[长期断奶后患者与健康相关的长期生活质量取决于断奶状态]。

IF 1.2 Q4 RESPIRATORY SYSTEM
Pneumologie Pub Date : 2024-08-05 DOI:10.1055/a-2368-4865
Bernd Schönhofer, Andrea Paul, Stefan Suchi, Maximilian Zimmermann, Sarah Bettina Stanzel, Wolfram Windisch, Melanie Berger
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引用次数: 0

摘要

简介方法:使用严重呼吸功能不全问卷(SRI)测量断奶时间过长患者的 HRQL:结果:83 名断奶时间过长的患者中有 39 人填写了 SRI 问卷。从出院到进行 HRQL 评估的中位间隔为 3.5 年(IQR 为 2.4-4.5 年)。全组 SRI 总分的中位数为 56.4(IQR 38.8-73.5)。与断流成功的患者(13 人)和断流后接受长期无创通气(NIV)的患者(11 人)相比,断流不成功且随后接受有创家庭机械通气的患者(15 人)的 SRI 总分估计 HRQL 更差;Kruskal-Wallis 检验:H(2,n=39)=7875446;P=0.0195。在以下 SRI 分量表中,具有统计学意义的差异尤其明显,表明使用有创家庭机械通气的患者的 HRQL 更差:社会关系(P=0.0325)、焦虑(P=0.0096)和心理健康(P=0.0079):结论:与延长断奶成功的患者相比,延长断奶不成功且随后进行有创家庭机械通气的患者的 HRQL 严重受损。还需要进行更多的研究,以评估可能影响长期断流患者 HRQL 的其他情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Long-term health-related quality of life of patients after prolonged weaning depending on weaning status].

Introduction: Long-term outcome in patients with prolonged weaning is known to be impaired, particularly against the background of their weaning status; however, data on their health-related quality of life (HRQL) are sparse.

Methods: HRQL was measured in patients with prolonged weaning using the Severe Respiratory Insufficiency Questionnaire (SRI).

Results: Overall, 39 out of 83 patients with prolonged weaning filled in the SRI questionnaire. The median interval between discharge from hospital and HRQL assessment was 3.5 years (IQR 2.4-4.5 years). In the total group, the median SRI summary score was 56.4 (IQR 38.8-73.5). Patients with unsuccessful weaning and subsequent invasive home mechanical ventilation (N=15) had worse HRQL as estimated from the SRI summary score when compared to those with successful weaning both without (n=13) and with subsequent long-term non-invasive ventilation (NIV) (n=11); Kruskal-Wallis-Test: H (2, n=39) = 7,875446; P=0.0195. Statistically significant differences indicating worse HRQL in patients with invasive home mechanical ventilation were particularly evident in the following SRI subscales: Social relationships (P=0.0325), Anxiety (P=0.0096), and Psychological well-being (P=0.0079).

Conclusions: HRQL is substantially impaired in patients with unsuccessful prolonged weaning and subsequent invasive home mechanical ventilation compared to those with successful prolonged weaning. Further studies incorporating higher case numbers are needed to assess other conditions potentially affecting HRQL in patients with prolonged weaning.

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来源期刊
Pneumologie
Pneumologie RESPIRATORY SYSTEM-
CiteScore
1.80
自引率
16.70%
发文量
416
期刊介绍: Organ der Deutschen Gesellschaft für Pneumologie DGP Organ des Deutschen Zentralkomitees zur Bekämpfung der Tuberkulose DZK Organ des Bundesverbandes der Pneumologen BdP Fachärzte für Lungen- und Bronchialheilkunde, Pneumologen und Allergologen
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