Ritz R
Abteilung für Intensivmedizin, Departement Innere Medizin der Universität Basel.
Schweiz Med Wochenschr. 1988 Apr 30;118(17):637-42.
For ethical and economic reasons, follow-up--especially after intensive care--is important as a form of quality control which could serve as a basis for more differentiated indications for patient admission. A follow-up model, involving questionnaires 3 months, 1 year and 3 years after intensive care, and preliminary results of patients in 1985 are presented. Only a few patients described their present health situation as bad, but unstable situations showed little improvement between 3 months and 1 year after intensive care. There was a rather high percentage of rehospitalization and/or need for continued medical care. Only 10% of respondent patients were unable to work 1 year after intensive care, and 12% still depended on help from others. 15-35% described their quality of life as restricted; only 4% had negative memories of intensive care (fear, pain), and only 0.6% of respondent patients thought their previous admission to the intensive care unit had been a wrong decision.
出于伦理和经济原因，随访——尤其是在重症监护之后——作为一种质量控制形式很重要，它可以作为更具差异化的患者入院指征的基础。本文介绍了一种随访模式，包括在重症监护后3个月、1年和3年进行问卷调查，以及1985年患者的初步结果。只有少数患者将他们目前的健康状况描述为不佳，但不稳定的状况在重症监护后3个月至1年之间几乎没有改善。再住院和/或需要持续医疗护理的比例相当高。只有10%的受访患者在重症监护1年后无法工作，12%的患者仍然依赖他人的帮助。15% - 35%的患者表示他们的生活质量受到限制；只有4%的患者对重症监护有负面记忆（恐惧、疼痛），只有0.6%的受访患者认为他们之前入住重症监护病房是一个错误的决定。
