McGuire Sean P, Montero Anne Mary, McGreevy Kathleen A, Zyromski Nicholas J
Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Department of Medicine and Psychology, Indiana University Health, Indianapolis, IN, USA.
Surg Open Sci. 2022 Jul 2;10:50-52. doi: 10.1016/j.sopen.2022.06.005. eCollection 2022 Oct.
Necrotizing pancreatitis is characterized by a prolonged disease course requiring frequent hospitalization and intervention. Necrotizing pancreatitis patients have high rates of intensive care unit admission and organ failure. Critical illness is an identified risk factor for the development of anxiety, depression, and posttraumatic stress disorder. Limited literature examines quality of life in necrotizing pancreatitis patients, and studies examining psychiatric sequalae of necrotizing pancreatitis including depression, anxiety, and posttraumatic stress disorder are virtually nonexistent. Here, we review critical literature examining risk factors for poor mental health outcomes during and after necrotizing pancreatitis, identify several screening instruments to quantify mental health outcomes, and propose an intervention to improve mental health outcomes in patients with necrotizing pancreatitis. We conclude that establishing the incidence of mental health disorders and implementing strategies to improve mental health outcomes are critical to holistic care of necrotizing pancreatitis patients.
坏死性胰腺炎的特点是病程延长，需要频繁住院和干预。坏死性胰腺炎患者入住重症监护病房和发生器官衰竭的比例很高。危重病是焦虑、抑郁和创伤后应激障碍发生的一个已确定的危险因素。关于坏死性胰腺炎患者生活质量的文献有限，而研究坏死性胰腺炎的精神后遗症（包括抑郁、焦虑和创伤后应激障碍）的研究几乎不存在。在此，我们回顾了关于坏死性胰腺炎期间及之后心理健康不良结局危险因素的重要文献，确定了几种量化心理健康结局的筛查工具，并提出了一种改善坏死性胰腺炎患者心理健康结局的干预措施。我们得出结论，确定心理健康障碍的发生率并实施改善心理健康结局的策略对于坏死性胰腺炎患者的整体护理至关重要。
