Ghițan Alexandra Florinda, Gheorman Veronica, Ciurea Marius Eugen, Gheorman Victor, Dinescu Venera Cristina, Ciurea Ana Maria, Militaru Felicia, Popa Romeo, Țenea-Cojan Tiberiu-Ștefăniță, Udriștoiu Ion
Doctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Department of Cardiology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Brain Sci. 2023 Oct 10;13(10):1438. doi: 10.3390/brainsci13101438.
Hand trauma is a common and debilitating condition that can have significant physical, functional, and psychological effects on individuals. This study used a case-control design to investigate the frequency and factors associated with symptoms of post-traumatic stress disorder (PTSD) in a sample of individuals with complex hand and forearm injuries. Our hypothesis suggests that demographic data, among other factors, influences the intensity of PTSD symptoms measured by the PCL-5 scale three months post-surgery. This study included 166 individuals, 142 males and 24 females, with an average age of 42.14 years (SD = 12.71). Our study found significant associations between symptoms of PTSD and various demographic and clinical factors. PTSD symptoms were observed in females, individuals from specific regions, and certain socio-professional groups. Furthermore, educational attainment and personal background have been identified as significant factors in the development of PTSD. The role of trauma type was crucial, amputees and fractures were more prone to developing PTSD. A strong link was found between increased symptoms of PTSD and negative postoperative outcomes, including amputation of necessity and the need for additional surgery. The absence of family support exacerbates the psychological distress of trauma survivors. The findings highlight the intricate nature of PTSD development and underscore the significance of a comprehensive postoperative treatment strategy encompassing psychological assessment and support.
手部创伤是一种常见且使人衰弱的病症，会对个体产生重大的身体、功能和心理影响。本研究采用病例对照设计，调查了复杂手部和前臂损伤个体样本中创伤后应激障碍（PTSD）症状的发生频率及相关因素。我们的假设表明，除其他因素外，人口统计学数据会影响术后三个月通过PCL - 5量表测量的PTSD症状强度。本研究纳入了166名个体，其中男性142名，女性24名，平均年龄42.14岁（标准差 = 12.71）。我们的研究发现PTSD症状与各种人口统计学和临床因素之间存在显著关联。在女性、特定地区的个体以及某些社会职业群体中观察到了PTSD症状。此外，教育程度和个人背景已被确定为PTSD发生的重要因素。创伤类型的作用至关重要，截肢者和骨折患者更容易患上PTSD。PTSD症状增加与术后不良结局之间存在紧密联系，包括必要的截肢和额外手术的需求。缺乏家庭支持会加剧创伤幸存者的心理困扰。研究结果凸显了PTSD发生的复杂性，并强调了包括心理评估和支持在内的全面术后治疗策略的重要性。
