Department of PICU Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.
Department of PICU Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.
J Pediatr Nurs. 2021 Nov-Dec;61:417-423. doi: 10.1016/j.pedn.2021.10.007. Epub 2021 Oct 20.
Post-intensive care syndrome in paediatrics (PICS-p) is a term used to describe newly acquired or worsened impairment in one or more aspects of a child's physical, psychological, cognitive, and social functioning after discharge from the paediatric intensive care unit (PICU). However, consensus, conceptual insights, and assessment guidance are lacking for this syndrome. Therefore, this analysis aimed to define the concept of PICS-p to help practitioners and researchers understand the syndrome in detail using the Walker and Avant approach.
We reviewed studies retrieved from several databases, namely PubMed, Google Scholar, Web of Science, Ovid, ScienceDirect, and the Springer database, using the following keywords: 'post-intensive care syndrome', 'PICU', 'children', 'PICS-p', and 'concept analysis'. Both quantitative and qualitative studies on PICS-p were included in the search. The articles were limited to those published up to November 21, 2020.
Of the 762 publications selected, 24 publications met the inclusion criteria.
PICS-p is defined on the basis of the following aspects: (1) Physical dysfunction; (2) Cognitive dysfunction; (3) Psychological dysfunction; and (4) Social dysfunction.
With the increasing success rate of PICU treatment, reduced case fatality is no longer the only outcome of critical illness in children. The long-term outcomes in children discharged from hospitals have attracted attention from families, hospitals, and communities.
A clear definition of PICS-p will help medical staff understand PICS-p in detail and provide a theoretical basis for the diagnosis and treatment of this syndrome.
儿科重症监护后综合征（PICS-p）是指儿童从儿科重症监护病房（PICU）出院后，在身体、心理、认知和社会功能的一个或多个方面出现新获得或恶化的损害。然而，该综合征缺乏共识、概念性见解和评估指导。因此，本分析旨在通过 Walker 和 Avant 方法定义 PICS-p 的概念，以帮助从业者和研究人员详细了解该综合征。
我们检索了多个数据库，包括 PubMed、Google Scholar、Web of Science、Ovid、ScienceDirect 和 Springer 数据库，使用以下关键词检索了有关 PICS-p 的研究：“post-intensive care syndrome”、“PICU”、“children”、“PICS-p”和“concept analysis”。研究包括 PICS-p 的定量和定性研究。文章仅限于截至 2020 年 11 月 21 日发表的研究。
从 762 篇选定的出版物中，有 24 篇符合纳入标准。
PICS-p 的定义基于以下方面：（1）身体功能障碍；（2）认知功能障碍；（3）心理功能障碍；（4）社会功能障碍。
随着 PICU 治疗成功率的提高，病死率的降低不再是儿童危重病的唯一结局。从医院出院的儿童的长期结局引起了家庭、医院和社区的关注。
对 PICS-p 的明确定义将有助于医务人员详细了解 PICS-p，并为该综合征的诊断和治疗提供理论依据。
