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首页> 外文期刊>Neurosurgery >Subarachnoid hemorrhage treated with clipping: long-term effects on employment, relationships, personality, and mood.
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Subarachnoid hemorrhage treated with clipping: long-term effects on employment, relationships, personality, and mood.

机译：蛛网膜下腔出血采用剪裁治疗：对就业，人际关系，性格和情绪的长期影响。

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OBJECTIVE: Only one-third of patients regain functional independence after aneurysmal subarachnoid hemorrhage (SAH). Despite this recovery, many of these patients experience psychosocial problems. We assessed the long-term effects of SAH on employment, relationships, personality, and mood. METHODS: We included patients who had been treated by clipping after SAH between 1985 and 2001 and who resumed independent living. Patients underwent structured interviews regarding employment, relationships, and personality before and after the SAH. Anxiety and depression were assessed by the Hospital Anxiety and Depression Scale, and scores were compared between the study group and a control population. RESULTS: Six hundred and ten patients were interviewed (mean follow-up after SAH, 8.9 yr). Of the employed patients, 26% stopped working and 24% worked shorter hours or had a position with less responsibility. On average, patients returned to work 9.4 months after discharge (range, 0-96 mo). Seven percent of patients were divorced because of SAH-related problems. Fifty-nine percent of the patients reported changes in personality, with the most commonly noted changes being increased irritability (37%) or emotionality (29%). Patients with SAH had a statistically significant higher mean depression score than the control population. Approximately 10% of the patients had a Hospital Anxiety and Depression Scale score in the range of a probable depressive or anxious state. Only 25% reported a complete recovery without psychosocial or neurological problems. CONCLUSION: The long-term psychosocial effects of SAH are considerable, even in patients who regain functional independence. Treating physicians should be aware of these long-term effects of SAH when discussing prognosis and reintegration to work after initial recovery with patients and family.
机译：目的：只有三分之一的患者在动脉瘤性蛛网膜下腔出血（SAH）后恢复功能独立性。尽管恢复了，但是许多这些患者仍遭受社会心理问题。我们评估了SAH对就业，人际关系，性格和情绪的长期影响。方法：我们纳入了从1985年至2001年在SAH后接受钳夹治疗并恢复独立生活的患者。在SAH之前和之后，患者接受有关就业，人际关系和性格的结构化访谈。通过医院焦虑和抑郁量表评估焦虑和抑郁，并比较研究组和对照组的得分。结果：接受了610例患者的采访（SAH后平均随访8.9年）。在受雇的患者中，有26％停止工作而24％的工作时间较短或职位责任少。平均而言，患者出院后9.4个月（0-96个月）恢复工作。由于SAH相关问题，有7％的患者离婚。 59％的患者报告了人格变化，最常见的变化是易怒（37％）或情绪激动（29％）。 SAH患者的平均抑郁得分在统计学上高于对照组。大约10％的患者的医院焦虑和抑郁量表评分处于可能的抑郁或焦虑状态范围内。只有25％的人报告说完全康复，没有心理或神经方面的问题。结论：即使在恢复功能独立的患者中，SAH的长期社会心理影响也是相当大的。在与患者和家人初步康复后讨论其预后和重返工作时，主治医师应了解SAH的这些长期影响。

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