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ICU 患者的扭曲记忆及相关因素。

Distorted Memories and Related Factors in ICU Patients.

机构信息

Kyoritsu Women's University, Tokyo, Japan.

NTT Medical Center Tokyo, Tokyo, Japan.

出版信息

Clin Nurs Res. 2022 Jan;31(1):39-45. doi: 10.1177/1054773820980162. Epub 2020 Dec 8.

Abstract

This study aimed to examine the relationship between memory status of and factors related to patients in the intensive care unit (ICU) using a cross-sectional study design. Participants were adult patients who were admitted to the general ICUs for more than 48 hours. One week after ICU discharge, a survey on memory distortion was conducted. Overall, 133 patients were included, of whom 51.1% reported distorted memories. Among them, 15.0% had memory loss; 48.1% had unrealistic experiences; 27.8% recalled confusion, panic, anxiety, and discomfort during their ICU stay; and 9% had traumatic experiences. Multiple logistic regression analyses revealed that memory loss was associated with an operation, and a significant association was observed between traumatic memory and pain. Opioid use may have a protective effect against memory loss. These results suggest the importance of relieving pain and preserving true memories during ICU treatment.

摘要

本研究旨在使用横断面研究设计,考察 ICU 患者的记忆状况与相关因素之间的关系。参与者为入住综合 ICU 超过 48 小时的成年患者。在 ICU 出院后一周,进行了记忆扭曲的调查。共有 133 名患者被纳入研究,其中 51.1%的患者报告存在记忆扭曲。其中,15.0%的患者存在记忆缺失;48.1%的患者存在不真实的体验;27.8%的患者回忆起在 ICU 期间感到困惑、恐慌、焦虑和不适;9%的患者存在创伤性体验。多因素逻辑回归分析显示,记忆缺失与手术有关,而创伤性记忆与疼痛之间存在显著关联。阿片类药物的使用可能对记忆缺失有保护作用。这些结果提示在 ICU 治疗期间缓解疼痛和保留真实记忆的重要性。

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