The current situation and the effect factors of post-intensive care syndrome among patients in RICU_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

ZHOU Meng , CHEN Liquan , JIN Xue , JIA Na , LI Li , SHEN Yan'e ,  ZHANG Jianxia

Peking University First Hospital, Beijing 100034, P. R. China;

Corresponding?author：

ZHANG Jianxia, Email: zhangjianxia2003@126.com

Keywords：

Post-intensive care syndrome; Intensive care unit; Incidence; Effect factors

DOI：

10.7507/1671-6205.201901039

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To survey the current situation of post-intensive care syndrome (PICS) among patients in respiratory intensive careunit (RICU), and explore the effect factors of PICS.Methods By convenience sampling, 125 patients in the RICU of Peking University First Hospital were recruited in the study. The patients were tested for PICS using Mini-mental State Examination (MMSE), Confusion Assessment Method for the ICU (CAM-ICU), Hospital Anxiety and Depression Scale (HADS), Medical Research Council (MRC), Activities of Daily Living (ADL), Pittsburg Sleep Quality Index (PSQI), Fatigue Scale-14 (FS-14), including three aspects of cognition, psychology and physiology. The effect factors of PICS were measured through researcher-created Questionnaire on Patients’ General Information and Questionnaire on Disease-Related Information.Results In this study, the actual effective sample size was 110 cases, among which 59 cases developed PICS, with an incidence of 53.6%. Logistic regression showed that effect factors of PICS were age, invasive mechanical ventilation time, noninvasive ventilator assisted ventilation time and coronary atherosclerotic heart disease (P< 0.05).Conclusions The incidence of PICS in RICU patients is 53.6%, which is at a high level. Advanced age, long duration of invasive mechanical ventilation, long duration of non-invasive ventilator assisted ventilation, and coronary atherosclerotic heart disease are the risk factors of PICS. Medical and nursing staff should pay more attention to PICS, intervene in the risk factors of the patient, and take targeted measures to prevent the occurrence of PICS.

Citation： ZHOU Meng, CHEN Liquan, JIN Xue, JIA Na, LI Li, SHEN Yan'e, ZHANG Jianxia. The current situation and the effect factors of post-intensive care syndrome among patients in RICU. Chinese Journal of Respiratory and Critical Care Medicine, 2020, 19(1): 53-58. doi: 10.7507/1671-6205.201901039 Copy

1.	Wunsch H, Guerra C, Barnato AE, et al. Three-year outcomes for medicare beneficiaries who survive intensive care. JAMA, 2010, 303(9): 849-856.
2.	魏春蓮, 廖蓮清, 劉沛儀, 等. ICU 轉出過渡護理在重度 COPD 患者轉至呼吸內科中的應用效果. 護士進修雜志, 2015, 30(12): 1103-1105.
3.	莊一渝, 韋秀霞, 彭劍英, 等. ICU 過渡期護理臨床實踐與研究進展. 中華護理雜志, 2016, 51(2): 211-215.
4.	Needham DM, Davidson J, Cohen H, et al. Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders' conference. Crit Care Med, 2012, 40(2): 502-509.
5.	Elliott D, Davidson JE, Harvey MA, et al. Exploring the scope of post-intensive care syndrome therapy and care: engagement of non-critical care providers and survivors in a second stakeholders meeting. Crit Care Med, 2014, 42(12): 2518-2526.
6.	Locke M, Eccleston S, Ryan CN, et al. Developing a diary program to minimize patient and family post-intensive care syndrome. AACN Adv Crit Care, 2016, 27(2): 212-220.
7.	葉小健, 莊一渝, 陳香萍, 等. ICU 后綜合征的干預研究現狀. 中華護理雜志, 2015, 50(11): 1369-1374.
8.	韋秀霞, 張秀偉, 彭劍英, 等. 國外 ICU 后綜合征的研究現狀. 中華護理雜志, 2016, 51(1): 84-89.
9.	Hopkins RO, Mitchell L, Thomsen GE, et al. Implementing a mobility program to minimize post-intensive care syndrome. AACN Adv Crit Care, 2016, 27(2): 187-203.
10.	裴倩倩, 王旭東, 李晶, 等. 多學科合作式過渡期護理在ICU后綜合征預防中的應用. 護理實踐與研究, 2017, 14(5): 36-37.
11.	敖漫, 敖薪. ICU 后綜合征評估工具的研究進展. 護理管理雜志, 2018, 18(2): 107-111.
12.	Ely EW, Inouye SK, Bernard GR, et al. Delirium in mechanically ventilated patients: Validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU). JAMA, 2001, 286(21): 2703-2710.
13.	周小炫. 中文版簡易智能精神狀態檢查量表在腦卒中患者中的信效度初步研究[D]. 福建: 福建中醫藥大學, 2015: 1-32.
14.	孫軍連. 醫患焦慮抑郁狀況的評價及其對醫院滿意度的影響[D]. 山西: 山西醫科大學第三醫院, 2011: 1-5.
15.	路桃影, 李艷, 夏萍, 等. 匹茲堡睡眠質量指數的信度及效度分析. 重慶醫學, 2014, 43(3): 260-263.
16.	王天芳, 張翠珍, 劉雁峰, 等. 慢性疲勞綜合征病人的疲勞、抑郁、焦慮及生活事件的特點及其間相關性分析. 中國行為醫學科學雜志, 2000, 9(2): 84-86.
17.	van der Schaaf M, Dettling DS, Beelen A, et al. Poor functional status immediately after discharge from an intensive care unit. Disabil Rehabil, 2008, 30(23): 1812-1818.
18.	Fletcher SN, Kennedy DD, Ghosh IR, et al. Persistent neuromuscular and neurophysiologic abnormalities in long-term survivors of prolonged critical illness. Crit Care Med, 2003, 31(4): 1012-1016.
19.	McKinley S, Fien M, Elliott R, et al. Sleep and psychological health during early recovery from critical illness: an observational study. J Psychosom Res, 2013, 75(6): 539-545.
20.	Davydow DS, Desai SV, Needham DM, et al. Psychiatric morbidity in survivors of the acute respiratory distress syndrome: a systematic review. Psychosom Med, 2008, 70(4): 512-519.
21.	Mikkelsen ME, Christie JD, Lanken PN, et al. The adult respiratory distress syndrome cognitive outcomes study: long-term neuropsychological function in survivors of acute lung injury. Am J Respir Crit Care Med, 2012, 185(12): 1307-1315.
22.	Barr J, Fraser GL, Puntillo K, et al. Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in adult Patients in the Intensive Care Unit. Crit Care Med, 2013, 41(1): 263-306.
23.	Wade DM, Howell DC, Weinman JA, et al. Investigating risk factors for psychological morbidity three months after intensive care: a prospective cohort study. Crit Care, 2012, 16(5): R192.
24.	楊瑾, 白亞娟, 王軍霞. 人文關懷在神經內科 ICU 后綜合征患者中的應用. 中國實用神經疾病雜志, 2018, 21(4): 440-443.
25.	劉筱凌, 秦佳楠, 徐海英. 基于文獻計量學的國外 ICU 后綜合征研究熱點分析. 中華現代護理雜志, 2017, 23(7): 970-973.
26.	高一兵. 老年冠心病人生理心理特點及其對預后的影響. 甘肅醫藥, 2011, 6(12): 383-384.

1. Wunsch H, Guerra C, Barnato AE, et al. Three-year outcomes for medicare beneficiaries who survive intensive care. JAMA, 2010, 303(9): 849-856.
2. 魏春蓮, 廖蓮清, 劉沛儀, 等. ICU 轉出過渡護理在重度 COPD 患者轉至呼吸內科中的應用效果. 護士進修雜志, 2015, 30(12): 1103-1105.
3. 莊一渝, 韋秀霞, 彭劍英, 等. ICU 過渡期護理臨床實踐與研究進展. 中華護理雜志, 2016, 51(2): 211-215.
4. Needham DM, Davidson J, Cohen H, et al. Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders' conference. Crit Care Med, 2012, 40(2): 502-509.
5. Elliott D, Davidson JE, Harvey MA, et al. Exploring the scope of post-intensive care syndrome therapy and care: engagement of non-critical care providers and survivors in a second stakeholders meeting. Crit Care Med, 2014, 42(12): 2518-2526.
6. Locke M, Eccleston S, Ryan CN, et al. Developing a diary program to minimize patient and family post-intensive care syndrome. AACN Adv Crit Care, 2016, 27(2): 212-220.
7. 葉小健, 莊一渝, 陳香萍, 等. ICU 后綜合征的干預研究現狀. 中華護理雜志, 2015, 50(11): 1369-1374.
8. 韋秀霞, 張秀偉, 彭劍英, 等. 國外 ICU 后綜合征的研究現狀. 中華護理雜志, 2016, 51(1): 84-89.
9. Hopkins RO, Mitchell L, Thomsen GE, et al. Implementing a mobility program to minimize post-intensive care syndrome. AACN Adv Crit Care, 2016, 27(2): 187-203.
10. 裴倩倩, 王旭東, 李晶, 等. 多學科合作式過渡期護理在ICU后綜合征預防中的應用. 護理實踐與研究, 2017, 14(5): 36-37.
11. 敖漫, 敖薪. ICU 后綜合征評估工具的研究進展. 護理管理雜志, 2018, 18(2): 107-111.
12. Ely EW, Inouye SK, Bernard GR, et al. Delirium in mechanically ventilated patients: Validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU). JAMA, 2001, 286(21): 2703-2710.
13. 周小炫. 中文版簡易智能精神狀態檢查量表在腦卒中患者中的信效度初步研究[D]. 福建: 福建中醫藥大學, 2015: 1-32.
14. 孫軍連. 醫患焦慮抑郁狀況的評價及其對醫院滿意度的影響[D]. 山西: 山西醫科大學第三醫院, 2011: 1-5.
15. 路桃影, 李艷, 夏萍, 等. 匹茲堡睡眠質量指數的信度及效度分析. 重慶醫學, 2014, 43(3): 260-263.
16. 王天芳, 張翠珍, 劉雁峰, 等. 慢性疲勞綜合征病人的疲勞、抑郁、焦慮及生活事件的特點及其間相關性分析. 中國行為醫學科學雜志, 2000, 9(2): 84-86.
17. van der Schaaf M, Dettling DS, Beelen A, et al. Poor functional status immediately after discharge from an intensive care unit. Disabil Rehabil, 2008, 30(23): 1812-1818.
18. Fletcher SN, Kennedy DD, Ghosh IR, et al. Persistent neuromuscular and neurophysiologic abnormalities in long-term survivors of prolonged critical illness. Crit Care Med, 2003, 31(4): 1012-1016.
19. McKinley S, Fien M, Elliott R, et al. Sleep and psychological health during early recovery from critical illness: an observational study. J Psychosom Res, 2013, 75(6): 539-545.
20. Davydow DS, Desai SV, Needham DM, et al. Psychiatric morbidity in survivors of the acute respiratory distress syndrome: a systematic review. Psychosom Med, 2008, 70(4): 512-519.
21. Mikkelsen ME, Christie JD, Lanken PN, et al. The adult respiratory distress syndrome cognitive outcomes study: long-term neuropsychological function in survivors of acute lung injury. Am J Respir Crit Care Med, 2012, 185(12): 1307-1315.
22. Barr J, Fraser GL, Puntillo K, et al. Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in adult Patients in the Intensive Care Unit. Crit Care Med, 2013, 41(1): 263-306.
23. Wade DM, Howell DC, Weinman JA, et al. Investigating risk factors for psychological morbidity three months after intensive care: a prospective cohort study. Crit Care, 2012, 16(5): R192.
24. 楊瑾, 白亞娟, 王軍霞. 人文關懷在神經內科 ICU 后綜合征患者中的應用. 中國實用神經疾病雜志, 2018, 21(4): 440-443.
25. 劉筱凌, 秦佳楠, 徐海英. 基于文獻計量學的國外 ICU 后綜合征研究熱點分析. 中華現代護理雜志, 2017, 23(7): 970-973.
26. 高一兵. 老年冠心病人生理心理特點及其對預后的影響. 甘肅醫藥, 2011, 6(12): 383-384.

Chinese Journal of Respiratory and Critical Care Medicine

The current situation and the effect factors of post-intensive care syndrome among patients in RICU

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content