缓解有效管理重症监护后综合征(PICS)所面临的挑战

Nkiruka Lauretta Nwangene
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摘要

导言:重症监护后综合征(PICS)是指在重症监护室(ICU)住院期间或之后,因长期身体和认知障碍以及精神健康问题而产生的综合影响。重症监护后综合征严重影响患者的生活质量和恢复正常生活的能力。自 Covid-19 大流行以来,PICS 的挑战变得更加普遍。本研究旨在探讨有效管理 PICS 所面临的挑战,并提出切实可行的应对方法,以降低 PICS 的发生率,改善患者的福祉、生活质量和对护理服务的满意度。方法:采用描述性调查的方法,对2019-2024年有关PICS的部分文献、挑战以及有效管理挑战的措施进行简要的系统回顾。结果:医护人员对 PICS 缺乏认识,无法识别病情;难以预测和管理 PICS 的长期影响;PICS 对患者及其家属造成巨大的情感伤害;以及医疗系统的分散,这些因素共同制约了对 PICS 的有效管理。结论:为实现对 PICS 的有效管理,必须采用一种全面的多学科方法,该方法可解决该病症的认知、生理和心理方面的问题。医护人员之间开展有意义的跨学科合作,广泛宣传 PICS、症状和早期干预的必要性,将确保患者获得最大疗效并改善生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mitigating Challenges to Effective Management of Post-Intensive Care Syndrome (PICS)
Introduction: Post-Intensive Care Syndrome (PICS) refers to the collective effects of prolonged physical and cognitive impairments and mental health problems during or after the stay in intensive care unit (ICU). PICS significantly affect patients’ quality of life and ability to return to their normal routines. The challenges of PICS have become more pervasive since the Covid-19 pandemic. The aim of this study is to examine the challenges to effective management of PICS and suggest tangible ways of addressing them so as to reduce the prevalence of PICS, and improve on patients’ wellbeing, quality of life and satisfaction with care services. Methods: The descriptive survey is employed to make a brief systematic review of selected 2019—2024 literatures on PICS, the challenges, and the measures for managing the challenges effectively. Results: There is a consensus on lack of awareness and inability to recognize the condition among healthcare professionals; the difficulty of predicting and managing the long-term effects of PICS; the significant emotional toll of PICS on patients and their families; and the fragmentation of healthcare systems, which together constrain effective management of PICS. Conclusion: To attain effective management of PICS, a comprehensive multidisciplinary approach, which can address cognitive, physical, and psychological aspects of the condition, has to be adopted. Resorting to a meaningful interdisciplinary collaboration among healthcare professionals, widespread awareness about PICS, the symptoms, and the need for early interventions would guarantee patients’ attainment of maximal outcomes and improved quality of life.
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