The impact of symptom burden on the health status of service members with extremity trauma

Service members injured in combat undergo repeated surgeries and long recoveries following a traumatic injury that produce a myriad of physical and psychological symptoms. To describe the severity of pain, sleep disturbance, depression, and anxiety in service members with extremity trauma sustained...

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Bibliographic Details
Published in:Nursing outlook 2017-09, Vol.65 (5), p.S61-S70
Main Authors: Young-McCaughan, Stacey, Bingham, Mona O., Vriend, Catherine A., Inman, Alice W., Gaylord, Kathryn M., Miaskowski, Christine
Format: Article
Language:English
Subjects:
Active duty military personnel
Adult
Amputation - psychology
Anxiety
Anxiety Disorders - epidemiology
Combat
Cost of Illness
Depression
Depressive Disorder - epidemiology
Female
Health Status
Humans
Leg Injuries - psychology
Male
Middle Aged
Military Personnel
Nursing
Pain
Sleep disturbance
Sleep Wake Disorders - epidemiology
Trauma
Young Adult
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Summary:Service members injured in combat undergo repeated surgeries and long recoveries following a traumatic injury that produce a myriad of physical and psychological symptoms. To describe the severity of pain, sleep disturbance, depression, and anxiety in service members with extremity trauma sustained during combat operations at the time of discharge from the hospital and to evaluate for differences in health status between those with and without symptom burden. Descriptive study of 130 United States Army service members. More than 80% of the service members were classified as having symptom burden. Service members who reported one or more clinically meaningful levels of pain, sleep disturbance, depression, or anxiety reported significantly worse health status compared to those without symptom burden. Service members with extremity trauma experience clinically significant levels of pain, sleep disturbance, depression, and/or anxiety at the time of discharge from the hospital. The greater the service members’ symptom burden, the worse their reported health status. •Sleep disturbance and pain were the most frequently reported symptoms.•The higher the symptom burden, the worse the reported health status.•Higher symptom burden could place patients at risk for delayed recovery.
ISSN:0029-6554
1528-3968
DOI:10.1016/j.outlook.2017.06.016