老年重症监护患者的康复：使用 RAIN 问卷的随访研究。

Older patients' recovery following intensive care: A follow-up study with the RAIN questionnaire.

机构信息

Institute of Health and Care Sciences at Sahlgrenska Academy, University of Gothenburg, Kungälvs Hospital, Sweden.

Institute of Health and Care Sciences at Sahlgrenska Academy, University of Gothenburg, Sweden, Professor Emerita, Honorary Doctor at Åbo Academy, Åbo, Finland.

出版信息

Intensive Crit Care Nurs. 2021 Aug;65:103038. doi: 10.1016/j.iccn.2021.103038. Epub 2021 Mar 26.

DOI:10.1016/j.iccn.2021.103038

PMID:33775549

Abstract

UNLABELLED

The aim was to investigate older patient recovery (65 years+) up to two years following discharge from an intensive care unit (ICU) using the Recovery After Intensive Care (RAIN) instrument and to correlate RAIN with the Hospital Anxiety and Depression Scale (HAD).

METHODS

An explorative and descriptive longitudinal design was used. Eighty-two patients answered RAIN and HAD at least twice following discharge. Demographic and clinical data were collected from patient records.

RESULTS

Recovery after the ICU was relatively stable and good for older patients at the four data collection points. There was little variation on the RAIN subscales over time. The greatest recovery improvement was found in existential ruminations from 2 to 24 months. A patient that could look forward and those with supportive relatives had the highest scores at all four measurements. Having lower financial situation was correlated to poorer recovery and was significant at 24 months. The RAIN and HAD instruments showed significant correlations, except for the revaluation of life subscale, which is not an aspect in HAD.

CONCLUSION

The RAIN instrument shows to be a good measurement for all dimensions of recovery, including existential dimensions, which are not covered by any other instrument.

摘要

目的

使用重症监护病房康复量表（RAIN）评估 ICU 出院后长达两年的老年患者（≥65 岁）的恢复情况，并将 RAIN 与医院焦虑抑郁量表（HAD）进行相关性分析。

方法

采用探索性和描述性纵向设计。82 例患者在出院后至少两次回答了 RAIN 和 HAD。从患者病历中收集人口统计学和临床数据。

结果

ICU 后，老年患者的康复情况相对稳定且良好，在四个数据采集点上均表现良好。RAIN 子量表随时间的变化不大。在 2 至 24 个月时，存在主义沉思的康复改善最大。有展望未来的患者和有支持性亲属的患者在所有四个测量点上的得分最高。经济状况较差与康复较差相关，在 24 个月时具有统计学意义。RAIN 和 HAD 量表显示出显著相关性，除了生命再评估子量表，该子量表不在 HAD 中。