从重症监护室出院的患者中的希望:一项前性队列研究
Mona Austenå1,2,3, Tone Rustøen2,3, Milada Cvancarova Hagen2,4
1Department of Postoperative and Intensive Care Nursing, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
Nursing in critical care
|January 7, 2025
概括
在重症监护室 (ICU) 治疗后,希望对患者至关重要. 保持希望与创伤后压力症状的减少和更多的社会支持有关,有助于恢复.
科学领域:
- 关键护理医学 关键护理医学
- 心理上的幸福心理上的幸福
- 患者的康复 患者的康复
背景情况:
- 希望对于在危急病期间面临不确定性和失去控制的患者来说至关重要.
- 后重症监护期望可以增强应对机制,促进康复.
研究的目的:
- 在重症监护室 (ICU) 治疗后的第一年,评估患者的希望水平.
- 研究希望与人口,临床和心理社会因素之间的关联.
主要方法:
- 在随机对照试验中进行的前性队列研究.
- 从五个混合ICU出院的成年人被跟踪了12个月.
- 收集的数据包括希望,创伤后压力症状和社会支持,使用回归和混合效应模型进行分析.
主要成果:
- 研究队列中的希望水平高于挪威一般人口,并且保持稳定.
- 没有先前的心理健康问题,较低的创伤后压力症状和更高的社会支持独立地与更大的希望有关.
- 影响希望的关键因素包括先前存在的心理健康,创伤后压力和社会支持.
结论:
- 患者在ICU退院一年后表现出稳定的希望水平.
- 心理社会因素,特别是先前的心理健康,创伤后压力和社会支持,显著影响了ICU后的希望.
- 干预措施应侧重于加强在ICU停留期间的心理社会支持,特别是针对弱势患者.
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