Mantziou Vassiliki, Vrettou Charikleia S, Vassiliou Alice G, Orfanos Stylianos E, Kotanidou Anastasia, Dimopoulou Ioanna
Department of Critical Care Medicine and Pulmonary Services, School of Medicine, National and Kapodistrian University of Athens (NKUA), "Evangelismos" Hospital, Athens, Greece.
J Crit Care Med (Targu Mures). 2022 Nov 12;8(4):242-248. doi: 10.2478/jccm-2022-0027. eCollection 2022 Oct.
Post intensive care syndrome (PICS) affects an increasing number of critical illness survivors and their families, with serious physical and psychological sequelae. Since little is known about the burden of critical illness on ICU survivor families, we conducted a prospective observational study aiming to assess this, and investigate correlations of the patients' psychometric and health-related quality of life (HRQOL) scores with family burden.
Twenty-nine patients were evaluated in the presence of a family member. Participants were assessed with the use of validated scales for anxiety, depression, post-traumatic stress disorder, cognitive decline, and the family burden scale (FBS).
High burden was present in 27.6% of family members. Statistically significant correlations were observed between the FBS score and trait anxiety, depression, and the physical and psychological components of HRQOL.
Our results suggest that family burden following critical illness is common, suggesting that its assessment should be incorporated in the evaluation of PICS-family in large observational studies.
重症监护后综合征（PICS）影响着越来越多的重症幸存者及其家人，会导致严重的身心后遗症。由于对重症给重症监护病房幸存者家庭带来的负担了解甚少，我们开展了一项前瞻性观察性研究，旨在对此进行评估，并调查患者的心理测量和健康相关生活质量（HRQOL）得分与家庭负担之间的相关性。
在有家庭成员在场的情况下，对29名患者进行了评估。使用经过验证的焦虑、抑郁、创伤后应激障碍、认知衰退量表以及家庭负担量表（FBS）对参与者进行评估。
27.6%的家庭成员存在高负担。FBS得分与特质焦虑、抑郁以及HRQOL的身体和心理成分之间存在统计学上的显著相关性。
我们的结果表明，重症后的家庭负担很常见，这表明在大型观察性研究中，对PICS家庭的评估应纳入对家庭负担的评估。
