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Resources for Patient Mental Health and Well-being after Orthopaedic Trauma.
Journal of Orthopaedic Trauma ( IF 1.6 ) Pub Date : 2022-9-20 , DOI: 10.1097/bot.0000000000002445
Mitchel R. Obey , Anna N. Miller

Orthopaedic trauma is an unanticipated life-altering experience for patients. Additionally, the prevalence of psychiatric disorders has been found to be higher in patients with trauma than in the general adult population. Symptoms of depression, anxiety, or posttraumatic stress disorder have been reported in up to 56% of patients throughout their postoperative course. Furthermore, symptoms of any one of these illnesses have been consistently associated with worse patient outcomes after treatment of traumatic orthopaedic injuries. This includes increased levels of pain and disability, postoperative complications, and, in some cases, higher rates of hospital readmission. For most patients with trauma, focus is placed on physical therapy and rehabilitation in the acute postoperative setting to help patients regain function and strength; however, more recent studies have demonstrated equal importance of the social and psychological factors involved with trauma and their impact on outcomes. Therefore, it is essential for orthopaedic surgeons and other members of the care team to be adept in the screening and treatment of psychiatric disorders. For patients struggling with these conditions, several treatment resources exist, which can be used both during their admission and after discharge. Thus, earlier recognition and intervention with appropriate treatment and referrals should be emphasized to improve outcomes. This review discusses the social and psychological impacts of orthopaedic trauma on patients' mental health and well-being and outlines numerous resources available to patients as they recover from their injuries.

中文翻译:

骨科创伤后患者心理健康和福祉的资源。

对于患者来说,骨科创伤是一种意想不到的改变生活的经历。此外,已发现创伤患者的精神疾病患病率高于一般成年人群。据报道,多达 56% 的患者在整个术后过程中出现抑郁、焦虑或创伤后应激障碍的症状。此外,这些疾病中任何一种的症状一直与创伤性骨科损伤治疗后患者预后较差有关。这包括增加的疼痛和残疾程度、术后并发症,以及在某些情况下,更高的再入院率。对于大多数创伤患者,重点放在术后急性期的物理治疗和康复,以帮助患者恢复功能和力量;然而,最近的研究表明,与创伤有关的社会和心理因素及其对结果的影响具有同等重要性。因此,骨科医生和护理团队的其他成员必须擅长精神疾病的筛查和治疗。对于与这些疾病作斗争的患者,存在多种治疗资源,可在入院期间和出院后使用。因此,应强调早期识别和干预以及适当的治疗和转诊以改善结果。这篇综述讨论了骨科创伤对患者心理健康和福祉的社会和心理影响,并概述了患者从受伤中恢复时可用的大量资源。
更新日期:2022-09-20
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