夹板固定对创伤患者生活质量的影响

Q3 Medicine
Mohamad Hoseini Kasnavieh, S. Mousavi, M. Veisi, A. Tahmasebi
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引用次数: 0

摘要

背景:不同的国家采用不同的方法来降低创伤相关死亡率及其并发症。目的:夹板是一种临时的、常规的固定器官损伤的方法。因此,评估夹板固定的创伤患者的生活质量是很重要的。方法:本前瞻性研究对Haft-e-Tir和Rasoul-e-Akram医院的287例创伤患者进行了两个基线期和一个月后的夹板固定。数据收集工具为SF-36生活质量问卷。采用配对t检验评估生活质量的变化。采用SPSS version 21进行统计分析。结果:研究一期患者平均生活质量为76.31±9.42,固定夹板1个月后平均生活质量为76.13±8.98,两期差异无统计学意义。患者的夹板固定在8个维度中的5个维度显著影响生活质量。干预提高了3个维度的得分,降低了2个维度的得分。结果表明:社会绩效(P = 0.01)、精力活力(P < 0.001)和情绪健康(P < 0.001)提高,身体绩效(P = 0.01)和总体健康(P = 0.001)降低,且在两个阶段存在显著差异。在两个阶段的研究中,情绪限制、身体限制和疼痛之间没有显著差异。结论:固定夹板可改善患者8个维度中的5个维度的生活质量。一个月后,创伤相关的精神和身体休克并没有消失,甚至患者对生活质量问题也更加敏感,因为他们使用夹板固定的时间更长,并且熟悉其局限性。患者试图反思他们对夹板固定的不满。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Quality of Life of Trauma Patients with Splint Immobilization
Background: Different countries have used different methods to reduce trauma-related mortality and its complications. Objectives: Splint is a temporary and conventional method of fixing an injured organ. Therefore, evaluating the quality of life in trauma patients with splint immobilization is important. Methods: This prospective study was performed on 287 trauma patients with splint immobilization in two baseline periods and one month later in Haft-e-Tir and Rasoul-e-Akram hospitals. The Data collection tool was the SF-36 quality of life questionnaire. Paired t-test was used to assess the changes in the quality of life. SPSS version 21 was used for statistical analysis. Results: The mean quality of life in the study's first phase was 76.31 ± 9.42, and one month after splint immobilization was 76.13 ± 8.98, and there was no significant difference between the two phases. The Splint immobilization of the patients significantly affected the quality of life in 5 out of 8 dimensions. Still, the intervention increased the scores in 3 dimensions and decreased scores in 2 dimensions. The results showed that social performance (P = 0.01), energy and vitality (P < 0.001), and emotional health (P < 0.001) increased, and physical performance (P = 0.01) and general health (P = 0.001) decreased, and they were significantly different in the two phases. There were no significant differences between emotional limitation, physical limitation, and pain in the two phases of the study. Conclusions: Splint immobilization of patients improved the quality of life in 5 out of 8 dimensions. After a month, the trauma-related mental and physical shock did not disappear, and even the patients were more sensitive to quality-of-life questions due to time spent with splint immobilization and familiarity with its limitations. The patients tried to reflect on their dissatisfaction with splint immobilization.
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来源期刊
Shiraz E Medical Journal
Shiraz E Medical Journal Medicine-Medicine (all)
CiteScore
1.00
自引率
0.00%
发文量
63
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