神经临界护理患者的重症监护后综合征
Neha S Dangayach1, Natalie Kreitzer2, Brandon Foreman3
1Department of Neurology and Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY.
Seminars in neurology
|June 19, 2024
概括
后重症监护综合征 (PICS) 在重症监护后影响身体,认知和心理健康. 在神经临床护理中识别和管理PICS和PICS-Family (PICS-F) 对于改善患者和家庭结果至关重要.
科学领域:
- 神经临界护理是指神经临界护理.
- 关键护理医学 关键护理医学
- 公共卫生 公共卫生
背景情况:
- 后重症监护综合征 (PICS) 在重症监护后呈现为新的或恶化的身体,认知或心理健康障碍.
- 提高ICU生存率突出了PICS作为日益严重的公共卫生问题.
- 尽管有重叠的损伤,但PICS研究往往排除了急性脑损伤的患者.
研究的目的:
- 审查目前对神经临床护理中PICS和PICS-Family (PICS-F) 的理解.
- 在严重急性脑损伤人群中探索PICS.
- 概述预防和治疗策略以及未来的研究方向.
主要方法:
- 文献综述总结了PICS和PICS-F.目前的知识.
- 讨论区分PICS与急性脑损伤障碍的挑战.
- 强调对ICU幸存者的双向方法.
主要成果:
- PICS管理的一般原则,包括ICU释放捆绑和多学科护理,适用于神经损伤.
- PICS-F解决了ICU幸存者的家庭对心理健康的影响.
- 建议在神经临界护理生存方面采用双向方法.
结论:
- 在神经临床护理中,PICS和PICS-F是令人担忧的重要问题.
- 多学科护理和意识是管理脑损伤患者PICS的关键.
- 需要进一步的研究来完善PICS和PICS-F在神经临床护理环境中的策略.
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