ICU, Whiston Hospital, Warrington Road, Prescot L35 5DR, UK.
Crit Care. 2010;14(5):R168. doi: 10.1186/cc9260. Epub 2010 Sep 15.
Patients recovering from critical illness have been shown to be at risk of developing Post Traumatic Stress disorder (PTSD). This study was to evaluate whether a prospectively collected diary of a patient's intensive care unit (ICU) stay when used during convalescence following critical illness will reduce the development of new onset PTSD.
Intensive care patients with an ICU stay of more than 72 hours were recruited to a randomised controlled trial examining the effect of a diary outlining the details of the patients ICU stay on the development of acute PTSD. The intervention patients received their ICU diary at 1 month following critical care discharge and the final assessment of the development of acute PTSD was made at 3 months.
352 patients were randomised to the study at 1 month. The incidence of new cases of PTSD was reduced in the intervention group compared to the control patients (5% versus 13%, P = 0.02).
The provision of an ICU diary is effective in aiding psychological recovery and reducing the incidence of new PTSD.
NCT00912613.
患有创伤后应激障碍（PTSD）的重症患者已被证明处于发病风险中。本研究旨在评估当患者在重症监护病房（ICU）康复期间使用前瞻性收集的 ICU 住院日记时，是否会降低新发 PTSD 的发生。
将 ICU 住院时间超过 72 小时的重症监护患者纳入一项随机对照试验，该试验研究了详细记录 ICU 住院情况的日记对急性 PTSD 发展的影响。在重症监护出院后 1 个月时，干预组患者收到他们的 ICU 日记，急性 PTSD 的最终评估在 3 个月时进行。
在 1 个月时，352 名患者被随机分配到该研究中。与对照组患者相比，干预组新发 PTSD 的病例数减少（5%比 13%，P = 0.02）。
提供 ICU 日记有助于心理康复，并降低新发 PTSD 的发生率。
NCT00912613。
