影响ICU幸存者的健康相关生活质量的因素
Kyung Hoon Kim1, Jong Min Lee2, Young Seok Lee3
1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
老年,ICU感染,虚弱以及最初的焦虑/抑郁预测了重症监护室 (ICU) 幸存者的中期生活质量不佳. 早期评估和干预对于更好的恢复至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
- 心理医学 心理医学
背景情况:
- 重症监护室 (ICU) 的幸存者经常经历长期的与健康有关的生活质量 (HRQoL) 缺陷.
- 确定中期HRQoL的预测因素对于有针对性的干预措施至关重要.
研究的目的:
- 调查影响韩国ICU幸存者的中期HRQoL因素.
- 为了确定较低HRQoL和ICU出院后持续的心理痛苦的预测因素.
主要方法:
- 一项多中心前性研究涉及2002名ICU患者,其中189人完成了90天的随访.
- 使用EuroQoL 5-Dimension (EQ-5D-5L) 和医院焦虑和抑郁量表 (HADS) 在出院后的30日和90天评估HRQoL.
- 多变量回归分析以确定HRQoL结果的独立预测因素.
主要成果:
- 老年,因感染而入住ICU,更高的临床虚弱度表 (CFS) 和基线HADS得分预测了90天后更低的EQ-5D-5L得分.
- 最初的HADS和CFS得分与持续的焦虑和抑郁症状有显著的关联.
- 流动性,自我照顾和HRQoL的通常活动领域受到特别影响.
结论:
- 对ICU患者的心理状态 (焦虑,抑郁) 和虚弱的早期评估对于预测康复至关重要.
- 针对高风险患者的有针对性的干预措施可以改善危急疾病后的长期结果和生活质量.
更多相关视频
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
相关概念视频
Factors Affecting Illness
For instance, risk factors are connected to illness,...
Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
Dimensions of Health and Illness
Acute Respiratory Failure-V
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Pneumonia III: Complications and Assessment
Factors Affecting Pulmonary Ventilation
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
