治疗了骨骨折或骨盆环损伤.
- 贝克抑郁症库存 (BDI) 用于评估抑郁症症状,以及慢性疼痛的VAS尺度.
- 收集和分析了关于年龄,性别,住院时间和自杀想法的数据.
主要成果:
- 47%的患者 (75人中有35人) 呈现抑郁症症状 (BDI得分>11).
- 在贝克抑郁症库存得分和慢性疼痛之间观察到显著的正相关性 (p < 0.0003).
- 女性报告BDI平均得分较高 (中度抑郁症) 和自杀想法较频繁 (44%) 与男性 (14%).
结论:
- 在这个队列中,经过手术治疗的骨盆外伤患者中,抑郁症的患病率为47%.
- 抑郁症与慢性疼痛有显著的关联,在这个人群中,抑郁症在女性中更为普遍和严重.
- 没有发现年龄和住院时间长度是与抑郁症相关的统计学上显著因素.
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