后重症监护综合征:一般精神病学家的第一课
Emma R Torncello1, O Joseph Bienvenu2, George E Sayde3
1Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
后重症监护综合征 (PICS) 影响严重疾病的幸存者身体,心理和认知障碍. 精神科医生在管理PICS,特别是其精神方面的管理中发挥着至关重要的作用,以改善患者的治疗结果.
科学领域:
- 关键护理医学 关键护理医学
- 精神病学是一个精神病学.
- 患者的恢复 患者的恢复
背景情况:
- 重症护理医学的进步导致了重症患者的生存率增加.
- 对幸存者的长期管理至关重要,导致2010年提出重症监护后综合征 (PICS).
- PICS包括影响恢复的身体,心理,认知和社会障碍.
研究的目的:
- 提供关于PICS的文献的叙事审查,重点关注精神病发病率.
- 协助精神病医生和初级保健临床医生管理PICS患者.
- 突出精神病护理在改善严重疾病幸存者的治疗结果方面的重要性.
主要方法:
- 关于重症监护后综合征 (PICS) 的文献综述.
- 专注于严重疾病后的精神病发病率.
- 对精神病学评估和管理策略的审查.
主要成果:
- 精神病发病率 临界后疾病与较差的身体功能,较高的死亡率和降低的生活质量有关.
- 精神病医生在PICS的多学科管理中至关重要.
- 综合护理包括病史,查,药物/非药物干预和协调方法.
结论:
- 精神病治疗是管理重症监护综合征 (PICS) 的组成部分.
- 多学科的方法对于解决PICS幸存者的复杂需求至关重要.
- 有效的管理可以减轻长期障碍,改善患者的生活质量.
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