南非下肢骨折患者中创伤后应激障碍的患病率和危险因素
Gerald Tan1, Maritz Laubscher2, Sithombo Maqungo2,3
1Mersey Orthopaedic Trainee Association, Liverpool, United Kingdom.
JB & JS open access
|April 28, 2025
概括
在南非,创伤后应激障碍 (PTSD) 影响了7.1%的下肢创伤患者. 在低收入和中等收入国家的创伤患者中,建议对PTSD进行早期查,以及时进行干预.
科学领域:
- 骨科创伤的创伤是什么
- 心理创伤 心理创伤
- 全球健康 全球健康
背景情况:
- 在低收入和中等收入国家 (LMICs) 中,下肢骨折发生率很高.
- 骨折,特别是创伤后应激障碍 (PTSD) 的心理影响被低估了.
- 创伤性下肢损伤需要了解相关的心理健康结果.
研究的目的:
- 为了确定南非下肢创伤患者中PTSD的患病率.
- 为了确定与下肢创伤后发展PTSD相关的风险因素.
- 为临床实践提供有关创伤患者心理健康查的信息.
主要方法:
- 研究了一组260名患有下肢长骨骨折的患者.
- 主要护理PTSD (PC-PTSD-5) 工具选了PTSD风险.
- 高风险患者进一步使用PTSD检查清单 (PCL-C) 进行评估.
主要成果:
- 最终的队列包括254名患者 (75.6%是男性,18-71岁).
- 创伤后应激障碍的患病率为7.1% (18/254),风险为13.4% (34/254).
- 没有特定的风险因素 (例如,骨折类型,伤害严重程度) 已被确定为PTSD的发展.
结论:
- 这一群人中PTSD的发病率低于高收入国家,但高于南非一般人口.
- 在LMICs的下肢创伤患者中建议对PTSD进行查.
- 早期识别和支持对于患有PTSD风险的患者至关重要.
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