Artikel
Psychological distress in patients and their relatives 1 year after trauma: a prospective study on self-reported outcome
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Autoren
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Georg Osterhoff
- Klinik für Orthopädie, Unfallchirurgie und Plast. Chirurgi, Universitätsklinikum Leipzig AöR, Leipzig, Germany
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Simon Tiziani
- Kantonsspital Münsterlingen, Münsterlingen, Switzerland
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Nadine Schönenberger
- Klinik für Traumatologie, Universitätsspital Zürich, Zürich, Switzerland
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Sönke Böttger
- Clienia Gruppenpraxen AG, Winterthur, Switzerland
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Hans-Christoph Pape
- Universitätsspital Zürich, Klinik für Traumatologie, Zürich, Switzerland
| Veröffentlicht: | 25. Oktober 2022 |
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Gliederung
Text
Objectives: The level of distress in relatives of trauma patients is insufficiently researched. Aim of this study was to compare level of anxiety, depression and family distress between mono- and poly-traumatized patients and their relatives.
Methods: We conducted a prospective study of patients and their relatives after treatment at our level 1 trauma center. A baseline evaluation within a month after trauma was followed by a 1-year follow up. Patients reported disability with the Stanford HAQ 8-Item disability scale. Psychological distress was measured with the Brief Family Distress Scale (BFDS), a visual analog scale and the Hospital Anxiety and Depression Scale (HADS) in patients and their relatives.
Results: Forty-seven patients and their forty-seven corresponding relatives were included and baseline measurements after trauma were obtained. Thirty-two patients and there relatives returned 1 year follow-ups, of which 10 patients were poly-traumatized (ISS > 15 pts.). Disability was significantly higher in the poly-trauma group (p=0.0001). BFDS and HADS reported by patients and relatives showed a significant correlation at baseline (p=0.027, p=0.001). BFDS and HADS reported by realtives correlated with patient's ISS at baseline and were significantly greater in the poly-trauma group. This was not the case for patients.
Conclusion: Relatives are similarly psychologically affected by the patient's trauma and following disability. Higher injury severity does not automatically lead to higher psychological distress in patients.
