Posttraumatic stress symptoms in older adults hospitalized for fall injury.

Posttraumatic stress symptoms in older adults hospitalized for fall injury.
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DOI:
10.1016/j.genhosppsych.2014.08.003
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发表时间:
2014-11
影响因子:
7
通讯作者:
Difede J
Difede J
中科院分区:
医学2区
文献类型:
--
作者:
Jayasinghe N;Sparks MA;Kato K;Wyka K;Wilbur K;Chiaramonte G;Barie PS;Lachs MS;O'Dell M;Evans A;Bruce ML;Difede J

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虽然无意的福尔斯跌倒可能会造成死亡或受伤的威胁,但很少有研究调查其对老年人的心理影响。这项研究试图收集老年人跌倒后在医院环境中早期创伤后应激症状的数据。这项研究的参与者是100名65岁或65岁以上的成年人,他们因跌倒而住进纽约市的一家大型城市医院。男性和女性在样本中的代表性大致相同;大多数人在秋季事件发生后的几天内接受了采访。该研究的床边访谈包括创伤后应激症状量表,询问17种创伤相关症状的存在和严重程度。27名参与者报告了大量的创伤后应激症状(中度或更严重)。探索性双变量分析表明,创伤后应激症状的严重程度和女性性别,教育水平较低,失业,医疗条件的数量,背部/胸部受伤之间的关联。在跌倒后住院的老年患者中,很大一部分人遭受了严重的创伤后压力。未来的研究需要评估跌倒的精神影响与短期住院结局以及长期功能结局之间的相关性。
Although unintentional falls may pose a threat of death or injury, few studies have investigated their psychological impact on older adults. This study sought to gather data on early posttraumatic stress symptoms in older adults in the hospital setting after a fall. Participants in this study were 100 adults age 65 years or older admitted to a large urban hospital in New York City because of a fall. Men and women were represented approximately equally in the sample; most were interviewed within days of the fall event. The study's bedside interview included the Posttraumatic Stress Symptom Scale, which inquires about the presence and severity of 17 trauma-related symptoms. Twenty-seven participants reported substantial posttraumatic stress symptoms (moderate or higher severity). Exploratory bivariate analyses suggested an association between posttraumatic stress symptom severity and female gender, lower level of education, unemployment, number of medical conditions, and back/chest injury. A significant percentage of older patients hospitalized after a fall suffer substantial posttraumatic stress. Future investigations are needed to assess the association between the psychiatric impact of a fall and short-term inpatient outcomes as well as longer-term functional outcomes.
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