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在ICU幸存者的身体功能六个月的轨迹:来自东开普的一个中心中心的经验

Elizabeth van der Merwe^1,2, Louise Stroud³, Gary Sharp⁴

¹Department of Critical Care, Faculty of Health Sciences, Nelson Mandela University, Gqeberha, South Africa.

The South African journal of physiotherapy

|September 15, 2025

概括

许多重症监护室幸存者经历了持久的身体损伤和疼痛,影响了他们的生活质量. 早期康复途径对于这些患者的康复至关重要.

科学领域:

关键护理医学关键护理医学
康复医学康复医学康复医学
生活质量研究研究生命质量研究

背景情况:

在重症监护室 (ICU) 幸存者中,身体障碍很常见,由于ICU获得的神经肌肉衰弱 (ICU-AW),疼痛,脱和器官功能降低,影响了高达60%的患者.
这种损伤显著降低了幸存者的健康相关生活质量 (HRQOL).

研究的目的:

评估医院出院后重症患者的身体损伤程度和HRQOL.
在ICU幸存者中识别与身体损伤和HRQOL结果相关的因素.

主要方法:

107名ICU幸存者的队列在出院6周和6个月后被评估.
通过六分钟步行测试 (6MWT) 和医学研究委员会 (MRC) 评分来衡量体力表现.
HRQOL使用兰德简短表格-36 (SF-36) 问卷进行评估.

主要成果:

在六个月后,53.5%的幸存者身体表现受损 (6MWT<80%预测),女性受影响不成比例.
身体表现差与较低的身体和精神HRQOL相关.
26.2%的人报告说疼痛干扰了活动;只有2%的人在六个月后完全满足了ICU-AW标准.

结论:

ICU幸存者在出院六个月后面临显著的身体损伤和疼痛,这会对HRQOL产生负面影响.
身体障碍是多因素的,超越肌肉软弱.
建议有针对性的康复途径,以改善年轻,以前不脆弱的ICU幸存者的康复.

关键词:

在ICU获得的弱点.医学研究理事会的分数得分关键护理关键护理的关键护理与健康相关的生活质量.身体上的损伤,身体上的损伤.在ICU后的疼痛.在ICU后的综合症.六分钟步行测试测试

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