北非重症监护室幸存者的创伤后应激障碍,焦虑和抑郁症:一项前性观察研究
Imen Ben Saida1,2, Marwa Zghidi1,2, Safa Fathallah2
1Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
Acute and critical care
|September 3, 2025
概括
在重症监护室 (ICU) 的幸存者中,创伤后应激障碍 (PTSD),焦虑和抑郁是常见的. 年轻的年龄,女性的性别和身体的克制与这些情况有关.
科学领域:
- 危急护理医学
- 神经科学
- 精神病学
背景情况:
- 严重疾病的幸存者经常经历长期的身体和心理问题,影响生活质量.
- 创伤后应激障碍 (PTSD),焦虑和抑郁是重症监护室 (ICU) 幸存者的普遍担忧.
- 与重症监护综合征相关的神经精神疾病 (PICS-ND) 是一个严重的疾病负担.
研究的目的:
- 在急症室存活3个月后确定创伤后应激障碍,焦虑和抑郁症的发生率.
- 在这些人群中识别与PTSD,焦虑和抑郁相关的因素.
- 调查PICS-ND的流行情况和决定因素.
主要方法:
- 在医疗ICU进行的前性观察分析研究.
- 基于电话的问卷 (影响事件量表修订,医院焦虑和抑郁量表) 在急症室出院3个月后进行.
- 单变量和多变量分析以确定重要的相关变量.
主要成果:
- 3个月后患有PTSD (21. 9%),焦虑 (21. 0%) 和抑郁症 (9. 6%).
- 创伤后应激障碍的相关因素包括年轻年龄,女性性别,身体克制以及严重疾病多神经病和肌肉病 (CIPNM).
- PICS- ND影响了28. 9%的患者,年龄较小,女性性别和身体克制是相关因素.
结论:
- 创伤后应激障碍,焦虑,抑郁和PICS-ND是重症监护室幸存者的常见后果.
- 心理结果与年轻年龄,女性性别,婚姻状况,查尔森指数,身体克制和CIPNM有关.
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