Heinzel Johannes C, Dadun Lucy F, Prahm Cosima, Winter Natalie, Bressler Michael, Lauer Henrik, Ritter Jana, Daigeler Adrien, Kolbenschlag Jonas
Department of Hand-, Plastic, Reconstructive and Burn Surgery, BG Klinik Tuebingen, University of Tuebingen, Schnarrenbergstraße 95, 72076 Tuebingen, Germany.
Department of Neurology, Hertie Institute for Clinical Brain Research (HIH), University of Tuebingen, Hoppe-Seyler-Str. 3, 72076 Tuebingen, Germany.
J Pers Med. 2021 Nov 13;11(11):1200. doi: 10.3390/jpm11111200.
Peripheral nerve injuries are a common clinical problem. They not only affect the physical capabilities of the injured person due to loss of motor or sensory function but also have a significant impact on psychosocial aspects of life. The aim of this work is to review the interplay of psychosocial factors and peripheral nerve lesions. By reviewing the published literature, we identified several factors to be heavily influenced by peripheral nerve lesions. In addition to psychological factors like pain, depression, catastrophizing and stress, social factors like employment status and worker's compensation status could be identified to be influenced by peripheral nerve lesions as well as serving as predictors of functional outcome themselves, respectively. This work sheds a light not only on the impact of peripheral nerve lesions on psychosocial aspects of life, but also on the prognostic values of these factors of functional outcome. Interdisciplinary, individualized treatment of patients is required to identify patient at risk for adverse outcomes and provide them with emotional support when adapting to their new life situation.
周围神经损伤是一个常见的临床问题。它们不仅因运动或感觉功能丧失而影响伤者的身体能力，还对生活的心理社会方面产生重大影响。这项工作的目的是回顾心理社会因素与周围神经损伤之间的相互作用。通过回顾已发表的文献，我们确定了几个受周围神经损伤严重影响的因素。除了疼痛、抑郁、灾难化和压力等心理因素外，就业状况和工伤赔偿状况等社会因素也被确定受周围神经损伤影响，并且分别本身也是功能结果的预测指标。这项工作不仅揭示了周围神经损伤对生活心理社会方面的影响，还揭示了这些功能结果因素的预后价值。需要对患者进行跨学科、个性化治疗，以识别有不良后果风险的患者，并在他们适应新的生活状况时为其提供情感支持。
