Zhao H M, Wang Y, Li D Y, Zhang W Y, Dong T R, Wang C
Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital/National Center for Respiratory Medicine/Institute of Respiratory Medicine, Chinese Academy of Medical Sciences/National Clinical Research Center for Respiratory Diseases, Beijing 100029, China.
Beijing University of Traditional Chinese Medicine, School of Clinical Medicine (Sino-Japanese Friendship Hospital), Beijing 100029, China.
Zhonghua Yi Xue Za Zhi. 2023 Jul 11;103(26):1961-1965. doi: 10.3760/cma.j.cn112137-20230320-00446.
With the development of technology and medicine, the mortality rate of intensive care unit (ICU) has declined significantly, and more and more professionals in the medical field are also aware that the disability rate of ICU survivors remains high. More than 70% of ICU survivors have Post-ICU Syndrome (PICS), which is mainly manifested by cognitive, physical, and mental dysfunction, which seriously affects the quality of life of survivors and their caregivers. The COVID-19 pandemic has brought a series of problems such as shortage of medical staff, restricted family visits, and lack of personalized care, which have brought unprecedented challenges to the prevention of PICS and the care of patients with severe COVID-19. In the future, the treatment of ICU patients should change from reducing short-term mortality to improving long-term quality of life of patients, from disease-centered to health-centered, and to practice " the health promotion, the prevention, the diagnosis, the control, the treatment, and the rehabilitation " six-in-one concept to promote comprehensive health care with pulmonary rehabilitation.
随着技术和医学的发展,重症监护病房(ICU)的死亡率显著下降,并且越来越多的医学领域专业人士也意识到,ICU幸存者的致残率仍然很高。超过70%的ICU幸存者患有重症监护后综合征(PICS),其主要表现为认知、身体和精神功能障碍,这严重影响了幸存者及其照顾者的生活质量。新型冠状病毒肺炎(COVID-19)大流行带来了一系列问题,如医护人员短缺、家属探视受限以及缺乏个性化护理,这给PICS的预防和重症COVID-19患者的护理带来了前所未有的挑战。未来,ICU患者的治疗应从降低短期死亡率转变为提高患者的长期生活质量,从以疾病为中心转变为以健康为中心,并践行“健康促进、预防、诊断、控制、治疗和康复”六位一体的理念,通过肺康复促进全面医疗保健。