School of Nursing (Dr Wang), Health Behavior and Biological Sciences (Dr Duffy), University of Michigan, Ann Arbor; Nursing, C. S. Mott Children's Hospital (Ms Owens), and Division of Rehabilitation Psychology/Neuropsychology, Physical Medicine and Rehabilitation (Dr Johnson), Michigan Medicine, Ann Arbor.
Crit Care Nurs Q. 2022;45(1):88-97. doi: 10.1097/CNQ.0000000000000392.
As the progress of critical care medicine has improved the survival rate of critically ill patients, comorbidities and long-term health care have attracted people's attention. The terms "post-intensive care syndrome" (PICS) and "PICS-family" (PICS-F) have been used in non-neurocritical care populations, which are characterized by the cognitive, psychiatric, and physical sequelae associated with intensive care hospitalization of survivors and their families. An intensive care unit (ICU) diary authored by the patient's family members may alleviate the psychological distress of the patient and his or her family. This quality improvement project focused on the development and implementation of the pediatric intensive care unit (PICU) diary in the pediatric critical care setting. The project aims to evaluate the feasibility and the potential efficacy of the PICU diary, measured through parental acceptance and satisfaction. Seventeen families of critically ill children admitted to the PICU received the PICU diary during the implementation period. Twenty-four parents completed the weekly follow-up, and 15 subsequently completed the diary entry evaluation. The use of the diary in the PICU setting is feasible and considered beneficial by families of critically ill children.
随着危重病医学的进步提高了危重病患者的生存率，合并症和长期医疗保健引起了人们的关注。“重症监护后综合征”（PICS）和“PICS-家庭”（PICS-F）这两个术语已在非神经重症监护人群中使用，其特征是与幸存者及其家属的重症监护住院相关的认知、精神和身体后遗症。由患者家属撰写的重症监护病房日记可能会减轻患者及其家属的心理困扰。这个质量改进项目专注于在儿科重症监护环境中开发和实施儿科重症监护病房日记。该项目旨在通过父母的接受度和满意度来评估儿科重症监护病房日记的可行性和潜在效果。在实施期间，17 名危重病儿童的家属收到了儿科重症监护病房日记。24 名家长完成了每周随访，随后有 15 名家长完成了日记条目评估。在儿科重症监护病房环境中使用该日记是可行的，并且被危重病儿童的家庭认为是有益的。
