社会支持可以减轻创伤患者的社会经济差异
S Ilkhani1, C K Zogg2, I G Alty3
1Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA; Division of Trauma, Burn, and Surgical Critical Care, Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA.
American journal of surgery
|July 12, 2025
概括
社会支持网络和社会经济地位 (SES) 显著影响创伤恢复结果. 利用社会支持的干预措施可能有助于减少与SES相关的恢复差异.
科学领域:
- 创伤护理的护理人员.
- 医疗服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 社会经济地位 (SES) 与受伤后的较差结果有关.
- 强大的社会支持网络与更好的康复有关.
- 在创伤恢复过程中,SES和社会支持之间的相互作用尚未得到充分理解.
研究的目的:
- 研究社会经济地位和社会支持对创伤后结果的综合影响.
- 确定社会支持是否可以减轻低SES对恢复的负面影响.
主要方法:
- 来自3个1级创伤中心的成年创伤患者在受伤后6个月接受了调查.
- 评估结果包括创伤后应激障碍,恢复工作,慢性疼痛和功能依赖.
- 统计分析检查了SES和支持网络层次之间的相互作用效应.
主要成果:
- 低SES和弱社会支持的人群中,不良结果更为普遍.
- 在PTSD方面观察到显著的负面相互作用.
- 具有高SES/低支持和低SES/高支持的个体报告了类似的PTSD,恢复工作,慢性疼痛和功能依赖率.
结论:
- 社会支持和SES可能对创伤恢复产生抵消作用.
- 基于网络的干预措施可能会减少创伤恢复中与SES相关的差异.
- 了解这些相互作用对于有针对性的患者支持至关重要.
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