在重症监护室幸存者的神经精神病学结果
Shivam Joshi1, Ravi Prakash1, Zia Arshad1
1Department of Anesthesiology and Critical Care, King George's Medical University, Lucknow, IND.
Cureus
|July 24, 2023
概括
重症监护的幸存者经历了更高的抑郁,焦虑和压力,随着时间的推移,这些压力会减少. 长时间的ICU停留与增加的心理痛苦相关,影响长期康复和生活质量.
科学领域:
- 关键护理医学 关键护理医学
- 重症监护室 (ICU) 患者的治疗结果.
- 后重症监护综合征 后重症监护综合征
背景情况:
- 临床护理医学的进步提高了危及生命的疾病的生存率.
- 重症监护室的幸存者往往会经历长期的身体,精神和情绪上的后果.
- 了解ICU后的心理影响对于全面的患者护理至关重要.
研究的目的:
- 评估ICU出院后患者的焦虑,压力和抑郁.
- 评估ICU停留时间,机械通风和心理结果之间的相关性.
- 检查ICU幸存者的健康相关生活质量 (HRQOL) 随时间变化而发生的变化.
主要方法:
- 患者在出院后4,6个月和8个月完成了抑郁症,焦虑和压力尺度-21 (DASS-21) 和简单表格-36 (SF-36).
- 记录了ICU数据,包括人口统计,疾病严重程度,停留时间和通风持续时间.
- 对错过门诊预约的患者进行了电话后续检查.
主要成果:
- 抑郁,焦虑和压力水平与长时间的ICU停留时间和机械通风持续时间有很强的相关性.
- 观察到患者年龄与神经精神病学结果之间存在较弱的相关性.
- 抑郁,焦虑和压力的严重程度在出院后的四个月是最高的,随着时间的推移而下降.
结论:
- 长时间的ICU停留与增加的焦虑,抑郁和压力有关.
- 随着时间的推移,心理困扰会减少,在出院四到六个月后,人们会注意到改善.
- 与健康相关的生活质量 (HRQOL) 显示在ICU出院后的4至6个月内有所改善.
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