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烧伤患者的社会人口学因素、烧伤特征及中性粒细胞与淋巴细胞比值与抑郁水平的相关性

Correlation of Sociodemographic Factors, Characteristics of Burns, and Neutrophil-to-Lymphocyte Ratio with the Level of Depression in Patients with Burn injuries.

作者信息

Soedjana Hardisiswo, Hasibuan Lisa Y, Riestiano Betha Egih, Andayani Santi, Nurfitriani Annisa, Sundoro Ali, Putri Almahitta Cintami, Prasetyo Arif Tri

机构信息

Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia.

Department of Psychiatry, Faculty of Medicine Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia.

出版信息

JPRAS Open. 2024 Apr 12;40:346-355. doi: 10.1016/j.jpra.2024.04.005. eCollection 2024 Jun.

Abstract

BACKGROUND

The most common psychological impact experienced by patients with burn injuries is depression. Several significant risk factors influence depression, including sociodemographic factors (gender, employment status, socioeconomic status, and marital status) and burn characteristics (burn depth, burn area, and total burn surface area). Neutrophil-to-lymphocyte ratio (NLR) was discovered as a new biomarker for depression detection. The purpose of this study was to investigate the correlation of sociodemographic factors, burn characteristics, and NLR with the severity of depression in patients with burn injuries.

METHODS

This analytic descriptive study was conducted at Dr. Hasan Sadikin General Hospital from June 2022 to April 2023. Samples were assessed by a psychiatrist using the Hamilton Depression Rating Scale instrument, and a differential white blood count was calculated to obtain the NLR value.

RESULTS

The study sample consisted of 32 patients, including 27 males and 6 females. There was no correlation of sociodemographic factors and burn wound characteristics with the level of depression. NLR in patients with burn injuries who had no depression, mild depression, and moderate depression was 5.78 ± 2.23, 7.4 ± 1.77, and 13.04 ± 6.25, respectively. NLR was statistically significantly associated with the level of depression in patients with burn injuries (p = 0.001).

CONCLUSION

There was no correlation of sociodemographic factors and burn characteristics with the level of depression. There was a significant correlation between NLR and the level of depression in patients with burn injuries at Dr. Hasan Sadikin General Hospital.

摘要

背景

烧伤患者最常见的心理影响是抑郁。有几个重要的风险因素会影响抑郁,包括社会人口统计学因素(性别、就业状况、社会经济地位和婚姻状况)和烧伤特征(烧伤深度、烧伤面积和烧伤总面积)。中性粒细胞与淋巴细胞比值(NLR)被发现是一种用于检测抑郁的新生物标志物。本研究的目的是调查社会人口统计学因素、烧伤特征和NLR与烧伤患者抑郁严重程度之间的相关性。

方法

这项分析性描述性研究于2022年6月至2023年4月在哈桑·萨迪金综合医院进行。样本由精神科医生使用汉密尔顿抑郁量表工具进行评估,并计算白细胞分类计数以获得NLR值。

结果

研究样本包括32名患者,其中男性27名,女性6名。社会人口统计学因素和烧伤伤口特征与抑郁程度之间没有相关性。无抑郁、轻度抑郁和中度抑郁的烧伤患者的NLR分别为5.78±2.23、7.4±1.77和13.04±6.25。NLR与烧伤患者的抑郁程度在统计学上具有显著相关性(p = 0.001)。

结论

社会人口统计学因素和烧伤特征与抑郁程度之间没有相关性。在哈桑·萨迪金综合医院,NLR与烧伤患者的抑郁程度之间存在显著相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c68/11096802/7894d8e92d44/gr1.jpg

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