Malissa A. Mulkey is a postdoctoral research fellow, Indiana University School of Nursing, Indianapolis, Indiana, and a clinical nurse specialist, cardiac and cardiac surgery intensive care unit, University of North Carolina-Rex Hospital, Raleigh, North Carolina.
Pamela Beacham is a medical-surgical and neuroscience clinical nurse specialist, University of North Carolina-Rex Hospital.
Crit Care Nurse. 2022 Aug 1;42(4):68-73. doi: 10.4037/ccn2022374.
Post-intensive care syndrome is a collection of symptoms that more than half of patients who survive a critical illness, and their family caregivers, experience after the illness. Those symptoms include weakness/ fatigue, sleep disturbances/insomnia, cognitive dysfunction, posttraumatic stress disorder, other mental health conditions, and a lack of effective coping strategies.
To minimize the risk of a patient developing post-intensive care syndrome, intensive care unit nurses must adopt practices that reduce the severity of disability and optimize patient outcomes. They must also advocate for patients who need additional expert care.
To describe interventions that critical care nurses can implement to minimize a patient's risk for post-intensive care syndrome.
This article describes patients who have a high risk of developing post-intensive care syndrome and interventions that are within nurses' purview.
重症监护后综合征是一组症状,超过一半的重病幸存者及其家庭护理人员在疾病后会出现这些症状。这些症状包括虚弱/疲劳、睡眠障碍/失眠、认知功能障碍、创伤后应激障碍、其他心理健康问题以及缺乏有效的应对策略。
为了最大限度地降低患者发生重症监护后综合征的风险,重症监护病房的护士必须采用减轻残疾严重程度和优化患者结局的实践。他们还必须为需要额外专业护理的患者提供支持。
描述重症监护护士可以实施的干预措施,以降低患者发生重症监护后综合征的风险。
本文描述了具有发生重症监护后综合征高风险的患者以及在护士权限范围内的干预措施。