后重症监护综合征 - 心理健康
Erin L Hall-Melnychuk1, Ramona O Hopkins2, Teresa-Maria Deffner3
1Departments of Trauma Surgery & Critical Care Medicine, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822, USA; Department of Psychiatry, Geisinger Commonwealth School of Medicine, 525 Pine Street, Scranton, PA 18509, USA.
Critical care clinics
|November 15, 2024
概括
重症监护室 (ICU) 的幸存者经常面临长期的心理问题. 早期查和持续的后续护理对于在严重疾病后管理这些心理健康挑战至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 精神病学是一个精神病学.
- 健康研究成果研究结果
背景情况:
- 重症监护室 (ICU) 的幸存者经常经历持续的心理障碍.
- 这些问题可以在出院后的几个月到几年内表现出来,无论疾病的严重程度或身体的恢复情况如何.
- 早期的急性压力症状是心理问题的风险因素.
研究的目的:
- 为了强调ICU幸存者的长期心理负担.
- 为了强调在评估和治疗心理症状的不一致性在这个人群.
- 倡导早期的,连续的查和门诊心理健康随访.
主要方法:
- 审查现有的关于ICU幸存者的心理结果的文献.
- 分析已识别的风险因素,包括急性压力症状.
- 讨论当前的评估和治疗差距.
主要成果:
- 心理障碍是严重疾病的常见和持久的后果.
- 目前在ICU患者和幸存者中进行心理评估和治疗的实践是不一致的.
- 许多患者没有得到足够的心理评估,诊断或治疗.
结论:
- 对ICU患者来说,心理障碍的早期和连续查至关重要.
- 将幸存者与门诊心理健康服务联系起来,对于减轻长期痛苦至关重要.
- 积极的心理健康支持可以改善ICU幸存者的康复轨迹.
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