Psychological morbidity a year after treatment in intensive care unit.

Psychological morbidity a year after treatment in intensive care unit.
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重症监护病房治疗一年后的心理发病率。

DOI:
10.4081/hpr.2020.8852
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发表时间:
2020-12-30
影响因子:
2
通讯作者:
Mouloudi E
Mouloudi E
中科院分区:
其他
文献类型:
--
作者:
Zisopoulos G;Roussi P;Mouloudi E

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一些研究将重症监护病房(ICU)的治疗与负面心理结果联系起来。本研究探讨了希腊患者(N=29)在ICU治疗一年后消极心理结局的发生率。焦虑[41%,95% CI(22%, 60%)]和创伤后应激障碍(PTSD) [34%, 95% CI(16%, 53%)]症状的参与者百分比与相关文献相似。参与者抑郁症状的百分比[17%,95% CI(3%, 32%)]相当低。只有10%的参与者报告没有生活质量问题。焦虑症状与谈论ICU经历的愿望(p=0.010)、异丙酚给药时间(p=0.018)和失业(p=0.019)相关,与ICU住院时间负相关(p=0.025)。PTSD症状与在ICU住院后一年内经历其他压力源(p=0.001)、社会约束(p=0.003)、异丙酚给药时间(p=0.004)、失业(p=0.020)、低收入(p=0.022)和负面的ICU记忆(p=0.029)有关。抑郁症状与失业(p=0.003)、低收入(p=0.029)和社会约束(p=0.033)有关。患者在出院后很长一段时间内都会经历心理症状的升高。几个社会心理因素成为预测痛苦程度的重要因素。
Several studies have linked treatment in the Intensive Care Unit (ICU) with negative psychological outcomes. This study explores the prevalence of negative psychological outcomes in Greek patients (N=29), a year after treatment in ICU. Percentages of participants with anxiety [41%, 95% CI (22%, 60%)] and Post- Traumatic Stress Disorder (PTSD) [34%, 95% CI (16%, 53%)] symptoms were similar to the related literature. Percentages of participants with depressive [17%, 95% CI (3%, 32%)] symptoms were rather low. Only 10% of participants reported absence of quality of live issues. Anxiety symptoms were related to desire to talk about the ICU experience (p=0.010), duration of propofol administration (p=0.018) and loss of employment (p=0.019) and negatively related to duration of stay in the ICU (p=0.025). PTSD symptoms were related to experiencing other stressors during the year after the ICU stay (p=0.001), social constraint (p=0.003), duration of propofol administration (p=0.004), loss of employment (p=0.020), low income (p=0.022) and negative ICU memories (p=0.029). Depressive symptoms were related to loss of employment (p=0.003), low income (p=0.029) and social constraint (p=0.033). Patients experience elevated levels of psychological symptoms long after they are discharged from the hospital. Several psychosocial factors emerged as important factors to consider for predicting levels of distress.
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