Factors Related to Acute Anxiety and Depression in Inpatients with Accidental Orthopedic Injuries.

上海精神医学 Pub Date : 2017-04-25 DOI:10.11919/j.issn.1002-0829.216070

Hui Wu, Fang Zhang, Wenhong Cheng, Ying Lin, Qian Wang

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引用次数: 17

Abstract

Background: Those injured in accidents commonly have strong emotional reactions to their situation. However, despite the large number of patients who are admitted to general hospitals each year for orthopedic injuries due to an accident, research focusing on psychological disorders due to these injuries is lacking.

Objective: To investigate the presentation and factors related to depression and acute anxiety among inpatients being treated for injury on a Trauma Orthopedics Unit.

Methods: 323 patients with orthopedic trauma were evaluated using the Injury Severity Score (ISS), Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD).

Results: In this study, a total of 323 inpatients (213 males and 110 females) had a mean (sd) age of 44.3 (13.2) years old. Mean (sd) time in the hospital was 11.1 (5.7) days with a range of 2 to 40 days. Among these patients, 299 had mild trauma, 20 had moderate trauma, and 4 had severe trauma. Patients had a mean (sd) score of 8.1 (4.9) with a range of 1 to 38. The top three most reported symptoms from the HAMA were sleep disorder, gastrointestinal symptoms and anxiety. The top three most reported symptoms from the HAMD were sleep disorder, depression and anxiety. Non-conditional logistic regression analysis showed that being female (anxiety: OR=2.738, 95%CI=1.511-4.962; depression: OR=2.622, 95%CI=1.504-4.570) and duration of hospitalization (anxiety: OR=1.091, 95%CI=1.040-1.145; depression: OR=1.093, 95%CI=1.044-1.144) were risk factors for anxiety and depression among these orthopedic trauma patients.

Conclusion: The main acute symptoms of anxiety and depression in these orthopedic trauma inpatients were sleep disorder, gastrointestinal symptoms, anxious mood and depressed mood. Female patients had stronger emotional reactions to injuries than males. Persistent anxiety and depression symptoms were associated with the duration of hospitalization. All these suggest the need for early psychological assessment and intervention for orthopedic trauma inpatients.

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骨科意外损伤住院患者急性焦虑、抑郁相关因素分析。

背景:在事故中受伤的人通常对他们的处境有强烈的情绪反应。然而，尽管每年有大量的患者因意外事故导致的骨科损伤而入院，但对这些损伤导致的心理障碍的研究却很缺乏。目的:了解创伤骨科住院创伤患者抑郁和急性焦虑的表现及相关因素。方法:采用损伤严重程度评分(ISS)、汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)对323例骨科创伤患者进行评估。结果:本研究共纳入住院患者323例(男性213例，女性110例)，平均(sd)年龄为44.3岁(13.2岁)。平均(sd)住院时间为11.1(5.7)天，范围为2至40天。其中轻度外伤299例，中度外伤20例，重度外伤4例。患者的平均(sd)评分为8.1(4.9)，范围为1至38。据报道，HAMA的前三大症状是睡眠障碍、胃肠道症状和焦虑。据报道，HAMD的前三大症状是睡眠障碍、抑郁和焦虑。非条件logistic回归分析显示，女性(焦虑:OR=2.738, 95%CI=1.511-4.962;抑郁:OR=2.622, 95%CI=1.504-4.570)和住院时间(焦虑:OR=1.091, 95%CI=1.040-1.145;抑郁:OR=1.093, 95%CI=1.044-1.144)是骨科创伤患者焦虑和抑郁的危险因素。结论:骨科创伤住院患者焦虑抑郁的急性症状主要为睡眠障碍、胃肠道症状、焦虑情绪和抑郁情绪。女性患者对伤害的情绪反应强于男性。持续的焦虑和抑郁症状与住院时间有关。提示骨科创伤住院患者需要进行早期心理评估和干预。

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来源期刊

上海精神医学

自引率

0.00%

发文量

2341

期刊介绍： Shanghai archives of psychiatry (bimonthly) was founded in 1959 and is sponsored by Shanghai Mental Health Center. The journal is aimed at mental health workers across the country, including psychiatrists and nurses, clinical psychologists, social workers, and people who are committed to the cause of mental health. It focuses on reporting clinical research results and practical experience in the field of psychiatry, and introduces the latest knowledge in psychiatry and related fields. The columns include monographs, case reports, clinical case discussions, reviews, mental health and law, and debates and discussions.