Upton Dominic, Solowiej Kazia, Woo Kevin Y
Psychological Sciences, University of Worcester, Henwick Grove, Worcester, WR2 6AJ, UK.
Int Wound J. 2014 Dec;11(6):627-35. doi: 10.1111/iwj.12018. Epub 2013 Jan 4.
Recent research has started to identify mood disorders and problems associated with acute and chronic wounds, which have been shown to contribute to delayed healing, poor patient well-being and a reduced quality of life. Furthermore, mood disorders have been shown to have a negative impact on financial costs for service providers and the wider society in terms of treatment and sickness absence. This study aimed to survey a multinational sample of health professionals to explore their perspective and awareness of mood disorders amongst acute and chronic wound patients. Responses were received from n = 908 health professionals working in Asia, Africa, Australia, Europe, North America and South America. A strong awareness of the prevalence of mood disorders appeared to be widespread among the health professionals across the world, in addition to a view on the potential factors contributing to these problems with mood. Despite this, it was thought that few patients were actually receiving treatment for their mood disorders. Implications for clinical practice include the need for health professionals to engage actively with their patients to enable them to learn from their experiences. Studies that explore the benefits of treatments and techniques appropriate for minimising mood disorders in patients with wounds would provide empirical evidence for health professionals to make recommendations for patients with acute and chronic wounds.
近期研究已开始识别与急慢性伤口相关的情绪障碍及问题,这些已被证明会导致愈合延迟、患者健康状况不佳及生活质量下降。此外,情绪障碍已被证明在治疗和病假方面会对服务提供者及更广泛的社会造成经济成本的负面影响。本研究旨在对多国的医疗专业人员样本进行调查,以探究他们对急慢性伤口患者中情绪障碍的看法和认知。收到了来自在亚洲、非洲、澳大利亚、欧洲、北美洲和南美洲工作的908名医疗专业人员的回复。除了对导致这些情绪问题的潜在因素的看法外,全球的医疗专业人员似乎普遍强烈意识到情绪障碍的患病率。尽管如此,人们认为实际上很少有患者因情绪障碍接受治疗。对临床实践的启示包括医疗专业人员需要积极与患者互动,使他们能够从自身经历中学习。探索适合减少伤口患者情绪障碍的治疗方法和技术的益处的研究,将为医疗专业人员为急慢性伤口患者提供建议提供实证依据。