Korean J Health Promot.  2016 Mar;16(1):67-75. 10.15384/kjhp.2016.16.1.67.

Post Traumatic Stress and Related Factors in Some Hand Replantation Patients

• Lee SH
• Han MA
• Park J
• Ryu SY

• KMID: 2247040
• DOI: http://doi.org/10.15384/kjhp.2016.16.1.67

Abstract

BACKGROUND
The risk for a hand injury was increased according to industrial structure and lifestyle change. This study investigated the post traumatic stress (PTS) and related factors in some hand replantation patients.
METHODS
Total 150 hand replantation patients in one hospital were selected using convenience sampling methods. General characteristics of patients, characteristics of injured hand, self-esteem and PTS were collected using self-reported questionnaires. And clinical characteristics of injured hand were obtained from a review of medical records. Descriptive analysis, t-test, ANOVA and multiple regression analysis were performed to determine the associated factors with the score of PTS.
RESULTS
Among 150 patients, 80% were male and 94% had a job. The mean score of PTS was 22.2±16.9. In simple analysis, PTS score were associated with smoking status, injury day of the week, pain score and self-esteem. Finally, the subjects who injured in weekdays had significantly higher PTS score compared to subjects who injured in weekend (β=0.185, P=0.021) and pain score was positively associated with PTS score (β=0.181, P=0.027) in multiple regression analysis.
CONCLUSIONS
Injury day of the week and pain score were associated with PTS score in some hand replantation patients. Considering these results will help to management and improve quality of life of hand replantation patients.

Keyword

Amputation; Hand injuries; Risk factors; Stress disorders; post-traumatic

MeSH Terms

Amputation
Hand Injuries
Hand*
Humans
Life Style
Male
Medical Records
Quality of Life
Replantation*
Risk Factors
Smoke
Smoking
Smoke

Reference

References

1. Rhee KY, Choe SW, Kim YS, Koo KH. The trend of occupational injuries in Korea from 2001 to 2010. Saf Health Work. 2013; 4(1):63–70.

2. Kim MS, Yoon SY, So H. Changes in pain, mood and post trauma risk level of patients with acute hand microsurgery. Korean J Rehabil Nurs. 2010; 13(1):44–52.

3. Korea Centers for Disease Control and Prevention. Korean national hospital discharge in-depth injury survey. Osong: Korea Centers for Disease Control and Prevention;2012.

4. Hwang MG, Kim EJ. The effect of subjective quality of life and self-esteem on suicide ideation among the older adults: focused on the mediating effect of depression. J Korean Geriatr Soc. 2008; 28(4):865–85.

5. Ha BY, Jung EJ, Choi SY. Effects of resilience, posttraumatic stress disorder on the quality of life in patients with breast cancer. Korean J Women Health Nurs. 2014; 20(1):83–91.

6. Joo HS. A study on the development of a post trauma risk checklist [dissertation]. Seoul: Ewha Women's University;2008. Korean.

7. Vieweg WV, Julius DA, Fernandez A, Beatty-Brooks M, Hettema JM, Pandurangi AK. Posttraumatic stress disorder: clinical features, pathophysiology, and treatment. Am J Med. 2006; 119(5):383–90.

8. Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB. Posttraumatic stress disorder in the national comorbidity survey. Arch Gen Psychiatry. 1995; 52(12):1048–60.

9. Kwon SC, Song J, Lee SJ, Kim I, Koh J, Ryou H, Kim SH, Kim D, et al. Posttraumatic stress symptoms and related factors in fire fighters of a firestation. Korean J Occup Environ Med. 2008; 20(3):193–204.

10. Sin SW. Levels and countermeasures of PTSD among police officers. J Korea Cont Assoc. 2011; 11(12):266–72.

11. Yoon SC, Ham BJ, Byun JH, Eun HJ, Son HG, Suh KH, et al. Temperament and charcater dimensions of posttraumatic stress disorder in burn patients. Korean J Biol Psychiatry. 2005; 12(2):159–64.

12. Jang SY, Jeong HY, Go SS. A study for cost of road traffic accident taken offender's PTSD in consideration. J Korean Soc Transp. 2010; 28(5):17–29.

13. Yun UC. The effect of the stress management program on the stress coping and perceived stress of the patients with finger replantation [dissertation]. Jinju: Geyong-Sang University;2004. Korean.

14. Lee JY. The effect of information offer on compliance with a therapeutic regimen for the patients with hand and arm microsurgery [dissertation]. Busan: Busan Catholic University;2005. Korean.

15. Yamano Y. Replantation of the amputated distal part of the fingers. J hand Surg Am. 1985; 10(2):211–8.

16. Rogenberg M. Society and adolescent self-image. Princeton: Princeton University Press;1965.

17. Jeon BJ. Self-esteem: a test of its measurability. Yonsei Nonchong. 1974; 11(1):107–30.

18. Eun HJ, Kwon TW, Lee SM, Kim TH, Choi MR, Cho SJ. A study on reliability and validity of the Korean version of impact of event scale-revised. J Korean Neurol Assoc. 2005; 44(3):303–10.

19. Lee YJ, Yun KW, Woo HW, Kim YC, Lim WJ. Posttraumatic stress disorder prevalence, symptoms, depressed mood and anxiety according to the presence of consciousness at the time of traumatic accident. J Korean Neuropsychiatr Assoc. 2002; 41(4):660–9.

20. Choi KS, Lim CK, Choi JW, Kang SK, Yum YT. Posttraumatic stress disorder among occupational accident patients. J Korean Neuropsychiatr Assoc. 2002; 41(3):461–71.

21. Van Loey NE, Maas CJ, Faber AW, Taal LA. Predictors of chronic posttraumatic stress symptoms following burn injury: results of a longitudinal study. J Trauma Stress. 2003; 16(4):361–9.

22. Welch AE, Jasek JP, Caramanica K, Chiles MC, Johns M. Cigarette smoking and 9/11-related post traumatic stress disorder among World Trade Center Health Registry enrollees, 2003–12. Prev Med. 2015; 73(4):94–9.

23. Langdon KJ, Leventhal AM. Posttraumatic stress symptoms and tobacco abstinence effects in a nonclinical sample: evaluating the mediating role of negative affect reduction smoking expectancies. J Psychopharmacol. 2014; 28(11):1009–17.

24. Lee BY, Jo HS, Kwon MS. Survey on quality of life, mental health and subjective health status of community dwelling cancer patients. J Korean Public Health Nurs. 2010; 24(1):49–60.

25. Joo AR. A study on the relationship between family stress and health promoting behavior of the dual earner couples. Korean J Occup Health Nurs. 2011; 20(2):221–9.

26. Rusch MD, Dzwierzynski WW, Sanger JR, Pruit NT, Siewert AD. Return to work outcomes after work-related hand trauma: the role of causal attributions. J Hand Surg. 2003; 28(4):673–7.

27. Opsteegh L, Reinders-Messelink HA, Groothoff JW, Postema K, Dijkstra PU, van der Sluis CK. Symptoms of acute posttraumatic stress disorder in patients with acute hand injuries. J Hand Surg. 2010; 35(6):961–7.

28. Rho IS, Won JS. The relations of depression, anxiety, posttraumatic stress, self-esteem, and social adjustment among North Korean refugees. J Korean Acad Psychiatr Ment Health Nurs. 2009; 18(1):69–77.

29. Park CH, Lee S, Kim NH. The impact of posttraumatic stress disorder on clinical outcomes in patients with schizophrenia. J Korean Neuropsychiatr Assoc. 2012; 51(5):249–54. S.