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抑郁症状可以减轻骨折患者的康复效应
Shunji Araki1, Keisuke Sato2,3, Masanari Zaha1
1Chuzan Hospital Clinical Education and Research Center, Okinawa City, Japan.
Progress in rehabilitation medicine
|July 25, 2025
概括
入院后的抑郁症状与骨折患者日常生活活动中恢复不良有关. 抗抑郁药的使用也影响了这一组患者的康复结果.
科学领域:
- 老年人康复中心 老年人康复中心
- 临床心理学 临床心理学
- 整形外科 整形外科 整形外科
背景情况:
- 骨折患者经常经历抑郁症状,影响他们的康复.
- 日常生活活动 (ADL) 是骨折后功能恢复的关键指标.
- 了解影响ADL改善的因素对于优化康复策略至关重要.
研究的目的:
- 调查接受康复的骨折患者入院时抑郁症状与改善日常生活活动 (ADLs) 之间的关联.
- 确定可能影响该群体功能恢复的其他因素.
主要方法:
- 在日本冲绳一家康复医院住院的127名骨折患者的回顾性观察性研究 (2018年8月 - 2020年10月).
- 根据老年抑郁量表得分,患者被分为有抑郁症状和没有抑郁症状的组.
- 采用多变量线性回归分析来评估抑郁症状与运动功能独立度量 (FIM) 增加之间的关系.
主要成果:
- 在127名患者中,有71名患者在入院时表现出抑郁症状.
- 抑郁症状与低动力FIM增长显著相关 (β = -5.022,P = 0.030).
- 诸如身体质量指数,运动FIM得分,迷你精神状态检查得分和抗抑郁药的使用等因素也与运动FIM增长相关.
结论:
- 住院时出现的抑郁症状会对接受康复的骨折患者的ADL改善产生负面影响.
- 抗抑郁药的使用成为影响ADL改善的独立因素.
- 这些发现强调了在骨折康复中解决抑郁症状的重要性,以提高功能结果.
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