Operation Norr, AN/OP/IVA, Sahlgrenska University Hospital, SE-413 45 Göteborg, Sweden.
Intensive Crit Care Nurs. 2012 Jun;28(3):159-67. doi: 10.1016/j.iccn.2011.11.010.
In connection with the care received in the intensive care unit (ICU), the patient can experience discomfort and frustration. Earlier studies have shown mechanical ventilation (MV) to be a factor that increases patients' delusional memories in the ICU. The patients who need MV after a physical trauma constitute a vulnerable group who so far has attracted little attention from a long-term perspective.
The aim for this study is to describe mechanically ventilated trauma patients over time regarding their memories, psychological recovery and health related quality of life (HRQoL).
In a multicentre study, 41 patients who had received MV, answered a questionnaire with the SF-36, HAD and ICUM tool on two occasions about one and five years after the injury and care in the ICU.
The patients' memories were stable over time and significantly more patients remembered panic and anxiety. 37% remembered pain one year after the trauma and 46% five years thereafter. The majority of the patients remembered the family's presence from their ICU stay. Half of the patients had thoughts regarding why they had so few recollections. One fourth of the patients experienced clear symptoms of anxiety and the same amount had symptoms of depression one year after the injury. In seven of the patients the symptoms of probable anxiety persisted after five years. In six of the patients the symptoms of probable depression persisted after five years. Two of eight dimensions in HRQoL, the physical and emotional role functions, had improved significantly five years after the injury.
Five years after the trauma, the memories from the ICU were still the same and the HRQoL improved in only two out of eight dimensions. A smaller group of patients had remaining symptoms of psychological ill-health. MV in connection with trauma may result in continued reduced health in the long term.
在重症监护病房（ICU）接受治疗时，患者可能会感到不适和沮丧。早期研究表明，机械通气（MV）是增加患者 ICU 幻觉记忆的一个因素。需要 MV 的创伤后患者构成了一个弱势群体，迄今为止，他们很少从长期角度受到关注。
本研究旨在描述随着时间的推移，接受机械通气的创伤患者的记忆、心理恢复和健康相关生活质量（HRQoL）。
在一项多中心研究中，41 名接受 MV 的患者在受伤和 ICU 护理后一年和五年两次使用 SF-36、HAD 和 ICU 工具回答问卷。
患者的记忆随着时间的推移保持稳定，并且明显更多的患者记得恐慌和焦虑。37%的患者在创伤一年后记得疼痛，46%的患者在五年后记得疼痛。大多数患者记得 ICU 住院期间家人的陪伴。一半的患者对自己为什么记忆如此之少产生了疑问。四分之一的患者在受伤一年后出现明显的焦虑症状，同样数量的患者在五年后出现抑郁症状。在七名患者中，可能的焦虑症状在五年后仍然存在。在六名患者中，可能的抑郁症状在五年后仍然存在。HRQoL 的八个维度中有两个，身体和情绪角色功能，在受伤五年后显著改善。
创伤五年后，ICU 的记忆仍然相同，八个维度中只有两个的 HRQoL 有所改善。一小部分患者仍有心理健康问题的症状。与创伤相关的 MV 可能会导致长期健康状况持续下降。
