在儿科重症监护病房妄后的两个月后的结果
Celine Thibault1, Geneviève Du Pont-Thibodeau1, Simon MacDonald1
1Division of Pediatric Critical Care Medicine, Department of Pediatrics, CHU Sainte-Justine, Université de Montréal. Montréal, 3175 Chemin de la Côte-Sainte-Catherine, Montreal, Québec, H3T 1C5, Canada.
European journal of pediatrics
|March 23, 2024
概括
儿科重症监护室 (PICU) 的妄想会对孩子在出院两个月后的生活质量产生负面影响. 痴呆症的严重程度还与睡眠障碍和父母的焦虑相关,突出了对家庭的持久影响.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 儿童心理学 儿童心理学
- 神经科学是一个神经科学.
背景情况:
- 儿科重症监护室 (PICU) 的 Delirium 对儿童的长期影响尚不清楚.
- 了解这些后果对于改善PICU后护理和结果至关重要.
研究的目的:
- 根据 Delirium 的存在,比较儿科重症监护室幸存者的两个月的结果.
- 调查痴呆症严重程度和儿童的特定结果之间的关联.
主要方法:
- 对一项前性研究进行后期分析,该研究涉及PICU中机械通风儿童.
- 使用康奈尔儿科狂妄症评估 (CAPD) 评分 (≥9) 确定了狂妄症.
- 结果包括生活质量,睡眠,以及父母的创伤后压力,焦虑和抑郁,在出院两个月后进行评估.
主要成果:
- 在179名儿童中,有117名 (65.4%) 患有妄想症,并更频繁地被直管,严重程度得分更高.
- 痴呆症与出院后两个月的生活质量下降有显著的关联 (p=0.03).
- 狂妄症的严重程度增加与睡眠障碍 (OR 1.13,p=0.01) 和父母焦虑 (OR 1.16,p=0.01) 的可能性更高相关.
结论:
- 在PICU中患有妄想症的儿童在出院两个月后表现出较低的生活质量.
- 研究结果表明,妄想会对儿童及其家人产生持久的负面影响.
- 妄想发作的严重程度与较差的结果有关,强调需要有针对性的干预措施.
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