American journal of translational research · 2026
Psychological intervention as an adjunct to sedation and analgesia: benefits for emotional state, resilience, and postoperative recovery among emergency multiple trauma patients.
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Zhai Xiaohui, Zhang Ziyao, Zhai Xiaomin, Zhou Bingmei, Li Lei
Аннотация
OBJECTIVE: This study aimed to explore the impact of combining sedation and analgesia management with psychological intervention for the rehabilitation of emergency patients with multiple trauma.
METHODS: This retrospective study included 211 multiple trauma patients with traumatic fracture who were admitted to the First Affiliated Hospital of Bengbu Medical University between January 2020 and October 2024. Based on the intervention strategy, patients were assigned to either the conventional intervention group (n=102) or the conventional + psychological intervention group (n=109). The conventional intervention group received conventional sedation, analgesia and rehabilitation training. The conventional + psychological intervention group got added psychological intervention carried out by professional psychologists. The two patient groups were compared in terms of negative emotion, post-traumatic stress disorder (PTSD), psychological resilience, incidence of postoperative adverse reactions, and quality of life.
RESULTS: After the intervention, the Self-rating Anxiety Scale (SAS) score (42.80±5.60), Self-rating Depression Scale (SDS) score (40.36±6.23), and all dimension scores of the PTSD Checklist-Civilian Version (PCL-C) in the conventional + psychological intervention group were significantly lower than those of the conventional intervention group (all P<0.05). In contrast, the conventional + psychological intervention group showed significantly higher scores for all dimensions of the Connor-Davidson Resilience Scale (CD-RISC) and World Health Organization Quality of Life-BREF (WHOQOL-BREF), as well as a significantly lower incidence of postoperative adverse reactions, compared to the conventional group (all P<0.05).
CONCLUSION: The combination of sedation and analgesia management with psychological intervention in emergency multiple trauma patients improved negative emotional states, psychological resilience, and quality of life, and reduced PTSD and postoperative complications.
METHODS: This retrospective study included 211 multiple trauma patients with traumatic fracture who were admitted to the First Affiliated Hospital of Bengbu Medical University between January 2020 and October 2024. Based on the intervention strategy, patients were assigned to either the conventional intervention group (n=102) or the conventional + psychological intervention group (n=109). The conventional intervention group received conventional sedation, analgesia and rehabilitation training. The conventional + psychological intervention group got added psychological intervention carried out by professional psychologists. The two patient groups were compared in terms of negative emotion, post-traumatic stress disorder (PTSD), psychological resilience, incidence of postoperative adverse reactions, and quality of life.
RESULTS: After the intervention, the Self-rating Anxiety Scale (SAS) score (42.80±5.60), Self-rating Depression Scale (SDS) score (40.36±6.23), and all dimension scores of the PTSD Checklist-Civilian Version (PCL-C) in the conventional + psychological intervention group were significantly lower than those of the conventional intervention group (all P<0.05). In contrast, the conventional + psychological intervention group showed significantly higher scores for all dimensions of the Connor-Davidson Resilience Scale (CD-RISC) and World Health Organization Quality of Life-BREF (WHOQOL-BREF), as well as a significantly lower incidence of postoperative adverse reactions, compared to the conventional group (all P<0.05).
CONCLUSION: The combination of sedation and analgesia management with psychological intervention in emergency multiple trauma patients improved negative emotional states, psychological resilience, and quality of life, and reduced PTSD and postoperative complications.