重症监护病房幸存者的长期生活质量。

IF 2 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Risk Management and Healthcare Policy Pub Date : 2025-06-17 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S517832
Hassan Y Aljohani, Naif A Albarak, Talal A Alanazi, Muhnad A Alabdulsalam, Rayan A Alzahrani, Saleh S Algarni, Tareq F Alotaibi, Mohammed M Alqahtani, Mobarak K Alqahtani, Taha T Ismaeil, Lafi H Olayan
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引用次数: 0

摘要

背景:重症监护病房(ICU)幸存者的长期健康相关生活质量(HRQoL)是一个关键问题。本研究调查了沙特阿拉伯ICU幸存者的HRQoL,强调了其对推进医疗保健和改善结果的重要性。方法:对ICU存活者和健康对照组进行横断面研究。参与者年龄≥18岁,ICU幸存者出院至少6个月,排除有严重认知障碍或精神疾病的个体。SF-36问卷评估了八个领域的HRQoL,数据收集自利雅得的一家三级医院。统计分析包括Mann-Whitney u检验、Fisher精确检验和多元线性回归。结果:分析了151例ICU幸存者和181例对照组的数据。慢性疾病在ICU幸存者中更为常见(51.7% vs 23.8%, p=0.00)。独立于慢性疾病,ICU幸存者的HRQoL评分明显较低。延长ICU住院时间与较差的预后质量相关。此外,出院≥7个月可改善总体健康状况(p=0.05)。ICU幸存者在身体功能(65分[IQR 55]对80分[IQR 45], p=0.00)、身体健康受限(25分[IQR 100]对100分[IQR 75], p=0.00)、情绪问题受限(33.33分[IQR 100]对66.67分[IQR 100], p=0.00)、社会功能受限(62.5分[IQR 50]对75分[IQR 38], p=7.00)、疼痛加重(67.5分[IQR 45]对80分[IQR 33] (p=0.00)、总体健康(55分[IQR 25]对65分[IQR 23], p=0.00)。结论:ICU存活患者的HRQoL因ICU住院时间延长而恶化,强调需要早期和全面的康复服务。这些康复服务的低使用率表明,需要提供有针对性的早期康复服务的机会和质量,以改善ICU幸存者的长期HRQoL。
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 Quality of Life Among Intensive Care Units Survivors.

Background: The long-term health-related quality of life (HRQoL) of intensive care unit (ICU) survivors is a key concern. This study investigates HRQoL among ICU survivors in Saudi Arabia, highlighting its importance for advancing healthcare and improving outcomes.

Methods: A cross-sectional study was conducted among ICU survivors and a control healthy group. Participants were aged ≥18 years, with ICU survivors discharged for at least six months excluding individuals with severe cognitive impairments or mental illness. The SF-36 questionnaire assessed HRQoL across eight domains, with data collected from a tertiary hospital in Riyadh. Statistical analysis included the Mann-Whitney U-test, the Fisher exact, and multiple linear regression.

Results: Data from 151 ICU survivors and 181 controls were analyzed. Chronic diseases were more common among ICU survivors (51.7% vs 23.8%, p=0.00). Independent of chronic diseases, ICU survivors had significantly lower scores in HRQoL. Prolonged ICU stays were associated with worse quality outcomes. Additionally, being discharged for ≥ seven months improved general health (p=0.05). ICU survivors displayed notably lower scores in physical functioning (65 [IQR 55] vs 80 [IQR 45], p=0.00), limitations due to physical health (25 [IQR 100] vs 100 [IQR 75], p=0.00), limitations due to emotional problems (33.33 [IQR 100] vs 66.67 [IQR 100], p=0.00), less social functioning (62.5 [IQR 50] vs 75 [IQR 38], p=7.00), more pain 67.5 [IQR 45] vs 80 [IQR 33] (p=0.00), and general health (55 [IQR 25] vs 65 [IQR 23], p=0.00).

Conclusion: ICU survivors experience significant HRQoL impairments exacerbated by prolonged ICU stays, highlighting the need for early and comprehensive rehabilitation services. The low utilization of these rehabilitation services suggests a need to provide access and quality for tailored early rehabilitation services to improve ICU survivors' long-term HRQoL.

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来源期刊
Risk Management and Healthcare Policy
Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.20
自引率
2.90%
发文量
242
审稿时长
16 weeks
期刊介绍: Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.
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