在社区生活的老年人中,危急疾病后限制症状的变化
Snigdha Jain1, Ling Han1, Evelyne A Gahbauer1
1Department of Internal Medicine, School of Medicine, Yale University, New Haven, Connecticut.
American journal of respiratory and critical care medicine
|September 28, 2023
概括
在老年人住院治疗危急病后,限制性症状显著增加,在出院后三个月恢复到基线之前,在第一个月达到峰值.
科学领域:
- 老年学是一门学科.
- 临界护理医学 临界护理医学
- 症状管理 症状管理
背景情况:
- 经过重症治疗的老年人往往会经历持续的症状,影响日常生活.
- 了解这些限制性症状的发展轨迹在重症监护室 (ICU) 入院后是有效康复的关键.
- 脆弱子组之间症状变化的差异在很大程度上仍未被探索.
研究的目的:
- 在70岁及以上的成年人中,在严重疾病住院后的六个月内,量化限制症状的变化.
- 调查这些症状变化是否因性别,多病症或个人和社区层面的社会经济因素而有所不同.
主要方法:
- 这是一项前性纵向研究,涉及754名70岁以上的社区成年人.
- 分析了来自193名参与者的233个重症监护室 (ICU) 住院病例.
- 每月的采访评估了15个限制性症状在ICU入院前和出院后的六个月.
主要成果:
- 与基线相比,限制性症状在住院后增加了三倍以上 (比率比率3.1-3.3).
- 最显著的增长发生在放免后的第一个月 (利率比率5.3-5.4),在第三个月下降.
- 在性别,多种疾病或社会经济弱势群体之间没有观察到症状增加的显著差异.
结论:
- 危急病住院导致老年人限制症状的大幅增加,尽管是暂时的.
- 集中治疗后的护理应整合综合性症状管理策略.
- 需要进一步的研究,以确定有针对性的症状干预措施是否可以提高ICU幸存者的康复和生活质量.
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