トラウマ後ストレス障害,不安,および北アフリカの集中治療室の生存者における前向きな観察研究
Imen Ben Saida1,2, Marwa Zghidi1,2, Safa Fathallah2
1Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
Acute and critical care
|September 3, 2025
まとめ
トラウマ後ストレス障害 (PTSD),不安,うつ病は 集中治療室 (ICU) の生存者の中で よく見られます 年齢の低さ,女性の性別,そして身体的抑制が これらの症状と関連していました.
科学分野:
- クリティカルケア医療
- 神経科学
- 精神科
背景:
- 深刻な病気を生き延びた人は 長期的な身体的,心理的な問題を経験し 生活の質に影響を及ぼします
- トラウマ後ストレス障害 (PTSD),不安,うつ病は集中治療室 (ICU) の生存者にとって一般的な懸念です.
- 集中治療後症候群に関連する神経精神疾患 (PICS-ND) は,著しい罹病率を負担しています.
研究 の 目的:
- 退院後3ヵ月後のICU生存者における PTSD,不安,うつ病の有病率を決定する.
- この集団における PTSD,不安,うつに関連する要因を特定する.
- PICS-NDの流行と決定因子を調査する.
主な方法:
- 医療ICUで実施された見通しの観察分析研究.
- 電話によるアンケート (インパクト・イベント・スケール・リベイスド,病院不安・うつ病スケール) はICU退院後3ヶ月間実施された.
- 重要な関連変数を特定するための単変数および多変数分析
主要な成果:
- PTSD (21. 9%),不安 (21. 0%) とうつ病 (9. 6%) が3ヶ月で流行していた.
- PTSDの関連因子には,若い年齢,女性の性別,身体的抑制,重症性多神経症および筋痛症 (CIPNM) が含まれていた.
- PICS- NDは患者の28. 9%に影響を与え,若い年齢,女性の性別,および身体的抑制が関連因子であった.
結論:
- PTSD,不安,鬱,PICS-NDは ICUの生存者にとって一般的な後遺症です.
- 心理的なアウトカムは,若い年齢,女性の性別,婚姻状況,チャールソン指数,身体的抑制,CIPNMと関連しています.
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