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儿科重症监护病房中急性和创伤后应激的调查和服务的机构经验。

Institutional Experience with Investigation and Service for Acute and Post-Traumatic Stress in the Pediatric Intensive Care Unit.

机构信息

Division of Pediatric Critical Care, Department of Pediatrics, Saint Louis University School of Medicine (STL SOM).

Department of Psychology, STL SOM.

出版信息

Mo Med. 2024 May-Jun;121(3):220-224.

PMID:38854592
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11160364/
Abstract

Acute stress, post-traumatic stress and burnout are all stress-related mental health problems common to patients, families, physicians, nurses, and allied health professionals across disciplines. They are particularly common in those who care for critically ill and injured children. Despite growing awareness of the pervasiveness of burnout and stress among healthcare workers and families in the pediatric intensive care unit, there remain important gaps in the knowledge of factors affecting the development of stress-related mental illnesses, how individual and institutional factors protect or exacerbate these problems, and effective measures to limit or mitigate them. Challenges exist in developing and maintaining institutional engagement with essentially non-revenue generating activities that require additional staff. For academic institutions, significant opportunities exist for cross-departmental collaboration. We describe our five-year experience developing a multidisciplinary group investigating these problems and providing interventions to professionals and families in the pediatric intensive care unit.

摘要

急性应激、创伤后应激和倦怠都是与压力相关的心理健康问题,在不同学科的患者、家属、医生、护士和相关医疗保健专业人员中都很常见。它们在照顾重病和受伤儿童的人员中尤为常见。尽管人们越来越意识到儿科重症监护病房医护人员和家属中存在倦怠和压力的普遍性,但对于影响与压力相关的精神疾病发展的因素、个体和机构因素如何保护或加剧这些问题,以及限制或减轻这些问题的有效措施,仍存在重要的知识空白。在开发和维护与基本上没有收入的活动的机构参与方面存在挑战,这些活动需要额外的工作人员。对于学术机构来说,跨部门合作有很大的机会。我们描述了我们五年的经验,发展了一个多学科小组,研究这些问题,并为儿科重症监护病房的专业人员和家属提供干预措施。

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本文引用的文献

1
Burnout in Pediatric Critical Care Medicine Fellows.儿科重症监护医学住院医师的 burnout 现象。
Crit Care Med. 2020 Jun;48(6):872-880. doi: 10.1097/CCM.0000000000004290.
2
Parental Perceptions of Displayed Patient Data in a PICU: An Example of Unintentional Empowerment.儿科重症监护病房中展示的患者数据:一个无意赋权的例子。
Pediatr Crit Care Med. 2019 May;20(5):435-441. doi: 10.1097/PCC.0000000000001895.
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PICU Diaries: A Simple and Promising Family-Centered Intervention.
Pediatr Crit Care Med. 2019 Feb;20(2):208-209. doi: 10.1097/PCC.0000000000001838.
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Implementation of a Formal Debriefing Program After Pediatric Rapid Response Team Activations.儿科快速反应团队启动后正式汇报程序的实施
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Resident Fuel Levels: Reframing, Assessing, and Addressing Well-Being.住院医师的职业倦怠程度:重新审视、评估与应对职业幸福感
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Coping With Staff Burnout and Work-Related Posttraumatic Stress in Intensive Care.应对重症监护室工作人员的职业倦怠和工作相关的创伤后应激反应
Pediatr Crit Care Med. 2017 Jul;18(7):e267-e273. doi: 10.1097/PCC.0000000000001179.
7
Simulation of a Novel Schedule for Intensivist Staffing to Improve Continuity of Patient Care and Reduce Physician Burnout.一种新型重症监护室人员配置方案的模拟,以提高患者护理的连续性并减少医生职业倦怠。
Crit Care Med. 2017 Jul;45(7):1138-1144. doi: 10.1097/CCM.0000000000002319.
8
A Critical Care Societies Collaborative Statement: Burnout Syndrome in Critical Care Health-care Professionals. A Call for Action.危重病医学会协作声明:危重病医疗保健专业人员的倦怠综合征。呼吁采取行动。
Am J Respir Crit Care Med. 2016 Jul 1;194(1):106-13. doi: 10.1164/rccm.201604-0708ST.
9
Children's self-reported quality of life after intensive care treatment.儿童在重症监护治疗后的生活质量自评。
Pediatr Crit Care Med. 2013 Feb;14(2):e85-92. doi: 10.1097/PCC.0b013e3182712997.
10
Mediators of Initial Acute and Later Posttraumatic Stress in Youth in a PICU.儿科重症监护病房中青少年初始急性创伤后应激和后期创伤后应激的调节因素
Pediatr Crit Care Med. 2015 May;16(4):e113-8. doi: 10.1097/PCC.0b013e31822f1916.