Analysis of influencing factors on post-traumatic stress disorder after thoracolumbar compression fracture surgery
Objective To analyze the influencing factors of post-traumatic stress disorder after thoracolumbar compres-sion fracture surgery.Methods A retrospective collection of clinical data was conducted on 125 patients with thoraco-lumbar compression fractures who underwent percutaneous kyphoplasty treatment and were admitted to the Henan Provin-cial People's Hospital from September 2021 to September 2023.The baseline data of the patients at admission were col-lected,and the occurrence of post-traumatic stress disorder was evaluated before discharge.The related factors of post-traumatic stress disorder after thoracolumbar vertebral compression fracture were analyzed by univariate and multivari-ate analysis.Results Totally 125 patients with thoracolumbar compression fractures had a pre discharge post-traumatic stress disorder scale civilian version(PCL-C)score of 18-52,with an average of(34.64±7.29)points.A total of 41 patients experienced post-traumatic stress disorder,with an incidence rate of 32.80％.The proportion of vertebral fractures≥2,low psychological resilience,low social support level,severe pain,anxiety,and depression in the fracture group were higher than those in the non fracture group,with a statistical significant difference(P＜0.05).The results of multiple logistic regression analysis showed that having a fracture of ≥2 vertebral bodies,low psychological resili-ence,low social support level,and severe pain were risk factors for post-traumatic stress disorder after thoracolumbar compression fracture surgery(OR＞1,P＜0.05),while anxiety and depression were not risk factors for post-traumatic stress disorder after thoracolumbar compression fracture surgery(P＞0.05).Conclusion The incidence of post-trau-matic stress disorder(PTSD)after thoracolumbar compression fracture surgery is relatively high.Factors affecting the occurrence of PTSD after thoracolumbar compression fracture surgery include the number of fractured vertebral bodies≥2,low psychological resilience,low social support level,and severe pain.
NETL
NSTL
万方数据
