Andersson A L, Dahlbäck L O, Allebeck P
Department of Social Medicine, Göteborg University, Sweden.
Scand J Soc Med. 1994 Dec;22(4):299-302. doi: 10.1177/140349489402200409.
The aim of the study was to assess long term outcome of injuries from traffic accidents with focus on psychosocial aspects. Eighty-four persons injured in traffic accidents and with moderate to severe injuries (ISS > or = 9) were interviewed approximately two years after the accident. We examined psychosocial consequences within eight different domains; sequelae of the injury, psychological consequences, sickness compensation received, living conditions, need of assistance, working capacity, economic situation and leisure time activity. Sixty-eight percent of the persons reported that they still suffered from physical seqelae and 57% had been or were still suffering from psychological distress after the accident. Sixty-three percent were on the sick-list for at least three months because of the accident. Fifty-eight percent needed some type of handicap aid during some time after the accident. For 29% of the professionally employed the traffic accident led to changed working conditions. The study indicates a need not only for adequate medical treatment, but also psychological and social counseling in the rehabilitation of victims of traffic accidents. Resources for crisis intervention should also be available at an early stage.
本研究的目的是评估交通事故损伤的长期后果，重点关注心理社会方面。84名在交通事故中受伤且伤势为中度至重度（损伤严重度评分[ISS]≥9）的患者在事故发生约两年后接受了访谈。我们在八个不同领域考察了心理社会后果；损伤后遗症、心理后果、获得的疾病补偿、生活状况、援助需求、工作能力、经济状况和休闲活动。68%的患者报告称他们仍患有身体后遗症，57%在事故后曾遭受或仍在遭受心理困扰。63%的人因事故而病休至少三个月。58%的人在事故后的一段时间内需要某种残疾辅助器具。对于29%的在职人员而言，交通事故导致了工作条件的改变。该研究表明，交通事故受害者的康复不仅需要适当的医疗治疗，还需要心理和社会咨询。危机干预资源在早期阶段也应具备。
