后重症监护综合征 - 在重症监护和初级监护之间进行合作过渡的机会
Dawood Shehzad1, Mitchell Van Kalsbeek2, Mustafa Shehzad3
1Internal Medicine Residency Program, University of South Dakota Sanford School of Medicine, Sioux Falls, South.
概括
后重症监护综合征 (PICS) 影响严重疾病的幸存者,导致持久的身体,认知和心理健康损害. 这种综合症也会影响家庭成员的福祉,称为PICS-family.
科学领域:
- 关键护理医学 关键护理医学
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 临界护理的进步提高了生存率,但在幸存者中发现了显著的长期功能障碍.
- 后重症监护综合征 (PICS) 是一种已知的严重疾病后果,影响重症监护单位 (ICU) 退院后的幸存者.
- 皮克斯包括身体,认知和心理健康障碍,也可能影响家庭成员 (皮克斯家族).
研究的目的:
- 定义和描述后重症监护综合征 (PICS).
- 突出PICS的多面性质,包括身体,认知和心理健康领域.
- 引入PICS家庭的概念,认识到对护理人员的影响.
主要方法:
- 关于重症病幸存者的长期结果的最新研究的综述.
- 临床观察和PICS的定义基于放出后的损伤.
- 识别PICS组件:在ICU获得的神经肌肉衰弱,认知功能障碍和心理健康问题.
主要成果:
- PICS的特点是出现或恶化的身体,认知或心理健康障碍.
- 这些障碍在急性护理环境和ICU出院之后仍然存在.
- ICU幸存者的家庭成员可能会经历不良影响,称为PICS-family.
结论:
- 皮克斯对重症幸存者来说是一个重大挑战,影响了健康的多个领域.
- 了解PICS对于改善长期结果和功能恢复至关重要.
- 认可PICS家族强调了危急疾病对整个家庭单位的更广泛影响.
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