因人际暴力导致面部骨折患者的精神障碍和干预措施。

IF 2.4 2区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Annamari Arpalahti, Aleksi Haapanen, Kirsi Auro, Anne Abio, Johanna Snäll
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引用次数: 0

摘要

背景:这项回顾性研究阐明了IPV相关面部骨折患者的精神病发病率;特别是他们额外的精神病护理。我们假设可以确定需要额外支持的患者,从而改善整体护理流程。方法:记录患者的年龄、性别、记忆性精神障碍、药物滥用史和精神干预措施,以及施暴者、地点、时间、攻击机制、骨折类型、治疗和相关损伤。结果:总共有807名成年患者被纳入研究。其中,205名患者(25.4%)患有与女性独立相关的记忆性精神障碍(OR 1.95,95%CI 1.12,3.41;p = 0.019)或药物滥用史(or 5.82,95%CI 4.01,8.46;p 结论:我们的研究结果强调了对IPV损伤患者需要更结构化的治疗方案。建议对患有记忆性精神障碍、严重精神疾病和被攻击性武器袭击的患者给予特别关注。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Psychiatric disorders and interventions in patients sustaining facial fractures from interpersonal violence.

Psychiatric disorders and interventions in patients sustaining facial fractures from interpersonal violence.

Psychiatric disorders and interventions in patients sustaining facial fractures from interpersonal violence.

Psychiatric disorders and interventions in patients sustaining facial fractures from interpersonal violence.

Background: This retrospective study clarified patients´ psychiatric morbidity in IPV-related facial fractures; in particular, their additional psychiatric care. We hypothesized that patients in need of additional support can be identified, allowing overall care processes to be improved.

Methods: Patients' age, sex, anamnestic psychiatric disorders, history of substance abuse, and psychiatric interventions were recorded, as well as the perpetrator, location, time of day, assault mechanism, fracture type, treatment, and associated injuries.

Results: In all, 807 adult patients were included in the study. Of these, 205 patients (25.4%) had anamnestic psychiatric disorders that were associated independently with female sex (OR 1.95, 95% CI 1.12, 3.41; p = 0.019) or history of substance abuse (OR 5.82, 95% CI 4.01, 8.46; p < 0.001). Patients with anamnestic psychiatric disorder were more likely to be subjected to severe violence, with an increased risk for combination fractures (OR 2.51, 95% CI 1.30, 4.83; p = 0.006). Of all patients, 61 (7.6%) received a psychiatric intervention within the first 12 months. The most common reasons for intervention were anxiety/fear and psychotic symptoms, surfacing within one month in 57% of patients. Anamnestic psychiatric disorders (OR 2.00, 95% CI 1.04, 3.82; p = 0.036), severe mental illnesses (OR 2.45, 95% CI 1.04, 5.77; p = 0.040), and use of an offensive weapon (OR 2.11, 95% CI 1.11, 4.02; p = 0.023) were the strongest independent predictors of psychiatric intervention.

Conclusions: Our results emphasize the need for more structured treatment protocols for patients sustaining IPV injury. Special attention is recommended for patients with anamnestic psychiatric disorders, severe mental illnesses, and those assaulted with an offensive weapon.

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来源期刊
Head & Face Medicine
Head & Face Medicine DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.70
自引率
3.30%
发文量
32
审稿时长
>12 weeks
期刊介绍: Head & Face Medicine is a multidisciplinary open access journal that publishes basic and clinical research concerning all aspects of cranial, facial and oral conditions. The journal covers all aspects of cranial, facial and oral diseases and their management. It has been designed as a multidisciplinary journal for clinicians and researchers involved in the diagnostic and therapeutic aspects of diseases which affect the human head and face. The journal is wide-ranging, covering the development, aetiology, epidemiology and therapy of head and face diseases to the basic science that underlies these diseases. Management of head and face diseases includes all aspects of surgical and non-surgical treatments including psychopharmacological therapies.
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