Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue, Qiaokou District, Wuhan, Hubei, 430030, China.
BMC Geriatr. 2024 Apr 4;24(1):314. doi: 10.1186/s12877-024-04929-y.
It is known that difficulty sleeping after a fracture can have negative effects on both mental and physical health and may prolong the recovery process. The objective of this study is to explore how sleep quality and psychological health are linked in patients with pelvic and acetabulum fractures.
A study was conducted on 265 patients between 2018 and 2022 who had suffered pelvic and acetabulum fractures. The study examined various factors, including age, gender, cause of injury, post-operative complications, and injury severity. The study employed ordinal logistic regression to examine the relationship between various pelvic fractures and seven subscales of the Majeed Pelvic Score (MPS), as well as the Sleep Disorder Questionnaire (SDQ) and Beck Depression Inventory (BDI). The study focused on the postoperative outcome one year after surgery, and each patient was assessed at the one-year mark after surgical intervention. Additionally, the study evaluated the functional outcome, sleep quality, and psychological disorders of the patients.
From 2018 to 2022, a total of 216 patients suffered from pelvic and acetabulum fractures. Among them, 6.6% experienced borderline clinical depression, and 45.2% reported mild mood disturbances. Anxiety was found to be mild to moderate in 46% of Tile C and posterior acetabulum wall fracture patients. About 24.8% of patients reported insomnia, while 23.1% reported sleep movement disorders. However, no significant correlation was found between fracture types and sleep disorders. The mean Majeed pelvic score (MPS) was 89.68.
Patients with pelvic and acetabular fractures typically experience functional improvement, but may also be at increased risk for insomnia and sleep movement disorders, particularly for certain types of fractures. Psychological well-being varies between fracture groups, with signs of borderline clinical depression observed in some cases. However, anxiety levels do not appear to be significantly correlated with pelvic and acetabular fractures.
众所周知，骨折后入睡困难会对身心健康产生负面影响，并可能延长康复过程。本研究的目的是探讨骨盆和髋臼骨折患者的睡眠质量与心理健康之间的关系。
对 2018 年至 2022 年间 265 例骨盆和髋臼骨折患者进行研究。研究中考虑了年龄、性别、受伤原因、术后并发症和损伤严重程度等多个因素。采用有序逻辑回归分析了各种骨盆骨折与 Majeed 骨盆评分（MPS）七个亚量表以及睡眠障碍问卷（SDQ）和贝克抑郁量表（BDI）之间的关系。研究重点关注术后一年的手术结果，每个患者在手术干预一年后进行评估。此外，研究还评估了患者的功能结果、睡眠质量和心理障碍。
2018 年至 2022 年期间，共有 216 例患者患有骨盆和髋臼骨折。其中，6.6%的患者有边缘性临床抑郁，45.2%的患者有轻度情绪障碍。Tile C 和后髋臼壁骨折患者中，焦虑程度为轻度至中度的占 46%。约 24.8%的患者报告有失眠，23.1%的患者报告有睡眠运动障碍。然而，骨折类型与睡眠障碍之间没有显著相关性。Majeed 骨盆评分（MPS）平均为 89.68。
骨盆和髋臼骨折患者通常功能改善，但也可能增加失眠和睡眠运动障碍的风险，特别是某些类型的骨折。骨折组之间的心理健康状况存在差异，有些病例存在边缘临床抑郁的迹象。然而，焦虑水平与骨盆和髋臼骨折似乎没有显著相关性。
