Avgeri Konstantina, Zakynthinos Epaminondas, Tsolaki Vasiliki, Sgantzos Markos, Fotakopoulos George, Makris Demosthenes
Department of Medical School, University of Thessaly, 41110 Larissa, Greece.
Healthcare (Basel). 2023 Apr 12;11(8):1106. doi: 10.3390/healthcare11081106.
Following discharge from the intensive care unit (ICU), critically ill patients may present cognitive dysfunction and physical disability.
To investigate the quality of life (QoL) of patients following discharge from ICU, physical performance and lung function and to assess the role of support by family members and friends.
This prospective study was conducted in the University Hospital of Larissa Greece between 2020 and 2021. Patients hospitalized at the ICU for at least 48 h were included and assessed at hospital discharge, at 3 and at 12 months later. The research implements of the study were a dedicated questionnaire and the SF-36 health questionnaire for the appraisal of the QoL. Lung function changes were assessed by spirometry and physical performance by the 6-min walking test (6MWT).
One hundred and forty-three participants were included in the study. The mean (SD) of the physical and mental health SF-36 scores at hospital discharge, 3 and 12 months were 27.32 (19.59), 40.97 (26.34) and 50.78 (28.26) ( < 0.0001) and 42.93 (17.00), 55.19 (23.04) and 62.24 (23.66), ( < 0.0001), respectively. The forced expiratory volume in one second and 6MWT significantly improved over 12 months. Patients who were supported by two or more family members or patients who were visited by their friends >3 times/week presented better scores in the physical and mental SF36 domains at 12 months.
This study shows that the quality of life of Greek patients who were discharged from the ICU can be positively affected both by the support they receive from their family environment and friends.
从重症监护病房（ICU）出院后，重症患者可能会出现认知功能障碍和身体残疾。
调查ICU出院患者的生活质量（QoL）、身体机能和肺功能，并评估家庭成员和朋友提供支持的作用。
这项前瞻性研究于2020年至2021年在希腊拉里萨大学医院进行。纳入在ICU住院至少48小时的患者，并在出院时、3个月和12个月后进行评估。该研究的研究工具是一份专门的问卷和用于评估生活质量的SF-36健康问卷。通过肺活量测定评估肺功能变化，通过6分钟步行试验（6MWT）评估身体机能。
143名参与者纳入研究。出院时、3个月和12个月时，身心健康SF-36评分的平均值（标准差）分别为27.32（19.59）、40.97（26.34）和50.78（28.26）（<0.0001），以及42.93（17.00）、55.19（23.04）和62.24（23.66）（<0.0001）。12个月内，一秒用力呼气量和6MWT显著改善。在12个月时，得到两名或更多家庭成员支持的患者或每周被朋友探访超过3次的患者在身心健康SF36领域的得分更高。
本研究表明，从ICU出院的希腊患者的生活质量会受到家庭环境和朋友给予的支持的积极影响。
