Ricou Bara, Desarmenien Marine, Pugin Jérôme
Soins intensifs, Département APSI, HUG, 1211 Genève 14.
Rev Med Suisse. 2018 Jul 11;14(613):1365-1369.
The progress of intensive care medicine allows the survival of patients with severe critical illness. However, the quality of life of patients with a prolonged stay in intensive care unit (ICU) can be poor. The physical and psychological consequences are due more to the intensive care than the primary diagnoses. Moreover, a stay of a beloved in an ICU impacts heavily on the relatives. The service of Geneva ICU developed a specific model of care for patients with a prolonged stay and seeks to establish a follow-up consultation for these patients. The aim would be to fill the memory gaps, explain the events during their stay, and detect potential complications. This project fits in the follow-up of complex situations in tight collaboration with the family doctors of such patients.
重症监护医学的进步使严重危重病患者得以存活。然而,在重症监护病房(ICU)长期住院的患者生活质量可能较差。其身心后果更多是由重症监护而非原发诊断导致的。此外,亲人在ICU的住院经历对家属影响极大。日内瓦ICU服务部门为长期住院患者制定了一种特定的护理模式,并试图为这些患者建立随访咨询。目的是填补记忆空白,解释他们住院期间的情况,并检测潜在并发症。该项目与这些患者的家庭医生紧密合作,适用于复杂情况的随访。