Evaluation of anxiety, depression, and sleep quality in patients following traumatic finger amputation surgery
DOI:
https://doi.org/10.2340/jphs.v60.44127Keywords:
Finger amputation, sleep quality, depression, anxiety, replantationAbstract
Objective: The hand, as one of the most utilized body parts, is particularly vulnerable to trauma. Finger amputations can lead to significant emotional, social, and physical distress.
Methods: This cross-sectional questionnaire study included patients aged 18–75 who underwent surgery following traumatic finger amputation performed by a single surgeon between 2021 and 2022 in a hospital hand surgery clinic. Patients were grouped as follows: Group 1 underwent successful replantation; Group 2 included patients whose fingers were shortened and closed, reconstructed with local flaps, or required secondary surgery due to failed replantation. Evaluations included the Visual Analogue Scale (VAS), Quick Disabilities of the Arm, Shoulder and Hand (QDASH), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Pittsburgh Sleep Quality Index (PSQI).
Results: The study included 95 patients, 26 in Group 1 and 69 in Group 2. No significant differences were found between the groups in terms of age or sex (P = 0.570 and P = 0.941, respectively). Group 1 exhibited significantly better pain and functional outcomes based on VAS and QDASH scores (both P < 0.001). Additionally, lower anxiety and depression scores (BAI, BDI) and improved sleep quality (PSQI) were observed in Group 1 (all P < 0.001).
Conclusion: Patients with finger loss due to failed replantation or closure with local flaps should not be regarded as experiencing minor trauma. These patients require comprehensive rehabilitation, pain management, and psychological and social support.
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References
Samantaray SA, Oommen J, Thamunni CV, et al. Fingertip injury epidemiology: an Indian perspective. J Plast Surg Hand Surg. 2022;56(4):224–228. https://doi.org/10.1080/2000656X.2021.1962332 DOI: https://doi.org/10.1080/2000656X.2021.1962332
Sümer A, Onur E, Altınlı E, et al. Alt Ekstremite Amputasyonlarında Klinik Deneyimlerimiz. İnönü Üniversitesi Tıp Fakültesi Dergisi. 2008;15:187–190.
Anderson M, Deighan F. Coping strategies in conjunction with amputation. Thesis. Division for Health and Caring Sciences, Karlstads University; 2006.
Özkan S. Psychiatric and psychosocial support for patients with colorectal cancer. In: Baykan A, Zorluoğlu A, editors. Kolon ve Rektum Kanserleri. Türk Kolon ve Rektum Cerrahisi Derneği; 2010. p. 787–799.
Kiuchi T, Shimizu Y, Nagasao T, et al. Composite grafting for distal digital amputation with respect to injury type and amputation level. J Plast Surg Hand Surg. 2015;49(4):224–228. https://doi.org/10.3109/2000656X.2015.1020314 DOI: https://doi.org/10.3109/2000656X.2015.1020314
Mizutani Y, Tamai S, Nakamura T, et al. Conservative treatment of traumatic finger amputations using negative-pressure wound therapy. J Plastic Surg Hand Surg. 2023;58:115–118. https://doi.org/10.2340/jphs.v58.18351 DOI: https://doi.org/10.2340/jphs.v58.18351
Çelikdelen P, Özçelik İB, Mersa B, et al. Rehabilitation and functional results after finger replantations. El ve Mikrocerrahi. 2012;1(1):3–6. https://doi.org/10.2399/emd.12.65375 DOI: https://doi.org/10.2399/emd.12.65375
Oğul M, Erden G. The psychosocial dimension of amputation. Ankara Univ J Health Serv Vocat Sch. 2005;7(1):27–33.
Bhuvaneswar CG, Epstein LA, Stern TA. Reactions to amputation: recognition and treatment. Prim Care Companion J Clin Psychiatry. 2007;9(4):303–308. https://doi.org/10.4088/PCC.v09n0408 DOI: https://doi.org/10.4088/PCC.v09n0408
Virani A, Werunga J, Ewashen C, et al. Caring for patients with limb amputation. Nurs Stand. 2015;30(6):51–60. https://doi.org/10.7748/ns.30.6.51.s47 DOI: https://doi.org/10.7748/ns.30.6.51.s47
Carpenito-Moyet LJ, ed. Handbook of nursing diagnosis. Erdemir F, trans. 13th ed. Istanbul: Nobel Medical Publishing; 2010.
Özsoy İ, Okyayuz ÜH. Coping skills of people with amputation: case presentation. Klinik Psikiyatri. 2016;19:45–51. https://doi.org/10.5505/kpd.2016.30074 DOI: https://doi.org/10.5505/kpd.2016.30074
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