在重症监护室幸存者的认知障碍,身体障碍和心理症状
Tracye Proffitt1, Victoria Menzies2, Mary Jo Grap3
1Tracye Proffitt is an assistant professor at Virginia Commonwealth University School of Nursing, Richmond, Virginia.
概括
后重症监护综合征 (PICS) 涉及认知,身体和心理问题. 认知和身体障碍有联系,妄想可能会使ICU幸存者的功能状况恶化.
科学领域:
- 临界护理医学 临界护理医学
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
背景情况:
- 后重症监护综合征 (PICS) 影响了25-50%的ICU幸存者.
- 皮克斯包括认知,身体和心理障碍.
- 关于PICS障碍的相互作用的研究有限,特别是关于妄的研究.
研究的目的:
- 调查PICS损伤之间的关联.
- 为了检查 Delirium 对 PICS 障碍的影响.
- 评估这些关系在ICU释放和一个月后释放.
主要方法:
- 采用了一种描述性,相关性研究设计.
- 成年ICU幸存者完成了认知,身体和心理功能的验证测量.
- 用斯皮尔曼相关性和t测试分析了数据.
主要成果:
- 认知障碍是最常见的PICS症状.
- 在认知和功能状态之间观察到显著的正相关性.
- 痴呆症患者在ICU出院时表现出较低的功能状态.
结论:
- 在ICU幸存者的认知和身体障碍之间存在温和的相关性.
- 未被诊断的认知障碍可能会阻碍身体恢复,增加受伤风险.
- 对认知-身体障碍关系的进一步研究是有必要的.
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