Psychische Langzeitfolgen bei mehrfachverletzten Patienten
| Autor: | Luidl, Anna Theresa |
|---|---|
| Přispěvatelé: | Hildebrand, Frank, Brülls, Christian Simon |
| Jazyk: | němčina |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Aachen 1 Online-Ressource (86 Seiten) : Illustrationen (2017). doi:10.18154/RWTH-2018-226995 = Dissertation, RWTH Aachen University, 2017 |
| DOI: | 10.18154/RWTH-2018-226995 |
| Popis: | Dissertation, RWTH Aachen University, 2017; Aachen 1 Online-Ressource (86 Seiten) : Illustrationen (2018). = Dissertation, RWTH Aachen University, 2017 This thesis focuses on the longterm psychological effects of severe accidents after more than a decade. Negative effects such as Post Traumatic Stress Disorder, depression and anxiety disorder were surveyed, but additionally also the positive effects such as renewed faith and strengthend esteem of life were analysed.631 patients who participate in the Hannover-Polytrauma-Langzeitstudie (HPLS), a polytrauma longterm study at the Hospital of Hannover, were contacted and 338 completed questionnaires were returned. The median time lapse between the accident and the survey was 28 years in 2011. The questionnaire used to survey the after a severe accident consists out of a one standardized sections for determine PTSD, one for determine depression and anxiety disorder and one for the positive effects. In total 2.96% of the patients suffer from PTSD. This group is statistically significant more constrained and burdened regarding the physical condition than the patients without PTSD. They also significant worry more about their relationship, their work or their finances. Patients suffering from PTSD were significant more treated with psychotherapy after the accident. 4,14% of the patients show symptoms of anxiety disorder. The majority of this group overlaps with the group of patients with PTSD. Patients with symptoms of anxiety disorder significant worry more about their health, relationships, work and finances and were significant more treated with psychotherapy. 48,2% of the patients show symptoms of depression. There is no correlation between depression and PTSD. The patients with symptoms of depression are significant less constrained by their physical condition and were significant less treated with psychotherapy. Nearly all patients (96,45%) refer to at least one positive effect the accident and his consequences caused. Mostly mentioned are the increased esteem of life and physical integrity, as well as the experience to be able to count on other people. The older the patients were at the time of the accident, the more they experience positive effects. Particularly women and patients who are retired benefit from a personal maturity as a result of the accident. Patients who had more serious injuries and patients who participated in rehabilitation report more positive effects. Positive effects after an accident do not exclude PTSD or depression but can coexist. Rehabilitation seems to improve the outcome of severe accidents. Published by Aachen |
| Databáze: | OpenAIRE |
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