在ICU幸存者的创伤后应激障碍:与长期精神和身体结果的相关性
Valerio Dell'Oste1,2, Maria Martelli3, Sara Fantasia1
1Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy.
概括
重症监护室 (ICU) 的幸存者经历了相当大的身体和心理负担,包括25.3%的创伤后应激障碍 (PTSD). 创伤后应激障碍与增加的残疾和精神症状有关,强调需要长期随访.
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.
- 神经科学是一个神经科学.
背景情况:
- 进入重症监护室 (ICU) 给患者带来了相当大的身体和心理压力.
- 长期的心理健康问题,包括焦虑,抑郁和创伤后应激障碍 (PTSD),是ICU幸存者的常见后果.
- 了解ICU幸存者的身体和精神症状之间的相互作用对于有效的长期护理至关重要.
研究的目的:
- 在ICU出院6个月后,系统评估患者的身体和精神症状 (抑郁,焦虑,PTSD).
- 为了研究患有PTSD和没有PTSD的患者之间这些症状的差异.
- 探索ICU幸存者的精神症状和身体后果之间的相关性.
主要方法:
- 一组从意大利大学医院重症监护室出院的患者6个月后被评估.
- 使用了经过验证的问卷:GOS-E,QOLIBRI,EQ-5D-3L,IES-R,PHQ-9和GAD-7.这些问卷已经得到验证.
- 在PTSD和非PTSD组之间比较症状的患病率和严重程度.
主要成果:
- 在ICU退院6个月后,观察到中度的PTSD (25.3%) 患病率.
- 与没有PTSD组相比,PTSD组表现出具有统计学意义的中度至严重残疾的更高患病率 (63.6%).
- 患有PTSD的患者还报告了更高水平的抑郁和焦虑症状以及其他精神病后果.
结论:
- 重症监护室幸存者面临着患PTSD,抑郁症和焦虑症的相当大的风险.
- 在ICU幸存者的PTSD与增加的身体残疾和较差的精神病学结果有关.
- 长期的精神病学评估对于管理ICU幸存者的复杂需求至关重要.
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