Narváez-Martínez Mario Andrés, Gómez Tovar Luz Omaira, Henao-Castaño Ángela María
Fundación Cardioinfantil Instituto de Cardiología, Universidad Nacional de Colombia, Bogotá, Colombia.
Programa de Enfermería, Universidad Surcolombiana, Huila, Colombia.
Enferm Clin (Engl Ed). 2022 Nov-Dec;32(6):440-450. doi: 10.1016/j.enfcle.2022.07.003. Epub 2022 Aug 29.
Post Intensive Care Syndrome is a recently studied syndrome that affects between 50% and 70% of patients admitted to the ICU, its detection is complex due to the great variety of affected components.
To determine the most widely used assessment instruments for the detection of post-intensive care syndrome, according to the evidence in the last 5 years.
A scoping review was carried out in the databases: Academic Search, ScienceDirect, Scielo, Biblioteca Virtual en Salud, Medline, and Springer Link, with terms «Postintensive care syndrome» and «Post-intensive care syndrome». This review included 22 articles that met the criteria of: research or review typology, English, Spanish or Portuguese language, with access to the full text and published between 2015 and 2020.
Most of the instruments used to measure post-intensive care syndrome are divided according to the components of physical affectation (the Medical Research Council scale, the Katz index and the Barthel index); cognitive (Repeatable Battery for the Assessment of Neuropsychological Status, and the Montreal Cognitive Assessment test); and mental (Hospital Anxiety and Depression Scale, Beck's anxiety test, Depression Inventory Second Edition scale and Post Traumatic Stress Syndrome-14 scale). In addition, two tools were found that measure the event in its entirety with its three components, such as the Healthy Aging Brain Care Monitor and the Post-Intensive Care Syndrome Questionnaire.
重症监护后综合征是一种最近被研究的综合征,影响着50%至70%入住重症监护病房的患者,由于受影响的组成部分种类繁多,其检测很复杂。
根据过去5年的证据,确定用于检测重症监护后综合征的最广泛使用的评估工具。
在学术搜索、科学Direct、Scielo、虚拟健康图书馆、医学索引和施普林格Link数据库中进行了范围综述,搜索词为“重症监护后综合征”和“Post-intensive care syndrome”。该综述纳入了22篇符合以下标准的文章:研究或综述类型、英语、西班牙语或葡萄牙语、可获取全文且发表于2015年至2020年之间。
大多数用于测量重症监护后综合征的工具是根据身体影响的组成部分(医学研究委员会量表、卡茨指数和巴氏指数)、认知(神经心理状态评估可重复成套测验和蒙特利尔认知评估测试)和心理(医院焦虑抑郁量表、贝克焦虑测试、抑郁量表第二版和创伤后应激综合征-14量表)进行划分的。此外,还发现了两种工具,如健康老龄化脑护理监测仪和重症监护后综合征问卷,它们从三个组成部分整体测量该综合征。