不活动可能识别老年重症监护病房幸存者有后重症监护综合征的风险
Maya N Elias1, Emily A Ahrens2, Chi-Shan Tsai3
1Maya N. Elias is an assistant professor, Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle.
概括
在重症监护室 (ICU) 住院后的不活动与老年人中更糟糕的重症监护后综合征 (PICS) 症状有关. 增加活动可能会改善这些幸存者的认知,身体和心理结果.
科学领域:
- 老年学是一门学科.
- 密集护理医学 密集护理医学
- 康复科学 康复科学 康复科学
背景情况:
- 接受ICU治疗的老年人 (≥65岁) 在住院期间经历了显著的不活动.
- 后重症监护综合征 (PICS) 涵盖了ICU幸存者的认知功能障碍,身体障碍和心理痛苦.
- 这些PICS症状可以改变老年人的生活.
研究的目的:
- 研究老年ICU幸存者的身体不活动和PICS症状严重程度之间的关系.
- 在这个弱势群体中确定PICS的潜在风险因素.
主要方法:
- 来自两个前性,横截面研究的聚合数据的二次分析.
- 包括49名在ICU接受机械通风的功能独立的老年人.
- 采用动图法来测量ICU后的活动和标准化仪器来评估PICS症状 (认知,身体,心理).
主要成果:
- 一个趋势表明,更大的不活动与增加的PICS症状严重程度相关.
- 不太活跃的参与者在认知和身体评估中得分更差.
- 较高的白天活动与更好的认知和身体功能以及改善的心理健康有关.
结论:
- 在ICU后的不活动可能是年长的幸存者患PICS风险的一个指标.
- 研究结果表明,针对身体活动的干预措施可以帮助减少PICS的症状负担.
- 需要进一步的研究来开发和测试这种干预措施.
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