Objective To study the independent risk factors and intervention measures of acute stress disorder (ASD) in hospitalized patients with traumatic fracture. Methods Three hundred cases of hospitalized patients with traumatic fracture treated in Longgang Second People's Hospital of Shenzhen from August 2016 to September 2017 were selected for the study and divided into study group (n=75, with ASD) and control group (n=225, without ASD) according to the Standford Acute Stress Reaction Questionnaire (SASRQ) and ASD diagnostic criteria. The general information questionnaire, Connor-Davidson resilience scale (CD-RISC), hospital anxiety and depression scale (HAD), social support rating scale (SSRS) and injury severity score (AIS-ISS) and visual analogue scale (VAS) were used to analyze the single factors and independent risk factors for ASD in hospitalized patients with traumatic fracture. ASD patients were randomly divided into intervention group 1 and intervention group 2, which were then given the routine intervention and comprehensive intervention respectively, and the intervention effect was compared. Results There was significant difference in gender, age, personality, trauma history, complications and fear of injury between study group and control group (P<0.05). The scores of CD-RISC and SSRS in study group were lower than those in control group, while the scores of HAD, AIS-ISS and VAS were higher than those in control group (P<0.05). Multivariate logistic regression analysis showed that gender, complications, fear of injury, anxiety and depression, and intense pain were independent risk factors for ASD in patients with traumatic fracture (P<0.05) while the high levels of social support and psychological resilience were the protective factors (P<0.05). After intervention, the effective rate of intervention in intervention group 1 was significantly higher than that in intervention group 2 (90% vs 71.43%, P<0.05). Conclusion Traumatic fracture patients will be affected by multiple factors for ASD occurrence, and the comprehensive intervention measures (drug combined with psychological intervention) can achieve a satisfactory effect. |