侵入性机械通风后COVID-19患者的身体功能和心理健康轨迹:一个前性观察性研究
Hiromasa Yamamoto1, Shinya Tanaka1, Daisuke Kasugai2
1Department of Rehabilitation, Nagoya University Hospital, Nagoya, Japan.
Scientific reports
|September 4, 2023
概括
需要侵入性机械通风 (IMV) 的COVID-19幸存者在ICU后经历了显著的身体和心理健康问题. 长期的IMV会使这些长期结果恶化,影响复苏.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 需要侵入性机械通风 (IMV) 的COVID-19患者面临潜在的长期身体和心理健康挑战.
- 了解康复轨迹对于改善重症监护室 (ICU) 退院后的患者护理至关重要.
研究的目的:
- 调查COVID-19患者在ICU出院后的身体功能和心理健康轨迹,特别是那些需要IMV的患者.
- 为了确定与较差的结果相关的因素,例如IMV的持续时间.
主要方法:
- 64名需要IMV的COVID-19患者的前性观察队列研究.
- 在ICU出院和随访时评估身体功能 (MRC总分,手握力) 和心理健康 (症状分数).
- 长时间IMV和短时间IMV患者之间的结果比较.
主要成果:
- 在ICU退院时,28.1%的患者身体功能受损 (MRC总分<48).
- 长时间的IMV与较低的MRC总分和手握强度有关.
- 常见的中度至重度症状包括健康状况下降,焦虑,疲劳和抑郁.
- 虽然身体功能在ICU后得到改善,但埃德蒙顿症状评估系统的得分在长期IMV组没有改善.
- 在ICU后6个月,长期IMV组的EuroQol五维五级汇总指数较低.
结论:
- 需要IMV的COVID-19患者在ICU后表现出显著的身体和心理健康缺陷.
- 长时间的IMV持续时间与对身体功能和精神健康的更大和更持久的负面影响有关.
- 这些发现凸显了针对这一患者群体进行有针对性的康复和支持的需要.
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