Improving the Patient Experience by Implementing an ICU Diary for Those at Risk of Post-intensive Care Syndrome.
Improving the Patient Experience by Implementing an ICU Diary for Those at Risk of Post-intensive Care Syndrome.
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DOI：
10.1177/2374373517692927
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发表时间：
2017-03
影响因子：
1.5
通讯作者：
McCarthy MS
中科院分区：
文献类型：
--
作者：
Blair KTA;Eccleston SD;Binder HM;McCarthy MS
美国的重症监护文献最近引起了人们对重症患者存活后很长时间ICU经历的影响的关注，特别是如果谵妄存在。目前减轻重症监护后综合征（PICS）的建议以患者和家庭为中心，旨在促进家庭在ICU的存在，为决策提供支持，并加强与卫生保健团队的沟通。基于证据的干预措施数量很少，但包括使用ICU日记，以尽量减少在ICU住院后几个月对患者及其家属的心理和情感后遗症。在本文中，我们描述了我们为实现ICU日记所做的努力，并就其在促进患者、家属和ICU工作人员之间的团队合作和沟通方面的作用征求了反馈。接下来的步骤将包括一个PICS后续诊所，在那里训练有素的工作人员将协调专业转诊，并对心理健康和其他生活质量结果进行长期监测。
The critical care literature in the US has recently brought attention to the impact an ICU experience can have long after the patient survives critical illness, particularly if delirium was present. Current recommendations to mitigate post-intensive care syndrome (PICS) are embedded in patient and family-centered care and aim to promote family presence in the ICU, provide support for decision-making, and enhance communication with the health-care team. Evidence-based interventions are few in number but include use of an ICU diary to minimize the psychological and emotional sequelae affecting patients and family members in the months following the ICU stay. In this paper we describe our efforts to implement an ICU diary and solicit feedback on its role in fostering teamwork and communication between patients, family members, and ICU staff. Next steps will involve a PICS follow-up clinic where trained staff will coordinate specialty referrals and perform long-term monitoring of mental health and other quality of life outcomes.