| Objective: To explore the influence of the course of disease before rehabilitation intervention on the mental state and employment willingness of the industrial injury patients with limb fractures. Methods: 200 industrial injury patients with limb fractures admitted to our hospital for rehabilitative treatment were divided into two groups (group A and group B) according to the course of disease before rehabilitation intervention. Patients in group A all received rehabilitative treatment in two months after the work injury, and those in group B were given rehabilitative treatment two months after the industrial injury. Hamilton depression scale (HAMD) and Hamilton anxiety scale (HAMA) were used to assess the industrial injury patients in both group A and group B to explore their psychological status. Meanwhile, we used Lam Assessment of Stages of Employment Readiness (LASER) to evaluate the employment willingness of all patients. Results： In group A and group B, 38.6% and 75.0% of the industrial injury patients had different degrees of depression respectively. 60.2% of the patients in group A suffered from varying levels of anxiety, and 83.9% of the patients in group B had different levels of anxiety, too. Both the incidence rates of depression and anxiety in group B were significantly higher than those in group A (P<0.05). The LASER results showed that the proportion of LASER results in the precontemplation stage was the highest in both the two groups with the data of group B being higher than that of group A, at the same time the difference in the proportion in the precontemplation stage between the two groups was statistically significant (P<0.05). The proportion of LASER results in the contemplation stage was second in both the two groups, and that in group A was significantly higher than that in group B (P<0.05). Conclusion: Depression and anxiety are common in patients with work related injuries. The later rehabilitation intervention is, the more obvious the psychological disorder is. At the same time, the physical and mental handicap caused the patients to escape from work. So the later rehabilitation intervention is, the less motivation they are to return to work. |
