后重症监护综合征家族:综合性综述
Kasumi Shirasaki1, Toru Hifumi1, Nobuto Nakanishi2
1Department of Emergency and Critical Care Medicine St. Luke's International Hospital Tokyo Japan.
Acute medicine & surgery
|March 13, 2024
概括
家庭中强化护理后综合征 (PICS-F) 会造成严重的心理,身体和社会经济负担. 早期识别和多学科干预对预防和管理至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 家庭心理学 家庭心理学
- 医疗服务研究 医疗服务研究
背景情况:
- 危急病患者的家属经历了相当大的负担,包括心理,身体和社会经济方面的挑战.
- 家庭中强化护理后综合征 (PICS-F) 包含这些负担,这些负担源于患者入住ICU.
- PICS-F需要一个更广泛的定义超越心理障碍,包括身体和社会经济方面的.
研究的目的:
- 为家庭中强化护理后综合征 (PICS-F) 提供综合性审查.
- 为了解决PICS-F的概念,风险因素,评估工具,流行率和管理策略.
- 为了提高急性护理医生对PICS-F.的理解.
主要方法:
- 对PICS-F.的系统文献审查.
- 分析了在不同时间点评估PICS-F的研究 (3个月和6个月的随访).
- 综合了关于PICS-F流行率和促成因素的数据.
主要成果:
- PICS-F涉及显著的心理负担 (20-40%患有抑郁症,焦虑症,PTSD) 和非生理问题 (15%疲劳在6个月).
- 关于诊断,护理和预后的准确信息对于ICU患者的家属至关重要.
- 预防PICS-F需要多方面的干预措施,包括信息传单,ICU日记和后续护理.
结论:
- PICS-F为ICU患者的家属带来了一系列复杂的挑战.
- 综合沟通,支持和跟进的多学科方法对于PICS-F预防至关重要.
- 本次审查强调了需要在临床实践中更广泛地承认和管理PICS-F的需要.
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