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重症监护及其不满:危重症患者的精神疾病

Intensive Care and its Discontents: Psychiatric Illness in the Critically Ill.

作者信息

Hashmi Ali M, Han Jin Y, Demla Vishal

机构信息

Department of Psychiatry and Behavioral Sciences, King Edward Medical University/Mayo Hospital, Neela Gumbad, Lahore-54700, Pakistan.

Menninger Department of Psychiatry and Behavioral Sciences, Department of Family and Community Medicine, Baylor College of Medicine, 1502 Taub Loop NPC 2nd Floor, Houston, TX 77030, USA.

出版信息

Psychiatr Clin North Am. 2017 Sep;40(3):487-500. doi: 10.1016/j.psc.2017.05.011. Epub 2017 Jun 28.

Abstract

Critically ill patients can develop a host of cognitive and psychiatric complaints during their intensive care unit (ICU) stay, many of which persist for weeks or months following discharge from the ICU and can seriously affect their quality of life, including their ability to return to work. This article describes some common psychiatric problems encountered by clinicians in the ICU, including their assessment and management. A comprehensive approach is needed to decrease patient suffering, improve morbidity and mortality, and ensure that critically ill patients can return to the highest quality of life after an ICU stay.

摘要

重症患者在重症监护病房(ICU)住院期间可能会出现一系列认知和精神方面的问题,其中许多问题在从ICU出院后的数周或数月内仍会持续存在,并可能严重影响他们的生活质量,包括重返工作岗位的能力。本文介绍了临床医生在ICU中遇到的一些常见精神问题,包括其评估和管理。需要采取综合方法来减轻患者痛苦、改善发病率和死亡率,并确保重症患者在ICU住院后能够恢复到最高质量的生活。

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