Acute stress disorder in patients with accidental traumatic fractures: What can we do

Aim: To evaluate the potential influencing factors of acute stress disorder (ASD) in patients with accidental traumatic fractures to provide evidence for clinical nursing care. Design: A retrospective study. Methods: Patients with traumatic fractures treated in our hospital from 1 January 2020 to 30 November 2021 were included. The characteristics of ASD and no ASD patients were assessed. Results: A total of 468 patients with traumatic fractures were included, the incidence of ASD was 28.20%. Logistic regression analysis showed that age <= 50years (OR2.918, 95% CI1.994 similar to 3.421), female (OR2.074, 95% CI1.489 similar to 3.375), AIS-ISS at admission >= 20 (OR3.981, 95% CI2.188 similar to 5.091), VAS at admission >= 7 (OR2.804, 95% CI2.027 similar to 3.467), introverted personality (OR1.722, 95%CI1.314 similar to 2.432) and CD-RISC at admission <= 60 (OR3.026, 95% CI2.338 similar to 4.769) were the risk factors of ASD in patients with traumatic fractures (all p< .05). Conclusions: The development of ASD in patients with traumatic fractures is affected by multiple factors. Medical workers should take early and timely management and nursing measures for related risk factors to reduce the occurrence of ASD.

Automated summary

This study aimed to evaluate the potential influencing factors of acute stress disorder (ASD) in patients with accidental traumatic fractures and found that age, gender, injury severity, pain intensity, personality type, and coping ability were risk factors for ASD. Early intervention and nursing measures should be taken to reduce the occurrence of ASD.