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在芙蓉端姑加法医院(HTJS)的创伤后骨科患者中抑郁症和创伤后应激障碍(PTSD)症状的患病率。

Prevalence of Depression and Post-Traumatic Stress Disorder (PTSD) Symptoms among Orthopaedic Post-Trauma Patients in Hospital Tuanku Jaafar Seremban (HTJS).

作者信息

Zairul-Nizam Z F, Thye W E, Ng Vsh, Soh Cfg, Tan Vjw

机构信息

Department of Orthopaedics, International Medical University, Seremban, Malaysiaaff.

出版信息

Malays Orthop J. 2024 Jul;18(2):34-41. doi: 10.5704/MOJ.2407.005.

DOI:10.5704/MOJ.2407.005
PMID:39130503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11315945/
Abstract

INTRODUCTION

Post-trauma patients are at risk of developing symptoms of post-traumatic stress disorder (PTSD) and major depression. The primary goal of this study is to estimate the prevalence of PTSD and depression symptoms in patients who have been hospitalised for the treatment of physical trauma. Additionally, we wanted to compare the prevalence of PTSD or depression symptoms alone versus PTSD associated with depression symptoms, in orthopaedic post-trauma patients.

MATERIALS AND METHODS

This study had involved orthopaedic post-trauma patients in the orthopaedic ward and clinic of Hospital Tuanku Jaafar (HTJ), Seremban, Malaysia, using an online questionnaire, which consist of English and Malay language. We then determined the prevalence of depression and PTSD symptoms in orthopaedic post-trauma patients and compared this prevalence to the severity of the injuries sustained and any association between PTSD and depression symptoms.

RESULTS

Only 12.9% of the participants are likely to have post-traumatic stress disorder (PTSD) symptoms and 43.3% of participants have depression symptoms. There is no significant association between patient demographics and severity of the injuries with the prevalence of post-traumatic stress disorder (PTSD) and depression symptoms. However, of those deemed likely to have PTSD, 93.5% of them had both post-traumatic stress disorder (PTSD) symptoms as well as depressive symptoms.

CONCLUSION

Only a few of the participants are likely to develop post-traumatic stress disorder (PTSD) while almost half of the participants are likely to have developed depression. Physicians caring for trauma patients should screen them for early symptoms of PTSD and depression and treat them accordingly.

摘要

引言

创伤后患者有患创伤后应激障碍(PTSD)和重度抑郁症的风险。本研究的主要目标是估计因身体创伤住院治疗的患者中PTSD和抑郁症状的患病率。此外,我们想比较骨科创伤后患者中单独出现PTSD或抑郁症状与伴有抑郁症状的PTSD的患病率。

材料与方法

本研究纳入了马来西亚芙蓉市敦加法医院(HTJ)骨科病房和诊所的骨科创伤后患者,使用了一份包含英文和马来文的在线问卷。然后我们确定了骨科创伤后患者中抑郁和PTSD症状的患病率,并将此患病率与所受损伤的严重程度以及PTSD和抑郁症状之间的任何关联进行比较。

结果

只有12.9%的参与者可能有创伤后应激障碍(PTSD)症状,43.3%的参与者有抑郁症状。患者人口统计学特征和损伤严重程度与创伤后应激障碍(PTSD)和抑郁症状的患病率之间无显著关联。然而,在那些被认为可能患有PTSD的患者中,93.5%的患者同时有创伤后应激障碍(PTSD)症状和抑郁症状。

结论

只有少数参与者可能会患上创伤后应激障碍(PTSD),而几乎一半的参与者可能已经患上了抑郁症。治疗创伤患者的医生应该对他们进行PTSD和抑郁症早期症状的筛查,并相应地进行治疗。

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本文引用的文献

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Systematic Review of the Association Between Trauma Severity and Postinjury Symptoms of Depression.创伤严重程度与创伤后抑郁症状关联的系统评价
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Post-traumatic stress disorder can be predicted in hospitalized blunt trauma patients using a simple screening tool.使用一种简单的筛查工具,可以对住院钝性创伤患者的创伤后应激障碍进行预测。
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Prevalence and treatment of depression and posttraumatic stress disorder among trauma patients with non-neurological injuries.非神经损伤创伤患者中抑郁和创伤后应激障碍的患病率和治疗情况。
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Prevalence of Depression and Posttraumatic Stress Disorder After Acute Orthopaedic Trauma: A Systematic Review and Meta-Analysis.急性骨科创伤后抑郁症和创伤后应激障碍的患病率:一项系统评价和荟萃分析。
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