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重症监护后的健康与活动

Health and activity after intensive care.

作者信息

Munn J, Willatts S M, Tooley M A

机构信息

Department of Anaesthesia, Bristol Royal Infirmary.

出版信息

Anaesthesia. 1995 Dec;50(12):1017-21. doi: 10.1111/j.1365-2044.1995.tb05942.x.

DOI:10.1111/j.1365-2044.1995.tb05942.x
PMID:8546278
Abstract

All patients discharged from a general intensive care unit over a 4.5 year period were sent a questionnaire 3 months after discharge which investigated aspects of their health and physical abilities. Replies were compared on the basis of age, diagnosis and sickness severity on admission. Five hundred and four questionnaires were analysed. Overall, 47% of patients described their health as good/very good, 42% as fair and 11% as poor/very poor. Activity level, compared to that before their admission, was unchanged in 59%, worse in 33% and improved in 8% of patients. There were no differences in health status or changes in activity with age, diagnosis or severity of sickness. Patients aged 76 years or older were more likely to perceive their health as 'better than average' than younger patients (p < 0.01). Eight percent of patients would be unwilling to undergo intensive care again. An unacceptable health status after intensive care cannot be predicted in any group of patients.

摘要

在4.5年的时间里,从普通重症监护病房出院的所有患者在出院3个月后都收到了一份调查问卷,该问卷调查了他们的健康和身体能力方面。根据年龄、诊断结果和入院时的疾病严重程度对回复进行了比较。对504份调查问卷进行了分析。总体而言,47%的患者将自己的健康状况描述为良好/非常好,42%为中等,11%为差/非常差。与入院前相比,59%的患者活动水平未变,33%变差,8%有所改善。健康状况或活动变化在年龄、诊断结果或疾病严重程度方面没有差异。76岁及以上的患者比年轻患者更有可能认为自己的健康状况“优于平均水平”(p < 0.01)。8%的患者不愿意再次接受重症监护。在任何一组患者中都无法预测重症监护后不可接受的健康状况。

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