严重危急疾病后的恢复力:一个前性的,多中心的观察性研究 (RESIREA)
Alice Mathieu1, Jean Reignier2,3,4, Amélie Le Gouge5,6
1Laboratoire de Psychologie: Dynamiques Relationnelles Et Processus Identitaires (Psy-DREPI), Université de Bourgogne Franche-Comté, EA7458, Dijon, France.
Critical care (London, England)
|July 12, 2024
概括
具有更高弹性的重症幸存者经历了较少的创伤后应激障碍 (PTSD) 和更好的生活质量. 加强社会支持和改善疾病感知可能会提高这些患者的性.
科学领域:
- 关键护理医学 关键护理医学
- 心理创伤学 心理创伤学
- 健康心理学健康心理学
背景情况:
- 患有重症的幸存者面临创伤后应激障碍 (PTSD) 和生活质量受损的风险.
- 弹性可能会提供心理保护,但其在临界后疾病中的作用需要进一步研究.
研究的目的:
- 评估严重疾病幸存者的弹性水平.
- 检查弹性,PTSD症状和生活质量之间的关联.
- 识别与增加弹性相关的因素.
主要方法:
- 这是一项前性多中心研究,涉及41名法国ICU的382名患者.
- 患者完成了经过验证的弹性 (CD-RISC-25),PTSD症状 (IES-R),生活质量 (SF-36),社会支持 (MSPSS) 和疾病感知 (B-IPQ) 的评估尺度.
- 统计分析确定了独立与弹性相关的因素.
主要成果:
- 超过一半的幸存者 (53.1%) 表现出正常或高弹性.
- 与较不适应性患者相比,性患者的中度至重度PTSD症状率显著降低 (12.8%vs25.4%),生活质量得分更高.
- 感知到的更高的社会支持和对疾病的不那么威胁的感知独立地与更大的弹性有关.
结论:
- 恢复力与减少PTSD和改善严重疾病幸存者的生活质量有关.
- 针对社会支持和疾病感知的干预措施可能会增强性.
- 未来的试验应该评估这些干预措施以缓解PTSD和提高生活质量.
相关概念视频
01:19Respiratory Assessment: Purpose and Indications
1.1K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.1K
01:29Acute Respiratory Failure-V
129
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
129
01:19Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
01:23Acute Respiratory Failure-IV
140
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
140