Oliveira Roselaine Pinheiro de, Teixeira Cassiano, Rosa Régis Goulart
Unidade de Terapia Intensiva, Hospital Moinhos de Vento - Porto Alegre (RS), Brasil.
Departamento de Clínica Médica, Universidade Federal de Ciências da Saúde de Porto Alegre - Porto Alegre (RS), Brasil.
Rev Bras Ter Intensiva. 2019 Oct-Dec;31(4):555-560. doi: 10.5935/0103-507X.20190074.
Patients with acute respiratory distress syndrome require ventilation strategies that have been shown to be important for reducing short-term mortality, such as protective ventilation and prone position ventilation. However, patients who survive have a prolonged stay in both the intensive care unit and the hospital, and they experience a reduction in overall satisfaction with life (independence, acceptance and positive outlook) as well as decreased mental health (including anxiety, depression and posttraumatic stress disorder symptoms), physical health (impaired physical state and activities of daily living; fatigue and muscle weakness), social health and the ability to participate in social activities (including relationships with friends and family, hobbies and social gatherings).
急性呼吸窘迫综合征患者需要采用已被证明对降低短期死亡率至关重要的通气策略，如保护性通气和俯卧位通气。然而，存活下来的患者在重症监护病房和医院的住院时间延长，他们对生活的总体满意度（独立性、接受度和积极的人生观）降低，心理健康（包括焦虑、抑郁和创伤后应激障碍症状）、身体健康（身体状态受损和日常生活活动受限；疲劳和肌肉无力）、社会健康以及参与社交活动的能力（包括与朋友和家人的关系、爱好和社交聚会）也有所下降。
