Singaram Sevani, Naidoo Mergan
Discipline of Public Health Medicine.
Department of Family Medicine, University of KwaZulu-Natal, Durban, South Africa.
J Public Health Afr. 2020 Dec 31;11(2):1128. doi: 10.4081/jphia.2020.1128.
Long bone fractures are known to cause a decline in quality of life due to loss of physical functioning. Loss of independence due to loss or decline of physical functioning can also cause poorer psychological health. There is limited data on depression among orthopaedic patients in South Africa.
The validated Patient Health Questionnaire-9 depression scale was used to establish patient reported outcomes. The Chisquare or Fishers exact test was used where appropriate to compare the various psychological variables and the impact from upper and lower extremity sites. The Kruskal Wallis test was used to test differences in the overall depression score between subgroups. Univariate and multivariate linear regression was used to assess the relationship between variables of interest and the overall depression score, while adjusting for age and gender.
A total of 821 research participants completed the questionnaire. The overall depression score in patients with a fracture ranged from 0 to 23 with a mean of 8.26 and a standard deviation of 4.76. The majority of participants (37.64%) had depression scores ranging from 5 to 9 which is associated with mild depression.
众所周知，长骨骨折会因身体功能丧失而导致生活质量下降。身体功能丧失或衰退导致的独立性丧失也会引发较差的心理健康状况。南非骨科患者中抑郁症的数据有限。
采用经过验证的患者健康问卷 - 9抑郁量表来确定患者报告的结果。在适当情况下，使用卡方检验或费舍尔精确检验来比较各种心理变量以及上肢和下肢部位的影响。使用克鲁斯卡尔 - 沃利斯检验来检验亚组之间总体抑郁评分的差异。单变量和多变量线性回归用于评估感兴趣的变量与总体抑郁评分之间的关系，同时对年龄和性别进行调整。
共有821名研究参与者完成了问卷。骨折患者的总体抑郁评分范围为0至23，平均分为8.26，标准差为4.76。大多数参与者（37.64%）的抑郁评分在5至9之间，这与轻度抑郁症相关。
