Biçen Çağdaş, Akdemir Mehmet, Gülveren Dilek, Dirin Deniz, Ekin Ahmet
Orthopedics and Traumatology, Izmir University of Economics Medicalpark Hospital, Izmir, TUR.
Orthopedics and Traumatology, Izmir Ekol Hospital, Izmir, TUR.
Cureus. 2021 Mar 9;13(3):e13792. doi: 10.7759/cureus.13792.
Introduction There are ongoing wars worldwide, during which significant numbers of people are injured. Several studies have indicated that high rates of depression and anxiety are seen in war-injured patients. Methods Eighty-one male patients treated between November 2019 and January 2021 far from home in a Turkish hospital due to war injuries that happened in the Libyan Civil War were investigated. Demographic characteristics and injury data of the patients were evaluated regarding age, Injury Severity Score (ISS), location of injuries, type and mechanism of injuries, operations, and accompanying traumas. The psychological statuses of the patients were evaluated with the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and post-traumatic stress disorder (PTSD) records filled out at the first admission to the hospital. Results The mean age of the patients was 29.8±7.7 (19-56) years. While 59 patients had fractures, 22 patients had only soft tissue injuries. Eighteen patients suffered from other accompanying injuries. While 85.2% of the patients showed symptoms of depression, 82.7% of the patients suffered from anxiety and PTSD symptoms were seen in 86.4% of the patients. Statistical analysis was performed to investigate the effects of injury severity, duration of hospitalization, number of operations, and age on depression, anxiety, and PTSD among these patients with war injuries. The results did not indicate any significant effect of injury severity, hospitalization duration, or operations. Conclusion Depression, anxiety, and PTSD are common in patients injured in wars. Injury severity does not seem to affect depression, anxiety, or PTSD in these patients.
引言 全球范围内战争不断，期间有大量人员受伤。多项研究表明，战争受伤患者中抑郁症和焦虑症的发病率很高。方法 对2019年11月至2021年1月期间因利比亚内战受伤而在土耳其一家医院接受治疗的81名男性患者进行了调查。对患者的人口统计学特征和损伤数据进行了评估，包括年龄、损伤严重程度评分（ISS）、损伤部位、损伤类型和机制、手术情况以及伴随的创伤。在患者首次入院时填写的贝克抑郁量表（BDI）、贝克焦虑量表（BAI）和创伤后应激障碍（PTSD）记录对患者的心理状态进行了评估。结果 患者的平均年龄为29.8±7.7（19 - 56）岁。其中59例患者有骨折，22例患者仅有软组织损伤。18例患者伴有其他损伤。85.2%的患者表现出抑郁症状，82.7%的患者患有焦虑症，86.4%的患者有创伤后应激障碍症状。进行统计分析以研究损伤严重程度、住院时间、手术次数和年龄对这些战争受伤患者的抑郁、焦虑和创伤后应激障碍的影响。结果未显示损伤严重程度、住院时间或手术有任何显著影响。结论 抑郁症、焦虑症和创伤后应激障碍在战争受伤患者中很常见。损伤严重程度似乎并未影响这些患者的抑郁、焦虑或创伤后应激障碍。
