满足老年患者及其家属在危急疾病期间和之后的复杂多维需求
Erminio Santangelo1, Hannah Wozniak2, Margaret S Herridge1
1Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada.
Current opinion in critical care
|August 16, 2024
概括
重症老年患者在重症监护室 (ICU) 住院后面临着独特的长期健康挑战. 了解他们的多维发病率是改善康复和护理人员支持的关键.
科学领域:
- 老年医学 老年医学
- 关键护理医学 关键护理医学
- 公共卫生 公共卫生
背景情况:
- 老年患者越来越容易受到危急疾病后的严重健康后果的影响.
- 多维发病,包括身体,心理和认知问题,在老年ICU幸存者中是常见的和持久的.
- 基线健康状况显著影响了这一群体的长期功能结果.
研究的目的:
- 为应对危急病重症老年患者日益严重的危机.
- 审查老年患者及其照顾者所经历的多维发病率的独特负担.
- 探索潜在的干预措施,以减轻长期的负面结果.
主要方法:
- 国际重症监护室 (ICU) 成果文献的综述.
- 分析最近关于ICU后长期功能残疾决定因素的数据.
- 对危急疾病的老年幸存者的结局概述.
主要成果:
- 危急疾病经常导致老年患者的持久的身体,心理和认知后果.
- 老年患者经历深刻和慢性多维发病,影响独立性和生活质量.
- 基线功能状态和慢性疾病是ICU后长期残疾的关键预测因素,特别是在老年人中.
结论:
- 多模式,纵向的方法对于理解和管理老年ICU幸存者的复杂康复轨迹至关重要.
- 长期跟踪 (1年以上) 可以提高对多维发病率的理解,并优化患者的治疗结果.
- 更好的理解支持更好的护理目标指令和在这个脆弱人群中接受ICU治疗的知情同意.
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