在危急疾病和长期康复期间理解和管理焦虑敏感性
Leanne M Boehm1, Claire M Bird2, Ann Marie Warren3
1Leanne M. Boehm is an assistant professor, Vanderbilt University School of Nursing, Nashville, Tennessee; and an investigator, Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Vanderbilt University Medical Center, Nashville, Tennessee.
概括
焦虑敏感性,对焦虑症状的恐惧,可以阻碍重症监护的恢复. 存在干预措施来管理这种"恐惧的恐惧",改善重症监护室患者的治疗结果.
科学领域:
- 心理学 心理学 心理学
- 关键护理医学 关键护理医学
背景情况:
- 焦虑敏感性是对焦虑相关的身体,社会或认知症状的恐惧.
- 这种恐惧可以触发同情神经系统的反应,可能导致恐慌发作.
- 它经常被误解为严重疾病或失去控制的迹象.
研究的目的:
- 描述焦虑敏感性及其在重症监护机构的影响.
- 概述对焦虑敏感性的评估方法和治疗策略.
- 强调医疗保健提供者意识和干预的必要性.
主要方法:
- 审查焦虑敏感性的性质.
- 讨论其与重症监护室 (ICU) 程序和机械通风断奶的相关性.
- 药理和非药理干预的探索.
主要成果:
- 焦虑敏感性可能会阻碍恢复,特别是在机械通风断奶期间.
- 经过验证的仪器,如焦虑敏感度指数,可以评估构造.
- 有基于证据的干预措施可用,但医疗保健提供者未充分利用.
结论:
- 焦虑敏感性是重症监护中的一个重要,但往往未被认可的因素.
- 医疗保健提供者需要对评估和治疗焦虑敏感性的教育.
- 管理焦虑敏感性可以改善患者的治疗结果,并促进ICU的康复.
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