School of Nursing and Midwifery, University of Dundee, Dundee, UK.
Nurs Crit Care. 2010 Mar-Apr;15(2):86-93. doi: 10.1111/j.1478-5153.2010.00387.x.
Recovery from critical illness can be prolonged and can result in a number of significant short- and long-term psychological consequences. These may be associated with the patient's perception of the intensive care experience.
The aims of the study were to assess patients' perceptions of their intensive care unit (ICU) experience and the effect of these on anxiety, depression and post-traumatic stress up to 6 months after discharge.
One hundred and three participants were recruited from six ICUs from one Critical Care Network in the United Kingdom. A prospective, longitudinal study was designed to assess anxiety, depression, post-traumatic stress symptomatology and patients' perceptions of their intensive care experience. Data were collected on three occasions: after intensive care discharge and before hospital discharge, and 2 months and 6 months later. Measures included the impact of events scale, hospital anxiety and depression scale and intensive care experience questionnaire.
Anxiety, depression, avoidance and intrusion scores did not significantly reduce over time. At hospital discharge there was a significant association between patients' perceptions of their intensive care experience and anxiety, depression, avoidance and intrusion scores at hospital discharge.
Standardised assessment of an intensive care experience is important. It provides information about the patient experience which can inform care practice within ICU, following discharge to the ward and, in the longer term, rehabilitation.
从重病中恢复可能需要很长时间，并会导致许多短期和长期的严重心理后果。这些可能与患者对重症监护体验的感知有关。
本研究的目的是评估患者对重症监护病房（ICU）体验的看法，以及这些看法对出院后 6 个月内焦虑、抑郁和创伤后应激的影响。
从英国一个重症监护网络的六个 ICU 招募了 103 名参与者。设计了一项前瞻性、纵向研究，以评估焦虑、抑郁、创伤后应激症状和患者对重症监护体验的看法。在三个时间点收集数据：重症监护病房出院后和出院前，以及 2 个月和 6 个月后。测量包括事件影响量表、医院焦虑和抑郁量表以及重症监护体验问卷。
焦虑、抑郁、回避和入侵评分并没有随着时间的推移而显著降低。在出院时，患者对重症监护体验的看法与出院时的焦虑、抑郁、回避和入侵评分显著相关。
对重症监护体验进行标准化评估很重要。它提供了有关患者体验的信息，这些信息可以为 ICU 内的护理实践提供信息，出院到病房后，以及在更长期内的康复。
