Acute stress disorder in patients with accidental traumatic fractures: What can we do.
Zhenhong Liang, Lijuan Wu, Fuqin Tang and 2 others
PMID 35666020WHAT IT FOUND
Among 468 patients with accidental traumatic fractures, 28.20% developed acute stress disorder.
Risk was significantly higher in patients under 50, female, with severe injuries, high pain scores, introverted personalities, or low psychological resilience scores.
Key findings
01Acute stress disorder occurred in 28.20% of patients with traumatic fractures.
02Risk factors for acute stress disorder included age ≤50 years, female gender, injury severity score ≥20, pain score ≥7, introverted personality, and resilience score ≤60.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Psychological evaluation occurred anywhere from 2 to 28 days post-injury, so timing varied widely among patients. The study was single-centre with a moderate sample size, limiting generalisability. Only a limited set of variables were analysed, so other potential risk factors for ASD may have been missed.
Declared interests
The authors declare no competing interests.
The easy way to misread this
Do not assume these risk factors prove causation or that interventions targeting them will prevent ASD. This is an observational study identifying associations; it does not test whether nursing interventions reduce the incidence of acute stress disorder.