Saeidi Mohammad, Safaei Alireza, Sadat Zohreh, Abbasi Parisa, Sarcheshmeh Masoumeh Sadat Mousavi, Dehghani Fariba, Tahrekhani Mehran, Abdi Mohammad
Department of Anesthesiology and Critical Care, Qom University of Medical Sciences, Qom, Iran.
School of Science, Engineering and Environment, University of Salford, Manchester, UK.
J Crit Care Med (Targu Mures). 2021 May 12;7(2):113-122. doi: 10.2478/jccm-2021-0012. eCollection 2021 Apr.
The widespread use of advanced technology and invasive intervention creates many psychological problems for hospitalized patients; it is especially common in critical care units.
This cross-sectional study was conducted on 310 patients hospitalized in critical care units, using a non-probability sampling method. Data were collected using depression, anxiety, and stress scale (DASS-21) one month after discharge from the hospital. Data analysis was performed using descriptive and inferential statistics.
181 males and 129 females with a mean age (SD) of 55.11(1.62) years were enrolled in the study. The prevalence of depression, anxiety and stress were 46.5, 53.6 and 57.8% respectively, and the depression, anxiety and stress mean (SD) scores were 16.15(1.40), 18.57(1.46), 19.69(1.48), respectively. A statistically significant association was reported between depression, anxiety and stress with an increase in age, the number of children, occupation, education, length of hospital stay, use of mechanical ventilation, type of the critical care unit, and drug abuse.
The prevalence of depression, anxiety and stress in patients discharged from critical care units was high. Therefore, crucial decisions should be made to reduce depression, anxiety and stress in patients discharged from critical care units by educational strategies, identifying vulnerable patients and their preparation before invasive diagnostic-treatment procedures.
先进技术和侵入性干预的广泛应用给住院患者带来了许多心理问题；这在重症监护病房尤为常见。
本横断面研究采用非概率抽样方法，对310名入住重症监护病房的患者进行了研究。在患者出院一个月后，使用抑郁、焦虑和压力量表（DASS - 21）收集数据。数据分析采用描述性和推断性统计方法。
本研究共纳入181名男性和129名女性，平均年龄（标准差）为55.11（1.62）岁。抑郁、焦虑和压力的患病率分别为46.5%、53.6%和57.8%，抑郁、焦虑和压力的平均（标准差）得分分别为16.15（1.40）、18.57（1.46）、19.69（1.48）。据报告，抑郁、焦虑和压力与年龄增长、子女数量、职业、教育程度、住院时间、机械通气的使用、重症监护病房类型以及药物滥用之间存在统计学上的显著关联。
重症监护病房出院患者的抑郁、焦虑和压力患病率较高。因此，应通过教育策略、识别脆弱患者以及在侵入性诊断 - 治疗程序前做好准备等措施，做出关键决策以降低重症监护病房出院患者的抑郁、焦虑和压力。
