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[创伤后受害者障碍的影响及交通事故早期治疗的原因]

[Effect of post-traumatic disorders of the victims and causes of traffic accidents in the early stages of treatment].

作者信息

Scigała Dawid Konrad, Ziołek Jakub, Kwiatkowski Krzysztof

机构信息

Warsaw School of Social Sciencies and Humanieties.

Department of Traumatology and Orthopaedics with Muskuloskeletal Infection Ward, Central Clinical Hospital of the Ministry of National Defense, Military Institute of Medicine in Warsaw, Poland.

出版信息

Pol Merkur Lekarski. 2013 Dec;35(210):358-62.

PMID:24490465
Abstract

UNLABELLED

Poland is a country in which every year there is a lot of motor vehicle accidents, number of victims is one of the highest in European union. Helping patients after motor vehicle accidents should base on cooperation of doctors and psychologists because holistic approach to patient enables rapid and effective rehabilitation.

THE AIM OF STUDY

To show connection between physical damage cause in motor vehicle accident with mental trauma, which increase on process of full recovery.

MATERIAL AND METHODS

There were 31 victims who were involved in motor vehicle accidents not more than one month ago. In the second group there were people who was never involved in motor vehicle accident. The procedure consisted on filling demographic questionnaire, state traite anxety inventory and aqute stress disorder questionnare. In the second part of the research was to accomplish the emotional Stroop task, which based on selecting the name of the color of a word, which was on the screen. There were two types of the words: negative related to motor vehicle accident and neutral.

RESULTS

Participants from the research group had higher level of anxiety than participants from control group and they had significantly longer reaction time in particular on words associated to accident, which could be the signal of problems with cognitive processes because of the anxiety. Furthermore participants with head injuries and upper limbs (whitout dominant limb) have had longer reaction times in Stroop test than participants with leg injuries, it indicating on higher level of anxiety and feeling of insecurity.

CONCLUSIONS

It should be noted that looking on a character an range of a injuries, role that participant attend in accident (victims have more emotional disturbance), because it could determinate rate of recovery and the way communication with the patient.

摘要

未标注

波兰是一个每年发生大量机动车事故的国家,受害者数量在欧盟中位居前列。机动车事故后对患者的救助应基于医生和心理学家的合作,因为对患者采取整体治疗方法能够实现快速有效的康复。

研究目的

揭示机动车事故中身体损伤与精神创伤之间的联系,这种联系在完全康复过程中会加剧。

材料与方法

有31名受害者在不超过一个月前遭遇机动车事故。第二组是从未遭遇过机动车事故的人。程序包括填写人口统计学问卷、状态-特质焦虑量表和急性应激障碍问卷。研究的第二部分是完成情绪Stroop任务,该任务基于选择屏幕上一个单词的颜色名称。单词有两种类型:与机动车事故相关的消极词汇和中性词汇。

结果

研究组的参与者比对照组的参与者焦虑水平更高,他们在与事故相关的单词上反应时间明显更长,这可能是由于焦虑导致认知过程出现问题的信号。此外,头部和上肢受伤(非优势肢体)的参与者在Stroop测试中的反应时间比腿部受伤的参与者更长,这表明焦虑水平更高和不安全感更强。

结论

应该注意到,考虑到损伤的特征和范围、参与者在事故中所扮演的角色(受害者有更多情绪困扰),因为这可能决定康复速度以及与患者沟通的方式。

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