Zhao Wei, Chen Wei-Guan, Zhang Long-Yao, Cui Zhi-Ming, Wang Xue-Jian
Department of Neurosurgery, Affiliated Hospital 2 of Nantong University, Nantong 226000, Jiangsu Province, China.
Department of Rehabilitation Medicine, Affiliated Hospital 2 of Nantong University, Nantong 226000, Jiangsu Province, China.
World J Psychiatry. 2025 Mar 19;15(3):103250. doi: 10.5498/wjp.v15.i3.103250.
This editorial discusses a recent article published by Li in 2024, which highlights a critical yet underexplored dimension of chronic wound care: The impact of psychological factors such as depression and anxiety on treatment outcomes. With the increasing prevalence of chronic wounds in China, driven by population aging, traffic accidents, and chronic diseases, chronic wounds have emerged as a significant public health concern. They not only pose serious threats to individual health but also impose considerable social and economic burdens on healthcare systems. Against this backdrop, the study by Li aimed to explore how psychological distress affects the management and recovery of patients with chronic wounds. In their research, chronic wound patients were meticulously evaluated for depression and anxiety using validated psychological assessment scales and blood biomarkers. The findings reveal a stark reality: Individuals with severe depression and anxiety exhibit markedly lower treatment adherence, slower recovery rates, and diminished post-treatment quality of life. These psychological challenges hinder patients' active engagement with their care plans and may directly impede physiological healing processes. Importantly, the study underscored that factors such as wound size, anxiety, and depression significantly influence therapeutic outcomes in chronic wound patients. This insight calls for a more holistic approach to wound care, where addressing psychological well-being becomes an integral component of treatment protocols. As such, the study highlighted the necessity of early identification and targeted intervention for depression and anxiety in chronic wound patients. By prioritizing psychological support alongside medical treatment, healthcare providers can enhance therapeutic efficacy and improve patients' long-term quality of life. This integrative approach can not only optimize clinical outcomes but also alleviate the broader societal and economic impact of chronic wounds.
这篇社论讨论了李在2024年发表的一篇文章，该文章强调了慢性伤口护理中一个关键但尚未充分探索的方面：抑郁和焦虑等心理因素对治疗结果的影响。在中国，由于人口老龄化、交通事故和慢性病的推动，慢性伤口的患病率不断上升，慢性伤口已成为一个重大的公共卫生问题。它们不仅对个人健康构成严重威胁，还给医疗系统带来了相当大的社会和经济负担。在此背景下，李的研究旨在探讨心理困扰如何影响慢性伤口患者的治疗和康复。在他们的研究中，使用经过验证的心理评估量表和血液生物标志物对慢性伤口患者的抑郁和焦虑进行了细致评估。研究结果揭示了一个严峻的现实：患有严重抑郁和焦虑的个体治疗依从性明显较低，康复速度较慢，治疗后的生活质量下降。这些心理挑战阻碍了患者积极参与护理计划，可能直接妨碍生理愈合过程。重要的是，该研究强调伤口大小、焦虑和抑郁等因素对慢性伤口患者的治疗结果有显著影响。这一见解呼吁采用更全面的伤口护理方法，将解决心理健康问题作为治疗方案的一个组成部分。因此，该研究强调了对慢性伤口患者的抑郁和焦虑进行早期识别和针对性干预的必要性。通过在医疗治疗的同时优先提供心理支持，医疗服务提供者可以提高治疗效果，改善患者的长期生活质量。这种综合方法不仅可以优化临床结果，还可以减轻慢性伤口对更广泛的社会和经济影响。
