重症监护室患者自我报告的症状:一项前性多中心观察性研究
Christin Saltnes-Lillegård1,2, Tone Rustøen3,4, Sigrid Beitland5
1Department of Postoperative and Intensive Care Nursing, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway. chhansen@ous-hf.no.
重症监护病房的病人经历了显著的口渴和焦虑. 败血症和机械通风等因素影响症状强度,需要进一步研究以更好地管理患者.
科学领域:
- 临界护理医学 临界护理医学
- 症状科学 症状科学
- 患者体验研究 研究研究
背景情况:
- 重症监护室 (ICU) 的患者经常会经历多种令人痛苦的症状.
- 了解症状的流行,强度和痛苦对于改善患者护理和结果至关重要.
研究的目的:
- 为了确定ICU患者五个关键症状的流行,强度和痛苦.
- 确定预测七天ICU住院期间症状强度的因素.
主要方法:
- 一项前性队列研究,涉及353名ICU患者.
- 使用患者症状调查来评估疼痛,口渴,焦虑,疲劳和呼吸短促.
- 使用一般估计方程 (GEE) 模型来分析症状强度和预测因素之间的关联.
主要成果:
- 饥渴是ICU患者报告的最常见和最强烈的症状.
- 在为期七天的ICU期间,焦虑引起了最多的痛苦.
- 败血症,止痛药的使用,年龄较大,机械通风,家庭访问和性别与不同症状强度有关.
结论:
- 集中治疗室患者面临着相当严重和持续的症状负担.
- 特定的患者特征和治疗与症状强度相关,突出了针对性干预的领域.
- 需要进一步的研究,以充分阐明这些症状强度的关联.
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