语言障碍和重症监护病房后随访的其他决定因素:五年回顾
Ibrahim S Karakus1, Annie B Johnson1, Andrew C Hanson2
1Division of Pulmonary, Critical Care, Allergy & Sleep Medicine, Mayo Clinic, Rochester, MN.
Mayo Clinic proceedings. Innovations, quality & outcomes
|February 27, 2026
概括
语言障碍和翻译需求显著减少了在重症监护后综合征 (PICS) 诊所的出席率. 改善PICS后续工作需要针对弱势患者群体提供有针对性的外展和语言支持.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 后重症监护综合征 (PICS) 影响了许多幸存者,需要专门的后续护理.
- 了解影响PICS诊所出诊的因素对于优化患者康复至关重要.
- 语言障碍和社会经济地位是获得ICU后护理的潜在障碍.
研究的目的:
- 确定与参加重症复发症综合征 (PICS) 后续诊所相关的因素.
- 具体评估语言障碍和社会经济地位对PICS诊所出席率和结果的影响.
主要方法:
- 对已成年患者进行的回顾性队列研究,这些患者被转介到PICS诊所.
- 分析与人口统计,语言能力,口译需求和社会经济地位相关的出席率.
- 在与会者中评估患者报告的结果 (EuroQol-5D,PTSD检查清单).
主要成果:
- 在2001年转诊患者中,临床出诊率为47.1%.
- 在语言障碍 (31.1%) 和需要口译员 (29.4%) 的患者中,出席率较低.
- 长时间的重症监护室/住院住院与出院率的减少有关,而女性,长时间住院和失业与更差的生活质量和PTSD分数相关.
结论:
- 语言障碍,翻译需求和长时间住院是PICS诊所出席的重大障碍.
- 语言障碍也阻碍了患者参与康复评估.
- 建议加强外展,语言服务和翻译材料,以提高PICS后续护理的有效性.
相关概念视频
Barriers to Effective Communication II
5.2K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
5.2K
Documentation in Long-Term and Home Healthcare Setting
1.6K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.6K
Assumptions of Survival Analysis
466
Survival models analyze the time until one or more events occur, such as death in biological organisms or failure in mechanical systems. These models are widely used across fields like medicine, biology, engineering, and public health to study time-to-event phenomena. To ensure accurate results, survival analysis relies on key assumptions and careful study design.
466
Methods of Documentation VI: Case Management Model
981
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
981
Longitudinal Studies
579
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
579
Longitudinal Research
13.5K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
13.5K
