Reflex sympathetic dystrophy of the upper extremity - a 5.5-year follow-up - Part II. Social life events, general health and changes in occupation

被引:42
作者
Geertzen, JHB
Dijkstra, PU
Groothoff, JW
ten Duis, HJ
Eisma, WH
机构
[1] Univ Groningen Hosp, Dept Rehabil, NL-9700 RB Groningen, Netherlands
[2] Univ Groningen Hosp, Dept Surg, Traumatol Sect, NL-9700 RB Groningen, Netherlands
[3] Univ Groningen Hosp, No Ctr Hlth Care Res, NL-9700 RB Groningen, Netherlands
来源
ACTA ORTHOPAEDICA SCANDINAVICA | 1998年 / 69卷
关键词
D O I
10.1080/17453674.1998.11744782
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The aim of this retrospective long-term follow-up study was to describe the psychosocial aspects, such as social life events (SLE), around the causative event of reflex sympathetic dystrophy (RSD) and the psychological history of 65 patients, 3-9 years after RSD of the upper extremity. General health and long-term changes in occupation were assessed by means of a general health questionnaire (RAND-36) and a structured interview, respectively. SLE, with a life-change unit rate more than 35, was present in 32 patients. A psychological (or psychiatric) history was found in 22 patients. In total, 60% of the patients had a SLE and/or a psychological history. The pain scores of the RAND-36 among RSD patients differed significantly from those of the control group. 17 patients changed occupation after RSD. Nearly 30% of the patients had to stop work for more than one year. The results show a high coincidence between RSD and associated psychosocial disorders and this may play a role in intensifying and prolonging the symptomatology of RSD.
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页码:19 / 23
页数:5
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