在重症监护室逗留期间的梦境经历:发生,内容,生动性和相关因素
Adrienne E van der Hoeven1,2, Rolf Fronczek1,2, Denise Bijlenga1,2
1Department of Neurology, Leiden University Medical Center, Leiden, the Netherlands.
Nursing in critical care
|July 2, 2025
概括
在重症监护室 (ICU) 患者中,生动的梦是常见的,通常会引起痛苦. 了解这些经验对于患者的康复和护理至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
背景情况:
- 在重症监护室 (ICU) 的患者经常报告生动的梦境经历.
- 这些梦的发生,特征和影响在重症监护环境中仍然不太清楚.
研究的目的:
- 调查ICU患者的梦境体验的流行,生动性,内容和情感影响.
- 在ICU人群中确定与生动梦想相关的因素.
主要方法:
- 进行了一项回顾性混合方法研究,对成人患者 (≥18岁) 进行了研究,这些患者至少入院了4天或因COVID-19而入院于ICU.
- 没有被镇静24小时以上的参与者通过电话填写了回顾性问卷,从电子健康记录中提取了临床数据.
主要成果:
- 79%的参与者报告了梦境经历,73%的人将其描述为"类似生活",49%的人将其与负面情绪联系在一起.
- 梦想通常与ICU入院有关,年轻的年龄和更长的ICU停留时间与生动性有关. 62.5%的那些有梦的人曾经历过妄想.
- 报告的感知障碍和确认的妄想 (70%) 之间观察到明显的重叠,许多患者无法区分这两种.
结论:
- 鲜明的梦想是ICU患者中常见的和具有情感影响的现象.
- 需要进一步的研究来区分梦,妄想和感知障碍,并制定减轻其负面影响的策略.
- 医疗保健提供者,特别是ICU护士,应该意识到这种心理负担,并提供预先支持以帮助患者康复.
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