Loncar Zoran, Bras Marijana, Micković Vlatko
University Hospital of Traumatology, Zagreb, Croatia.
Coll Antropol. 2006 Jun;30(2):319-25.
This study examined the interrelationships between anxiety, depression and pain in burn injured patients. Seventy patients with severe burns were interviewed within two weeks of their burn trauma. The short form of McGill Pain Questionnaire and a visual analog scale were employed to measure the pain experienced at rest. Anxiety and depression levels were assessed with the Beck Depression Inventory and Beck Anxiety Inventory. The results showed that significant number of patients had suffered from depressive and anxious symptomatology. Higher levels of anxiety and depression were associated with higher pain scores. Percent of total body surface burned was associated with increased pain scores, anxiety and depression. The authors emphasises the need for accurate multidisciplinary assessment and treatment of pain and psychological disorders in burn injured patients which needs to be highly individualized and frequently adjusted according to the patients specific needs.
本研究探讨了烧伤患者焦虑、抑郁与疼痛之间的相互关系。70例重度烧伤患者在烧伤创伤后两周内接受了访谈。采用麦吉尔疼痛问卷简表和视觉模拟量表来测量静息时的疼痛。焦虑和抑郁水平通过贝克抑郁量表和贝克焦虑量表进行评估。结果显示,大量患者存在抑郁和焦虑症状。焦虑和抑郁水平越高,疼痛评分越高。烧伤总面积百分比与疼痛评分增加、焦虑和抑郁相关。作者强调,对于烧伤患者的疼痛和心理障碍,需要进行准确的多学科评估和治疗,且这种评估和治疗需要高度个体化,并根据患者的具体需求经常调整。