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[重症脓毒症患者及其亲属在重症监护后的身心长期后遗症]

[Physical and mental long-term sequelae following intensive care of severe sepsis in patients and relatives].

作者信息

Jaenichen Doreen, Brunkhorst Frank M, Strauss Bernhard, Rosendahl Jenny

机构信息

Institut für Psychosoziale Medizin und Psychotherapie, Friedrich-Schiller-Universität, Universitätsklinikum Jena.

出版信息

Psychother Psychosom Med Psychol. 2012 Sep-Oct;62(9-10):335-43. doi: 10.1055/s-0032-1306354. Epub 2012 May 14.

Abstract

This study aimed at investigating the physical and mental long-term sequelae in survivors of severe sepsis and in their relatives. Furthermore, the role of resilience as protective factor was examined. We contacted all persons who had requested free of charge advice from the German Sepsis Aid's National Helpline and asked them to answer a questionnaire. We included 87 patients and 90 relatives of patients who survived a severe sepsis. About two thirds of the patients and relatives reported clinically relevant post-traumatic symptoms. There were strong dyadic relations between patient and spouses regarding physical and mental health and quality of life. Resilience was found to be a significant negative predictor of physical complaints, anxiety, depression and post-traumatic stress symptoms in patients and relatives. Diagnosis and therapy of mental disorders is of particular importance within primary care following sepsis.

摘要

本研究旨在调查严重脓毒症幸存者及其亲属的身心长期后遗症。此外,还研究了心理弹性作为保护因素的作用。我们联系了所有曾向德国脓毒症援助组织国家热线免费咨询的人,并请他们回答一份问卷。我们纳入了87例严重脓毒症幸存者患者及其90名亲属。约三分之二的患者及其亲属报告有临床相关的创伤后症状。在患者与配偶之间,在身心健康和生活质量方面存在密切的二元关系。研究发现,心理弹性是患者及其亲属身体不适、焦虑、抑郁和创伤后应激症状的显著负向预测因子。在脓毒症后的初级保健中,精神障碍的诊断和治疗尤为重要。

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