The importance of caregiver outcomes after critical illness.

The importance of caregiver outcomes after critical illness.
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危重病后护理人员结果的重要性。

DOI:
10.1097/ccm.0000000000000910
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发表时间:
2015
影响因子:
8.8
通讯作者:
Kross,ErinK
Kross,ErinK
中科院分区:
医学1区
文献类型:
--
作者:
Kross,ErinK

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危重病人的家庭成员有许多不良心理后果的风险,包括创伤后应激障碍、抑郁、焦虑和复杂的悲伤。2010年,重症监护医学会的一个工作组为这组并发症提出了一个新的术语-重症监护后综合征-家庭(1)。家庭照顾者是照顾危重病患者不可或缺的一部分。提供这种护理可能对护理人员有害,并且已经证明,这种护理会增加压力,甚至死亡率(2-4)。最近,人们越来越意识到改善护理人员结局的重要性,以家庭为中心的护理可能会增加改善患者结局的价值,以及临床医生必须认识到护理人员负担的责任(5,6)。虽然一些最初的描述集中在失去亲人的家庭成员(7-9),但最近的研究探讨了重症患者家庭成员的症状负担。我们必须了解重症患者的护理人员在重症疾病中的情感损失。这些家庭成员经常被要求为幸存的患者提供ICU后护理和支持,如果负担太大,这一角色可能会受到影响。
Family members of critically ill patients are at risk for a number of adverse psychologic outcomes, including posttraumatic stress disorder, depression, anxiety, and complicated grief. In 2010, a task force of the Society of Critical Care Medicine proposed a new term for this cluster of complications—post–intensive care syndrome-family (1). Family caregivers are integral to the care of patients who survive critical illness. Providing this care can be detrimental to the caregiver, and caregiving has been shown to increase stress and even mortality (2–4). Recently, there has been increasing awareness of the importance of improving outcomes for caregivers, the value that family-centered care may add to improving patient outcomes, and the responsibility clinicians have to recognize caregiver burden (5, 6).Recognition of the importance of caregiver outcomes after critical illness is growing. Although some of the initial descriptions focused on bereaved family members (7–9), more recent studies have explored the burden of symptoms for family members who survive critical illness. Our understanding of the emotional toll of critical illness on caregivers of patients who survive critical illness is essential. These family members are often called upon to provide post-ICU care and support for the surviving patient, a role that may be compromised if the burden is too great.
DOI: 10.1001/jama.282.23.2215
发表时间: 1999-12-15
影响因子: 120.7
作者:
Schulz, R;Beach, SR
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DOI: 10.1037/a0023043
发表时间: 2011
期刊: Families, systems & health : the journal of collaborative family healthcare
影响因子: --
作者:
Loiselle,KristinA;Devine,KatieA;Reed-Knight,Bonney;Blount,RonaldL
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