Rattray J E, Johnston M, Wildsmith J A W
School of Nursing and Midwifery, University of Dundee, Ninewells Hospital, Dundee, DD1 9SY.
Anaesthesia. 2005 Nov;60(11):1085-92. doi: 10.1111/j.1365-2044.2005.04336.x.
Negative emotional outcomes (anxiety, depression and post-traumatic stress) have been identified in patients discharged from intensive care. The aims of this prospective, longitudinal study were to assess levels of and changes in emotional outcome after intensive care, and to explore how these relate to objective and subjective indicators of the intensive care experience. Emotional outcome was assessed using the Hospital Anxiety and Depression and Impact of Event Scales. Anxiety (p = 0.046) and depression (p = 0.001) were reduced subsequently, but not avoidance (p = 0.340) or intrusion (p = 0.419). Most objective (age, gender, length of ICU and hospital stay) and subjective indicators (as measured by the Intensive Care Experience Questionnaire) of the intensive care experience were related to negative emotional outcome. Subjective interpretation of the intensive care experience emerged as a consistent predictor of adverse emotional outcome, in both the short- and the long-term.
重症监护病房出院患者中已发现存在负面情绪结果（焦虑、抑郁和创伤后应激）。这项前瞻性纵向研究的目的是评估重症监护后情绪结果的水平和变化，并探讨这些结果与重症监护经历的客观和主观指标之间的关系。使用医院焦虑抑郁量表和事件影响量表评估情绪结果。焦虑（p = 0.046）和抑郁（p = 0.001）随后有所减轻，但回避（p = 0.340）或闯入（p = 0.419）没有减轻。重症监护经历的大多数客观指标（年龄、性别、重症监护病房和住院时间）和主观指标（通过重症监护经历问卷测量）都与负面情绪结果有关。对重症监护经历的主观解读在短期和长期内均成为不良情绪结果的一致预测因素。
