Academic Unit of Anaesthesia, Pain and Critical Care Medicine, University of Glasgow, Glasgow, UK. E-mail:
J Rehabil Med. 2021 Jun 3;53(6):jrm00206. doi: 10.2340/16501977-2825.
To describe the long-term outcomes of cardiac intensive care unit patients and their primary caregivers, and to explore the feasibility of implementing a complex intervention, designed to support problems associated with post-intensive care syndrome and post-intensive care syndrome-family, in the year following discharge from the cardiac intensive care unit.
A complex multidisciplinary rehabilitation programme, delivered as a quality improvement initiative, in a single centre in the West of Scotland. Outcomes were measured using surveys of health related quality of life, self efficacy, anxiety, depression, pain, caregiver strain, and insomnia.
Patients and their caregivers were invited to participate 12 weeks after hospital discharge. Twenty-seven patients and 23 caregivers attended the programme.
Over 90% of patients had problems in at least one quality of life domain at baseline, 41% of patients had symptoms of anxiety and 22% had symptoms of depression. During the baseline visit, caregiver strain was present in 20% of caregivers, 57% had symptoms of anxiety, and 35% had symptoms of depression. Improvements in outcomes were seen in both patients and caregivers at 1-year follow-up. The programme was implemented, and iterative learning obtained about the content and the operationalization of the service, in order to understand feasibility.
This small-scale quality improvement project has demonstrated that this complex multidisciplinary rehabilitation programme is feasible and has positive implications for patients following discharge from the cardiac intensive care unit, and their caregivers.
描述心脏重症监护病房患者及其主要照顾者的长期结局，并探讨在心脏重症监护病房出院后一年内实施一项旨在支持与重症监护后综合征和重症监护后综合征家庭相关问题的复杂干预措施的可行性。
在苏格兰西部的一个单一中心，作为一项质量改进计划，实施了一项复杂的多学科康复计划。使用健康相关生活质量、自我效能、焦虑、抑郁、疼痛、照顾者负担和失眠的调查来衡量结果。
在出院后 12 周邀请患者及其照顾者参加。有 27 名患者和 23 名照顾者参加了该计划。
超过 90%的患者在基线时有至少一个生活质量领域的问题，41%的患者有焦虑症状，22%的患者有抑郁症状。在基线访视时，20%的照顾者存在照顾者负担，57%的照顾者有焦虑症状，35%的照顾者有抑郁症状。在 1 年随访时，患者和照顾者的结果都有所改善。该方案得以实施，并在服务的内容和运作方面获得了迭代学习，以了解可行性。
这项小规模的质量改进项目表明，这种复杂的多学科康复计划是可行的，对心脏重症监护病房出院后的患者及其照顾者有积极影响。
