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在体外膜氧化支持后与创伤相关的精神病理:系统性审查和元分析

Ashley Demory¹, Elizabeth Broden², Lucile Equey³

¹Department of Internal Medicine and Department of Pediatrics, Yale School of Medicine, New Haven, CT, USA.

|January 29, 2025

概括

身体外膜氧化 (ECMO) 可以导致患者和家人出现严重的心理健康问题. 这项审查发现,受ECMO治疗影响的人群中,PTSD,焦虑和抑郁症的发病率很高.

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.
公共卫生公共卫生

背景情况:

身体外膜氧化 (ECMO) 是一种拯救生命的干预措施,但与患者及其家人相当大的心理痛苦有关.
了解ECMO后精神疾病的患病率对于开发有针对性的支持至关重要.

研究的目的:

在成人和儿科ECMO幸存者及其家人中系统地审查和量化创伤后应激障碍 (PTSD),焦虑和抑郁症的患病率.
为了确定与ECMO治疗相关的心理负担.

主要方法:

对ECMO患者或他们的家属中创伤相关的精神病理学报告的研究进行系统审查和元分析.
包括55项研究,5146名参与者,专注于成人和儿科ECMO幸存者和家庭成员.

主要成果:

在ECMO幸存者及其家人中发现了:PTSD (19-25%),焦虑 (8-67%) 和抑郁 (8-50%).
儿童幸存者和成年患者的家属报告了特别高的焦虑和抑郁率.

结论:

在幸存者和他们的家人中,ECMO的使用与创伤相关的精神病理的高患病率有关.
显然需要进行干预措施,以减轻ECMO治疗后的心理影响并改善长期结果.

关键词:

一个成熟的成年人.焦虑是一种焦虑.孩子孩子孩子孩子孩子孩子抑郁抑郁症抑郁症抑郁症抑郁症身体外膜氧化氧化家庭家庭家庭家庭这是创伤后的创伤.压力障碍压力障碍压力障碍幸存者幸存者幸存者

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