Demand and consumption of care in long term ICU survivors in the netherlands
Demand and consumption of care in long term ICU survivors in the netherlands
复制标题
荷兰 ICU 长期幸存者的护理需求和消费
DOI：
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
J. Bakker
中科院分区：
文献类型：
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作者：
A. Jong;José G. M. Hofhuis;A. Schrijvers;P. Spronk;E. Kompanje;J. Bakker
目的：探讨危重疾病对出院后护理需求和消费的长期影响。方法：在一项前瞻性研究中，纳入了所有在ICU住院bbbb48小时并最终存活至6个月随访的患者。使用短表36 （SF-36）评估患者出院后6个月的健康相关生活质量（HRQOL）。此外，通过询问幸存者来分析医疗保健的消费情况。使用APACHE II评分确定疾病的严重程度。结果：纳入的451例患者中，252例在6个月时进行了评估。64.6%的患者年龄在65岁以上，90.9%的患者住在家里，但66%的患者在ICU入院前已就业并没有恢复工作。80名患者（31.7%）仍然依靠专业人员的医疗帮助，其中一半以上是每天的。结论：大多数长期ICU存活者出院回家，出院后6个月仍然依赖于复杂的护理，因为损害不仅发生在身体层面，而且发生在心理和社会领域，可能与与正常生活隔离的发生率较高有关。ICU住院的负担似乎是巨大且持久的。这不仅对患者及其家属很重要，而且对护理提供者和社会也很重要。
Objective: To study the long-term impact of critical illness on demand and consumption of care after hospital discharge. Methods: In a prospective study all patients admitted to the ICU for > 48 hours who ultimately survived to follow up at six months were included. The Short Form 36 (SF-36) was used to evaluate the health-related quality of life (HRQOL) 6 months following ICU discharge. Additionally, consumption of medical care was analysed by querying survivors. Severity of illness was determined using the APACHE II score. Results: Of the 451 patients included, 252 were evaluated at 6 months. 64.6% of the patients were older than 65 years, 90.9% of the patients were living at home, although 66 % of the patients who were employed before ICU admission did not resume their job. Eighty patients (31.7%) were still depending on professional help for medical care, more than half of them on a daily basis. Conclusions: Most long-term ICU survivors are discharged to their own home and are six months after ICU discharge frequently still dependent on complex care, as impairment occurs not only on a physical level, but also in psychological and social domains, probably related to a higher incidence of isolation from normal life. The burden of ICU stay seems substantial and long-lasting. This is not only important for patients and their relatives but also for care providers and society.