退院查预测了儿童重症病后父母持续的心理痛苦
Lynne M Rosenberg1, Gabrielle Silver2, Keshia Small3
1Department of Poison & Drug Safety, Denver Health Medical Center, Denver, CO 80204, USA.
Children (Basel, Switzerland)
|October 29, 2025
概括
在儿童重症监护室 (PICU) 入院后,父母的心理困扰是常见的. 出院时的查可以确定需要对持续焦虑,抑郁和创伤后压力症状提供支持的家庭.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 心理学 心理学 心理学
- 家庭研究 家庭研究
背景情况:
- 儿科重症是儿童及其家属的重要压力因素.
- 解决家庭层面的影响对于儿科重症监护室 (PICU) 幸存者的结果至关重要.
- 父母的心理健康影响着整个家庭的福祉和康复.
研究的目的:
- 检查儿童重症监护病房入院后家长焦虑和抑郁症的患病率和持续性.
- 在30天的随访中评估父母的创伤后压力症状.
- 在PICU患者的家长中确定持续心理痛苦的预测因素.
主要方法:
- 预期的观察队列研究设计.
- 在出院前和30天后使用了医院焦虑和抑郁量表 (HADS).
- 在随访时使用事件影响量表 (IES) 进行创伤后压力症状查.
主要成果:
- 50%的家长在出院前对焦虑和/或抑郁症的查结果呈阳性.
- 在30天的随访中,44%的父母表现出焦虑,抑郁和/或创伤后压力症状 (PTSS).
- 出院前的阳性HADS查是持续心理症状的唯一独立预测因素.
结论:
- 父母的心理困扰是普遍的,并持久的孩子的PICU住宿后.
- 退院查有效地识别了面临持续精神健康问题的高风险家庭.
- 早期识别有助于及时干预父母的焦虑,抑郁和PTSS.
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