重症监护后儿童的回忆。
Recollection of children following intensive care.
作者信息
Playfor S, Thomas D, Choonara I
机构信息
Paediatric Critical Care Unit, The Hospital for Sick Children, 555 University Avenue, Toronto M5G 1X8, Canada.
出版信息
Arch Dis Child. 2000 Nov;83(5):445-8. doi: 10.1136/adc.83.5.445.
Abstract
BACKGROUND AND AIMS
The recollections of critically ill children following discharge from the paediatric intensive care unit (PICU) have not previously been described. We have interviewed such children to establish the nature of their recollections.
METHODS
Children aged 4 years and above were interviewed following discharge from the PICU at the Queens Medical Centre, Nottingham, either in hospital or at home, using a semistructured interview. Their recollections were recorded and interpreted by content analysis.
RESULTS
A total of 38 interviews were carried out; 44 specific recollections were reported, the majority being neutral (60%) or positive (25%). Only 15% of recollections were negative. Negative recollections related to aspects of medical care and environmental factors. No child treated with neuromuscular blocking agents remembered any period of therapeutic paralysis.
CONCLUSIONS
Children's recollections of PICU are mainly neutral or positive. Mechanically ventilated children sedated with midazolam and morphine remember little of endotracheal intubation.
摘要
背景与目的
此前尚未对儿科重症监护病房（PICU）出院的危重症患儿的回忆情况进行过描述。我们对这类患儿进行了访谈，以确定他们回忆的性质。
方法
对4岁及以上从诺丁汉女王医疗中心PICU出院的患儿，在医院或家中采用半结构化访谈进行调查。通过内容分析法对他们的回忆进行记录和解读。
结果
共进行了38次访谈；报告了44项具体回忆，其中大多数为中性（60%）或正面（25%）。只有15%的回忆是负面的。负面回忆与医疗护理方面和环境因素有关。接受神经肌肉阻滞剂治疗的患儿均未记得任何治疗性麻痹期。
结论
儿童对PICU的回忆主要是中性或正面的。用咪达唑仑和吗啡镇静的机械通气患儿对气管插管的记忆很少。
相似文献
1
Recollection of children following intensive care.重症监护后儿童的回忆。
Arch Dis Child. 2000 Nov;83(5):445-8. doi: 10.1136/adc.83.5.445.
2
Recollections of Indian children after discharge from an intensive care unit.印度儿童从重症监护病房出院后的回忆。
Pediatr Crit Care Med. 2005 May;6(3):303-7. doi: 10.1097/01.PCC.0000160659.40315.B3.
3
Severely ill ICU patients recall of factual events and unreal experiences of hospital admission and ICU stay--3 and 12 months after discharge.重症监护病房（ICU）的重症患者对入院及在ICU住院期间的真实事件和虚幻经历的回忆——出院后3个月和12个月。
Intensive Crit Care Nurs. 2006 Jun;22(3):154-66. doi: 10.1016/j.iccn.2005.09.008. Epub 2005 Oct 28.
4
Current United Kingdom sedation practice in pediatric intensive care.英国目前在儿科重症监护中的镇静实践。
Paediatr Anaesth. 2007 Jul;17(7):675-83. doi: 10.1111/j.1460-9592.2006.02180.x.
5
A first contribution to the validation of the Italian version of the Behavioral Pain Scale in sedated, intubated, and mechanically ventilated paediatric patients.对意大利版行为疼痛量表在镇静、插管和机械通气儿科患者中的有效性的首次贡献。
Acta Biomed. 2018 Dec 7;89(7-S):19-24. doi: 10.23750/abm.v89i7-S.7945.
6
Sedation and neuromuscular blockade in paediatric intensive care: a review of current practice in the UK.儿科重症监护中的镇静和神经肌肉阻滞：英国当前实践综述
Paediatr Anaesth. 2003 Feb;13(2):147-51. doi: 10.1046/j.1460-9592.2003.00989.x.
7
School-age children's perceptions of their PICU hospitalization.学龄儿童对其儿科重症监护病房住院经历的认知。
Pediatr Nurs. 2005 May-Jun;31(3):166-75.
8
[Recollections of ventilated patients after a stay in the intensive care unit].[重症监护病房停留后通气患者的回忆]
Wien Klin Wochenschr. 1999 Feb 26;111(4):148-52.
9
Midazolam exposure in the paediatric intensive care unit predicts acute post-traumatic stress symptoms in children.咪达唑仑在儿科重症监护病房的暴露与儿童急性创伤后应激症状相关。
Aust Crit Care. 2022 Jul;35(4):408-414. doi: 10.1016/j.aucc.2021.06.004. Epub 2021 Aug 7.
10
Nurse-driven pediatric analgesia and sedation protocol reduces withdrawal symptoms in critically ill medical pediatric patients.护士主导的儿科镇痛与镇静方案可减轻儿科重症内科患者的戒断症状。
Paediatr Anaesth. 2015 Aug;25(8):786-794. doi: 10.1111/pan.12649. Epub 2015 Mar 24.
引用本文的文献
1
Dexmedetomidine Improves Non-rapid Eye Movement Stage 2 Sleep in Children in the Intensive Care Unit on the First Night After Laparoscopic Surgery.右美托咪定改善腹腔镜手术后第一晚入住重症监护病房儿童的非快速眼动睡眠2期。
Front Pediatr. 2022 Apr 27;10:871809. doi: 10.3389/fped.2022.871809. eCollection 2022.
2
Families' Experiences of Life in the Year after a Child's Critical Illness: Navigating the Road to a "New Normal".孩子患重病后家庭的一年生活经历：踏上通往“新常态”之路
J Pediatr Intensive Care. 2020 Sep;9(3):188-195. doi: 10.1055/s-0040-1705132. Epub 2020 Mar 9.
3
Psychological Aspects of Care of the Critically Ill Child.危重症患儿护理的心理层面
J Pediatr Intensive Care. 2015 Dec;4(4):182-187. doi: 10.1055/s-0035-1563542. Epub 2015 Aug 26.
4
Pain assessment in the critically ill mechanically ventilated adult patients: Comparison between skin conductance algesimeter index and physiologic indicators.危重症机械通气成年患者的疼痛评估：皮肤电导测痛仪指数与生理指标的比较
Saudi J Anaesth. 2018 Apr-Jun;12(2):204-208. doi: 10.4103/sja.SJA_489_17.
5
Eliciting the experiences of the adolescent-parent dyad following critical care admission: a pilot study.重症监护病房收治后青少年-家长二人组的体验：一项初步研究。
Eur J Pediatr. 2018 May;177(5):747-752. doi: 10.1007/s00431-018-3117-y. Epub 2018 Feb 21.
6
The CLOSED trial; CLOnidine compared with midazolam for SEDation of paediatric patients in the intensive care unit: study protocol for a multicentre randomised controlled trial.CLOSED试验；重症监护病房中可乐定与咪达唑仑用于小儿患者镇静的比较：一项多中心随机对照试验的研究方案
BMJ Open. 2017 Jun 21;7(6):e016031. doi: 10.1136/bmjopen-2017-016031.
7
Children's psychological and behavioral responses following pediatric intensive care unit hospitalization: the caring intensively study.儿童重症监护病房住院后的心理和行为反应：强化护理研究
BMC Pediatr. 2014 Oct 26;14:276. doi: 10.1186/1471-2431-14-276.
8
Protocol for a longitudinal qualitative study: survivors of childhood critical illness exploring long-term psychosocial well-being and needs--The SCETCH Project.一项纵向定性研究方案：儿童危重病幸存者探索长期心理社会福祉与需求——SCETCH项目
BMJ Open. 2014 Jan 15;4(1):e004230. doi: 10.1136/bmjopen-2013-004230.
9
Protocolized versus non-protocolized weaning for reducing the duration of invasive mechanical ventilation in critically ill paediatric patients.采用标准化与非标准化撤机方案以缩短危重症患儿有创机械通气时间
Cochrane Database Syst Rev. 2013 Jul 31;2013(7):CD009082. doi: 10.1002/14651858.CD009082.pub2.
10
Tolerance and withdrawal from prolonged opioid use in critically ill children.危重病患儿长期阿片类药物使用的耐受和戒断。
Pediatrics. 2010 May;125(5):e1208-25. doi: 10.1542/peds.2009-0489. Epub 2010 Apr 19.
本文引用的文献
1
Patients' perceptions of intensive care.患者对重症监护的认知。
Lancet. 1999 Aug 14;354(9178):571-2. doi: 10.1016/S0140-6736(99)02728-2.
2
Post-traumatic stress disorder in paediatric patients and their parents: an exploratory study.儿科患者及其父母的创伤后应激障碍：一项探索性研究。
J Paediatr Child Health. 1998 Dec;34(6):539-43. doi: 10.1046/j.1440-1754.1998.00303.x.
3
Patient recall of therapeutic paralysis in a surgical critical care unit.外科重症监护病房中患者对治疗性麻痹的回忆。
Pharmacotherapy. 1998 Mar-Apr;18(2):358-63.
4
Sedation with intravenous midazolam in the pediatric intensive care unit.儿科重症监护病房中静脉注射咪达唑仑进行镇静。
Clin Pediatr (Phila). 1997 Aug;36(8):449-54. doi: 10.1177/000992289703600803.
5
Patients' recollections of critical care.患者对重症监护的回忆。
Dimens Crit Care Nurs. 1997 May-Jun;16(3):132-41. doi: 10.1097/00003465-199705000-00003.
6
Recall in the sedated ICU patient.对重症监护病房（ICU）中接受镇静治疗的患者进行回忆。
J Clin Anesth. 1996 Dec;8(8):675-8. doi: 10.1016/s0952-8180(96)00178-x.
7
Steady-state plasma concentrations of midazolam in critically ill infants and children.危重症婴幼儿和儿童中咪达唑仑的稳态血浆浓度。
Ann Pharmacother. 1996 Jan;30(1):27-30. doi: 10.1177/106002809603000104.
8
An exploratory study of patients' memory recall of their stay in an adult intensive therapy unit.一项关于患者对其在成人重症监护病房住院经历的记忆回忆的探索性研究。
Intensive Crit Care Nurs. 1996 Jun;12(3):131-7. doi: 10.1016/s0964-3397(96)80435-6.
9
Pediatric intensive care sedation: survey of fellowship training programs.儿科重症监护镇静：专科培训项目调查
Pediatrics. 1993 Feb;91(2):369-78.
10
Failure of intravenous low dose midazolam to influence memory recall in drug paralysed post-operative patients sedated with papaveretum.静脉注射低剂量咪达唑仑对用罂粟碱镇静的药物麻痹术后患者的记忆回忆无影响。
Aust Crit Care. 1994 Sep;7(3):22-4. doi: 10.1016/s1036-7314(94)70676-7.
Zotero 插件