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妄想:严重病患者的认知,功能和生活质量结果
Martha Liliana Sánchez-Lozano1, Cristian Daniel Restrepo-Ramírez1, Laura Sofía Serna-Echeverri1
1Faculty of Health Sciences, Universidad Tecnológica de Pereira, AA 97, La Julita, 660001 Risaralda, Colombia.
Revista Colombiana de psiquiatria
|November 10, 2025
概括
重症患者的痴呆症显著影响长期的认知功能和生活质量. 早期教育和跨学科的心理健康支持对于重症监护室 (ICU) 后的幸存者至关重要.
科学领域:
- 临界护理医学 临界护理医学
- 神经科学是一个神经科学.
- 老年学是一门学科.
背景情况:
- 有限的证据表明,痴呆症对重症患者的长期影响有限.
- 狂妄症是重症监护室 (ICU) 中常见的并发症,可能会造成长期后果.
研究的目的:
- 评估妄对认知功能,功能和生活质量的影响,在ICU退院三个月后.
- 调查在重症患者中妄和死亡率之间的关联.
主要方法:
- 2018年4月至9月进行了一项嵌套病例控制研究.
- 81名危急病患者使用ICU的混乱评估方法 (CAM-ICU) 进行了评估.
- 认知功能 (MMSE),功能性 (PGC-IADL) 和生活质量 (SF-36) 在三个月的随访中进行了评估.
主要成果:
- 狂妄症的患病率为26%,狂妄症患者的死亡率更高 (35.4%vs10%).
- 在迷你精神状态检查 (MMSE) 和SF-36中,迷你精神状态的幸存者表现出明显较低的分数,特别是在社会功能,情感角色和心理健康方面.
- 通过PGC-IADL测量,在组之间没有观察到功能上的显著差异.
结论:
- 痴呆症显著损害了后ICU患者的认知功能和生活质量.
- 通过对ICU团队的教育,提高 Delirium 意识至关重要.
- 跨学科的心理健康支持对于ICU幸存者的预防和康复策略至关重要.
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