Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran; Department of Neurosurgery, Trauma Research Center, Kashan University of Medical Sciences, Iran.
Chin J Traumatol. 2020 Dec;23(6):351-355. doi: 10.1016/j.cjtee.2020.09.004. Epub 2020 Sep 14.
One of the consequences of trauma-related injuries is disability. There are more than one billion people with disabilities worldwide. Disability in people reduces their quality of life. The goal of this study was to determine the rate of post-trauma stress and disability related to trauma in the population over 15 years old in Kashan during a solar year of 2018-2019.
This is a cross-sectional population-based study. A cluster sampling method was used in the city of Kashan, and 3880 persons were interviewed with individuals randomly selected in each household. If a person had trauma during one year ago, the World Health Organization Disability Assessment Schedule 2.0 and Post Trauma Stress Disorder (PTSD) Checklist were applied for further interview. Data were analyzed using Chi-square test or t-test.
Among the 3880 participants residing in Kashan, 274 (7.1%) reported a history of traumatic injury during one year ago in 2018-2019. Incidence of all injuries was estimated to be 70.61 (62.60-78.70) per 1000 people. For the trauma population, 213 (77.7%) were male and 75.1% were married. About half of them (50.3%, 138/274) aged 21-39 years. The most common cause of injuries was related to traffic accidents: 140 (51.1%). Of the 274 trauma participants, 47 (17.2%) reported PTSD; 244 (89.1%) had a mild disability, and 30 (10.9%) reported moderate disability.
One of the main causes of disability in the human community is the traumatic injuries. According to the results of this study, 89.1% of trauma participants have sustained at last mild disability following trauma. These people require follow-up and post-treatment support. It should be noted that psychological complications such as PTSD are as significant as physical symptoms.
与创伤相关的伤害的后果之一是残疾。 全世界有超过 10 亿残疾人。 残疾人的生活质量下降。 本研究的目的是确定 2018-2019 年太阳年期间卡尚市 15 岁以上人群创伤后应激障碍和与创伤相关的残疾的发生率。
这是一项基于人群的横断面研究。 在卡尚市采用了聚类抽样方法，对每个家庭中随机选择的个人进行了 3880 人的访谈。 如果一个人在一年前有创伤，将应用世界卫生组织残疾评估表 2.0 和创伤后应激障碍（PTSD）检查表进行进一步访谈。 使用卡方检验或 t 检验分析数据。
在卡尚市的 3880 名居民中，274 人（7.1％）报告在 2018-2019 年的一年前有创伤史。估计所有损伤的发生率为每 1000 人 70.61（62.60-78.70）。 对于创伤人群，213 人（77.7％）为男性，75.1％已婚。 他们中有一半（50.3％，138/274）年龄在 21-39 岁之间。受伤的最常见原因与交通事故有关：140 人（51.1％）。 在 274 名创伤参与者中，47 人（17.2％）报告患有 PTSD；244 人（89.1％）有轻度残疾，30 人（10.9％）有中度残疾。
创伤是导致人类社区残疾的主要原因之一。 根据本研究的结果，89.1％的创伤参与者在创伤后至少患有轻度残疾。 这些人需要随访和治疗后支持。 值得注意的是，创伤后应激障碍等心理并发症与身体症状一样重要。
