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支持重症监护病房后的康复:全科医生的叙述性综述

Supporting Post-ICU Recovery: A Narrative Review for General Practitioners.

作者信息

Vrettou Charikleia S, Mantelou Athina G

机构信息

First Department of Critical Care Medicine & Pulmonary Services, School of Medicine, National and Kapodistrian University of Athens, "Evangelismos" Hospital, 106 76 Athens, Greece.

出版信息

Diseases. 2025 Jun 11;13(6):183. doi: 10.3390/diseases13060183.

Abstract

Survivors of intensive care unit (ICU) hospitalization often face persistent health challenges after discharge, collectively referred to as post-intensive care syndrome (PICS). This condition affects physical, cognitive, and mental health, significantly impacting patients' quality of life and increasing their healthcare utilization. Additionally, caregivers may develop PICS-F (PICS family), experiencing stress-related health burdens. Despite the growing awareness of these issues, structured post-ICU follow-up remains inconsistent, leaving a gap in care that general practitioners (GPs) must often fill. This review examines the role of GPs in managing post-ICU patients, outlining common complications, screening tools, rehabilitation strategies, and potential areas for improved collaboration between primary care and ICU teams. Emphasizing a multidisciplinary and proactive approach, we propose practical interventions that GPs can adopt to enhance long-term recovery outcomes for ICU survivors.

摘要

重症监护病房(ICU)住院幸存者出院后常常面临持续的健康挑战,统称为重症监护后综合征(PICS)。这种情况会影响身体、认知和心理健康,严重影响患者的生活质量并增加其医疗保健利用率。此外,护理人员可能会患上PICS-F(重症监护后综合征-家庭型),承受与压力相关的健康负担。尽管对这些问题的认识不断提高,但ICU后的结构化随访仍然不一致,导致护理出现缺口,全科医生(GP)常常需要填补这一缺口。本综述探讨了全科医生在管理ICU后患者中的作用,概述了常见并发症、筛查工具、康复策略以及初级保健和ICU团队之间加强协作的潜在领域。我们强调多学科和积极主动的方法,提出了全科医生可以采用的实际干预措施,以改善ICU幸存者的长期康复结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef16/12191853/09e5c2ca37ff/diseases-13-00183-g001.jpg

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