目的:众所周知,骨折后睡眠困难会对身心健康产生负面影响,并可能延长康复过程。这项研究的目的是探讨骨盆和髋臼骨折患者的睡眠质量和心理健康之间的联系。
方法:对2018年至2022年之间的265例骨盆和髋臼骨折患者进行了研究。这项研究考察了各种因素,包括年龄,性别,受伤原因,术后并发症,和伤害的严重程度。该研究采用序数逻辑回归来检查各种骨盆骨折与Majeed骨盆评分(MPS)的七个分量表之间的关系,以及睡眠障碍问卷(SDQ)和贝克抑郁量表(BDI)。这项研究的重点是手术后一年的术后结果,在手术干预后1年时对每位患者进行评估.此外,这项研究评估了功能结果,睡眠质量,和患者的心理障碍。
结果:从2018年到2022年,共有216例患者患有骨盆和髋臼骨折。其中,6.6%经历过临界临床抑郁症,45.2%报告有轻度情绪障碍。在46%的TileC和髋臼后壁骨折患者中,焦虑为轻度至中度。约24.8%的患者报告失眠,而23.1%的人报告睡眠运动障碍。然而,骨折类型与睡眠障碍无显著相关性。平均Majeed骨盆评分(MPS)为89.68。
结论:骨盆和髋臼骨折患者通常会出现功能改善,但也可能增加失眠和睡眠运动障碍的风险,特别是对于某些类型的骨折。骨折组之间的心理健康有所不同,在某些情况下观察到临界临床抑郁症的迹象。然而,焦虑水平似乎与骨盆和髋臼骨折无关。
OBJECTIVE: It is known that difficulty sleeping after a fracture can have negative effects on both mental and physical health and may prolong the recovery process. The objective of this
study is to explore how sleep quality and psychological health are linked in patients with
pelvic and acetabulum fractures.
METHODS: A
study was conducted on 265 patients between 2018 and 2022 who had suffered
pelvic and acetabulum fractures. The study examined various factors, including age, gender, cause of injury, post-operative complications, and injury severity. The
study employed ordinal logistic regression to examine the relationship between various
pelvic fractures and seven subscales of the Majeed Pelvic Score (MPS), as well as the Sleep Disorder Questionnaire (SDQ) and Beck Depression Inventory (BDI). The study focused on the postoperative outcome one year after surgery, and each patient was assessed at the one-year mark after surgical intervention. Additionally, the study evaluated the functional outcome, sleep quality, and psychological disorders of the patients.
RESULTS: From 2018 to 2022, a total of 216 patients suffered from pelvic and acetabulum fractures. Among them, 6.6% experienced borderline clinical depression, and 45.2% reported mild mood disturbances. Anxiety was found to be mild to moderate in 46% of Tile C and posterior acetabulum wall fracture patients. About 24.8% of patients reported insomnia, while 23.1% reported sleep movement disorders. However, no significant correlation was found between fracture types and sleep disorders. The mean Majeed
pelvic score (MPS) was 89.68.
CONCLUSIONS: Patients with pelvic and acetabular fractures typically experience functional improvement, but may also be at increased risk for insomnia and sleep movement disorders, particularly for certain types of fractures. Psychological well-being varies between fracture groups, with signs of borderline clinical depression observed in some cases. However, anxiety levels do not appear to be significantly correlated with pelvic and acetabular fractures.