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在美国除球后的行为健康状况服务人员服务人员

Haana McMurray¹, Weidong Gu², Lymarie Millian-Morell²

¹Ophthalmology, Walter Reed National Military Medical Center, 4494 Palmer Rd. N, Bethesda, MD, USA.

|April 30, 2025

概括

接受全球移除 (GR) 的患者面临着新的行为健康 (BH) 诊断的显著更高的风险,包括自杀念头和物质使用障碍. 早期的BH查对于曾经经历过GR的人来说至关重要.

科学领域:

眼科医生眼科眼科
精神病学是一个精神病学.
军人卫生保健军人卫生保健

背景情况:

眼球移除 (GR) 是一种严重的眼损伤.
创伤后可能出现行为健康 (BH) 状况.
对于军人服务人员来说,了解新的BH诊断后GR的发生率至关重要.

研究的目的:

确定在军事卫生系统 (MHS) 中接受地球移除 (GR) 的患者新行为健康 (BH) 诊断的发生率.

主要方法:

在2017-2022年期间,MHS的现役服务人员 (SMs) 的回顾性队列研究.
使用MHS Mart (M2) 数据库对受创伤后接受GR的患者进行分析.
多变量波桑回归分析了GR后新的BH诊断的相对风险 (RR),不包括以前BH诊断的患者.

主要成果:

103名患者接受了GR;27名患者在GR后出现了新的BH诊断.
对于:自杀/想象 (47.2),酒精使用障碍 (17.3),焦虑 (12.8),适应障碍 (10.5),物质使用障碍 (5.29) 和抑郁症 (8.0) 的患者,GR患者的RR显著增加.
新的BH诊断发生在GR后的更早时间 (中位数为49天) 与先前存在的BH诊断 (中位数为351天) 相比.

结论:

接受GR治疗的患者患有新的BH诊断的风险大幅增加,特别是自杀念头和物质使用障碍.
这些发现强调了积极的行为健康查对全球移除后的个人的重要性.
在这种人群中,早期识别和干预BH状况至关重要.

关键词:

焦虑是一种焦虑.行为健康行为健康移除地球球的方法药物使用障碍物使用障碍物.自杀自杀自杀自杀自杀自杀自杀

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