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[重症监护患者及其家属的重症监护后综合征]

[Post-Intensive Care Syndrome in Intensive Care Patients and Their Families].

作者信息

Lin Yu-Hua

机构信息

PhD, RN, Professor, Department of Nursing, I-Shou University, Taiwan, ROC.

出版信息

Hu Li Za Zhi. 2020 Jun;67(3):30-37. doi: 10.6224/JN.202006_67(3).05.

Abstract

The population of survivors of critical illness has increased with advancements in medicine and technology. However, many patients and their families experience post-intensive care syndromes after discharge from intensive care units (ICUs) due to the comorbidities and side-effects of severe illnesses and related treatments. The problems faced by these survivors are mainly physical symptoms, cognitive disorders, and psychological problems (including anxiety, depression, and traumatic stress disorder). Moreover, patient family members frequently experience psychological problems as well. This article introduces the post-intensive care syndromes (PICS) of survivors and their families; describe the physical symptoms, risk factors, and prevention strategies related to PICS; and primary instruments currently used to measure PICS. The authors hope to provide intensive care health staff with the knowledge necessary to implement preventive strategies for patients as early as possible during their ICU stay to improve the quality of intensive care.

摘要

随着医学和技术的进步,危重症幸存者的数量有所增加。然而,由于重症疾病及其相关治疗的合并症和副作用,许多患者及其家属在从重症监护病房(ICU)出院后会经历重症后综合征。这些幸存者面临的问题主要是身体症状、认知障碍和心理问题(包括焦虑、抑郁和创伤后应激障碍)。此外,患者家属也经常出现心理问题。本文介绍了幸存者及其家属的重症后综合征(PICS);描述了与PICS相关的身体症状、危险因素和预防策略;以及目前用于测量PICS的主要工具。作者希望为重症监护医护人员提供必要的知识,以便在患者入住ICU期间尽早为其实施预防策略,从而提高重症监护的质量。

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