Department of Public Health and Primary Health Care, University of Bergen, Norway.
J Adv Nurs. 2012 Feb;68(2):402-13. doi: 10.1111/j.1365-2648.2011.05752.x. Epub 2011 Jul 11.
This paper is a report of a study of health-related quality of life and post-traumatic stress disorder symptoms in patients attending an Accident and Emergency department because of psychosocial crises.
Psychosocial crises are commonplace globally, but there is little knowledge about patients attending Accident and Emergency departments because of psychosocial crises.
Data were collected at an Accident and Emergency department in Norway from September 2008 to June 2009. A total of 99 adults participated in the baseline study and 41 of these participated at 2 months follow-up. The Short Form-36 Health Survey and the Post Traumatic Symptom Scale were used to obtain data.
Participants reported significantly lower scores in all health-related quality of life domains at baseline compared with the general Norwegian population. The mental health score was two standard deviations below the norm. Health-related quality of life scores were improved and post-traumatic stress disorder symptoms were reduced after 2 months. High levels of post-traumatic stress disorder symptoms were reported by 78% of the participants at baseline and 59% at follow-up. Participants with high levels of post-traumatic stress disorder symptoms at follow-up also reported low health-related quality of life scores.
This study suggests a need for an acute psychosocial intervention and an opportunity to receive follow-up support at Accident and Emergency departments.
本文是一项研究报告，该研究调查了因心理社会危机而到急诊就诊的患者的健康相关生活质量和创伤后应激障碍症状。
心理社会危机在全球范围内很常见，但对于因心理社会危机而到急诊就诊的患者，人们知之甚少。
2008 年 9 月至 2009 年 6 月，在挪威的一家急诊室收集数据。共有 99 名成年人参加了基线研究，其中 41 人参加了 2 个月的随访。使用简明 36 健康调查和创伤后症状量表来获取数据。
与一般挪威人群相比，参与者在基线时所有健康相关生活质量领域的得分均显著较低。心理健康评分比常模低两个标准差。2 个月后，健康相关生活质量评分有所改善，创伤后应激障碍症状有所减轻。78%的参与者在基线时报告存在高度的创伤后应激障碍症状，而在随访时为 59%。在随访时存在高度创伤后应激障碍症状的参与者也报告了较低的健康相关生活质量评分。
本研究表明，急诊需要进行急性心理社会干预，并为患者提供接受后续支持的机会。
