Kết quả dài hạn ở 324 bệnh nhân đa chấn thương: Những yếu tố nào liên quan đến triệu chứng rối loạn stress sau chấn thương và rối loạn trầm cảm?

Springer Science and Business Media LLC - Tập 22 - Trang 1-8 - 2017
Lisa Falkenberg1, Christian Zeckey1,2, Philipp Mommsen1, Marcel Winkelmann1, Boris A. Zelle3, Martin Panzica1, Hans-Christoph Pape4, Christian Krettek1, Christian Probst5
1Trauma Department, Hannover Medical School, Hannover, Germany
2Department of General, Trauma and Reconstructive Surgery, Ludwig-Maximilians-Universität München, Munich, Germany
3Division of Orthopaedic Traumatology, Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, USA
4Department of Trauma Surgery, University Hospital Zurich, Zurich, Switzerland
5Department of Trauma and Orthopaedic Surgery, Cologne-Merheim Medical Center, University of Witten/Herdecke, Cologne, Germany

Tóm tắt

Khuyết tật thể chất nổi tiếng là kéo dài trong nhiều năm sau một chấn thương nghiêm trọng, và có ảnh hưởng lớn đến chất lượng cuộc sống của người sống sót. Mục đích của nghiên cứu này là xem liệu điều này cũng đúng với khuyết tật tâm lý có triệu chứng của rối loạn stress sau chấn thương hoặc trầm cảm sau đa chấn thương. Nghiên cứu kết quả theo dõi hồi cố. Trung tâm chấn thương cấp I. 637 bệnh nhân đa chấn thương đã được điều trị tại trung tâm chấn thương cấp I của chúng tôi từ 1973 đến 1990. Thời gian theo dõi tối thiểu là 10 năm sau khi bị chấn thương. Bệnh nhân được yêu cầu điền vào bảng câu hỏi, bao gồm các phần của Thang đo Chẩn đoán Stress Posttraumatic, Thang đo Tác động của Sự kiện - Phiên bản sửa đổi và Thang đo Lo âu và Trầm cảm tại Bệnh viện Đức, để đánh giá sức khỏe tâm thần. Kết quả lâm sàng đã được đánh giá trước đó bằng các điểm số tiêu chuẩn hóa. Ba trăm hai mươi bốn bảng câu hỏi đã được đánh giá. Một trăm bốn mươi chín (45,9%) bệnh nhân có triệu chứng khuyết tật tâm thần. Chất lượng cuộc sống cao hơn một cách đáng kể ở nhóm tâm thần khỏe mạnh, trong khi nhóm bị khuyết tật đạt được trạng thái phục hồi thấp hơn. Khuyết tật tâm thần có thể được tìm thấy ở các nạn nhân chấn thương đa chấn thương, thậm chí sau 10 năm hoặc lâu hơn. Các bác sĩ điều trị không chỉ nên tập trung vào phục hồi thể chất sớm mà còn cần chú trọng vào phục hồi tâm thần sớm để ngăn ngừa các vấn đề lâu dài trong cả khuyết tật thể chất và tâm thần.

Từ khóa

#đa chấn thương #khuyết tật tâm lý #rối loạn stress sau chấn thương #trầm cảm #chất lượng cuộc sống

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