后重症监护综合征和护理人员负担:随机临床试验的后期分析
Soojung Ahn1, Marianna LaNoue2, Han Su2,3
1Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts.
JAMA network open
|April 8, 2025
概括
后重症监护综合征 (PICS) 和护理人员负担在同一时间点之间存在联系. 然而,在本研究中,这些情况并没有显示出患者和他们的护理人员之间的纵向关联.
科学领域:
- 关键护理医学 关键护理医学
- 患者的治疗结果.
- 护理人员支持护理人员支持
背景情况:
- 后重症监护综合征 (PICS) 显著影响患者的康复和生活质量.
- 护理人员负担是危急病患者的家属的一个主要问题.
- 了解PICS和护理人员负担之间的相互作用对于综合护理至关重要.
研究的目的:
- 评估患者重症监护后损伤和护理人员负担之间的关联.
- 在12个月内探索PICS和护理人员负担之间的纵向关系.
- 确定干预的潜在目标,以减轻患者和护理人员的痛苦.
主要方法:
- 对MIND-USA随机临床试验数据的二次分析.
- 包括来自16个学术医疗中心的148个患者-护理人员二元组.
- 在随机化后的3个月和12个月使用经过验证的仪器评估PICS领域 (身体,认知,PTSD) 和照顾者负担.
- 结构方程建模以检查PICS和护理人员负担之间的关联.
主要成果:
- 在3个月和12个月的随访点上,PICS和护理人员负担具有积极的关联.
- 在3个月的PICS和12个月的护理人员负担之间没有发现显著的纵向关联,反之亦然.
- 在每个评估时间点中,在PICS和护理人员负担之间观察到显著的共同差异.
结论:
- 患者PICS和护理人员负担是同时相关的,但不是纵向的.
- 调查结果表明,干预措施可能需要同时解决PICS和护理人员负担.
- 需要进一步的研究来阐明复杂的关系,并制定有效的支持策略.
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