在一年的随访期间,重症监护室幸存者的创伤后压力症状相关的患者特征:一个多中心研究
Klara Friberg1, Kristin Hofsø2, Tone Rustøen3
1Østfold Hospital Trust, Intensive and post operative unit, Postbox 300, 1714 Grålum, Norway; University of Oslo, Institute of Health and Society, Department of Nursing Science, Faculty of Medicine, Postbox 0316 Oslo, Norway.
重症监护室 (ICU) 的幸存者可能会出现创伤后应激症状 (PTSS). 在ICU治疗后的12个月内,PTSS的患病率会增加,尤其是在老年,受教育程度较低,机械通风患者中.
科学领域:
- 关键护理医学 关键护理医学
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 重症监护室 (ICU) 的幸存者面临着患上创伤后应激症状 (PTSS) 的重大风险.
- 了解PTSS的长期轨迹和预测因素对于患者的康复至关重要.
研究的目的:
- 为了确定高PTSS水平在ICU入院后的第一年.
- 为了确定与PTSS发展相关的患者特征.
- 检查特定患者群体与PTSS随着时间的推移之间的关联.
主要方法:
- 使用事件影响规模修订 (IES-R) 进行自我报告的PTSS评估.
- 采用隐性类别分析来识别基于ICU前数据,人口统计和临床因素的患者子组.
- 应用线性混合效应模型来分析3,6个月和12个月的重复PTSS测量.
主要成果:
- 高PTSS水平在3个月后报告了14.9%,在6个月后报告了16.7%,在ICU后12个月后报告了18.4%.
- 确定了三个不同的患者潜伏类别.
- PTSS与住院时间较长 (6个月) 的男性一类以及年龄较大,受教育程度较低,病情更严重和机械通风患者一类 (所有时间点) 有显著的相关性.
结论:
- 在ICU幸存者中,创伤后压力症状的患病率在出院后的12个月内增加.
- 特定的患者个人资料,特别是受教育程度较低,重症严重的老年人,有更高的持续性PTSS风险.
- 医疗保健提供者应在康复的第一年内对危险的ICU患者群体进行PTSS的监测.
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