在重症监护室 (ICU) 住院期间患者的梦想和不真实的经历
Konstantina Dimou1, Agapi L Batiridou1, Fotios Tatsis2
1Department of Nursing, School of Health Sciences, University of Ioannina, Ioannina, GRC.
Cureus
|February 5, 2024
概括
重症监护室 (ICU) 的患者经常回忆起梦想和幻想,影响他们的幸福感. 长时间的ICU住院和 Delirium 等疾病与梦想回忆的增加有关,这凸显了心理支持的需要.
科学领域:
- 临界护理医学 临界护理医学
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
背景情况:
- 重症监护室 (ICU) 的患者经常报告碎片化的记忆,包括梦想和幻觉.
- 这些经历与负面的心理社会结果有关,如焦虑和创伤后压力症状.
研究的目的:
- 系统地审查患者在ICU住院期间对梦想和不真实的遭遇的观点.
- 确定影响这些记忆体验的临床条件和因素.
主要方法:
- 在PubMed/MEDLINE,Web of Science和Scopus数据库中进行了系统的文献搜索.
- 根据PRISMA指南,包括9项研究,并使用CASP或NOS检查清单进行评估.
- 梦被分为积极的,痛苦的或中性的,详细描述时间,空间,情绪和现实感知等方面.
主要成果:
- 长时间的ICU停留显著预测了梦想回忆.
- 患有吉兰-巴雷综合征 (GBS) 和妄想症的患者报告了更生动或痛苦的梦想.
- 梦想回忆与更严重的疾病,更长的ICU停留时间和更高的通风频率有关.
结论:
- 在ICU中碎片化的记忆与特定的临床条件和长时间停留有关.
- 解决这些心理现象对于全面的ICU后患者护理至关重要.
- 了解患者对梦想和幻觉的体验,可以减轻长期的情绪痛苦.
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