功能性结果与感知健康之间的差异 后重症监护室:一个前性队列研究
Lucy L Porter1,2, Koen S Simons2, Alison E Turnbull3
1Department of Intensive Care, Radboud University Medical Center, Nijmegen, the Netherlands.
Annals of the American Thoracic Society
|October 23, 2024
概括
近一半的重症监护室 (ICU) 幸存者报告说,他们实际的健康功能和他们对生活质量的感知之间存在不匹配. 感知健康的这种差异与身体,精神或认知功能无关.
科学领域:
- 关键护理医学 关键护理医学
- 健康 结果 研究 研究 结果
- 患者报告的结果
背景情况:
- 重症监护室 (ICU) 的幸存者经常经历功能障碍.
- 尽管这些损伤,幸存者可能会报告可接受的生活质量.
- 了解客观功能和主观感知之间的差距对于ICU后护理至关重要.
研究的目的:
- 要量化计算健康 (基于功能) 和感知健康之间的差异在ICU幸存者退院后一年.
- 为了确定与这种健康差异相关的因素.
主要方法:
- 前性队列研究 (MONITOR-IC) 分析了来自2545名ICU幸存者的数据.
- 评估患者报告的身体,精神和认知功能.
- 使用EuroQol视觉模拟尺度 (0-100) 测量感知健康.
- 线性回归模拟了功能和感知健康之间的关系,以估计"计算健康"并识别差异.
主要成果:
- 45.0%的ICU幸存者 (n=1,146) 在计算和感知健康之间存在差异.
- 患有负差异的患者 (感知健康状况比计算情况差) 报告健康状况明显下降.
- 在患者之间没有发现身体,精神或认知功能的显著差异,正面与负面差异不一致.
- 负差异与高等教育和失业有关.
结论:
- 在ICU幸存者中,很大一部分人经历了他们客观健康状况和他们对健康的主观看法之间的巨大差距.
- 感知健康的这种差异并不能通过身体,精神或认知功能上的差异来解释.
- 教育和就业状况等因素可能会影响ICU幸存者如何看待他们的健康结果.
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