[1]程志强,张宝珍,李夏欣,等.危重症患者ICU后心理功能障碍发生率及危险因素的Meta分析[J].军事护理,2023,40(08):77-81.[doi:10.3969/j.issn.2097-1826.2023.08.019]
　CHENG Zhiqiang,ZHANG Baozhen,LI Xiaxin,et al.Incidence and Risk Factors of Post-ICU Psychological Dysfunction in Critically Ill Patients:A Meta-analysis[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(08):77-81.[doi:10.3969/j.issn.2097-1826.2023.08.019]
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危重症患者ICU后心理功能障碍发生率及危险因素的Meta分析
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年08期
页码:
77-81
栏目:
循证护理
出版日期:
2023-08-15

文章信息/Info

Title:
Incidence and Risk Factors of Post-ICU Psychological Dysfunction in Critically Ill Patients:A Meta-analysis
文章编号:
2097-1826(2023)08-0077-05
作者:
程志强1; 张宝珍2; 李夏欣1; 夏娇云2; 周钰珏2; 严宪峰2; 付焕旭1; 闫程坤1
(1.南昌大学 护理学院,江西 南昌 330006; 2.南昌大学第一附属医院 护理部,江西 南昌 330006)
Author(s):
CHENG Zhiqiang1; ZHANG Baozhen2; LI Xiaxin1; XIA Jiaoyun2; ZHOU Yujue2; YAN Xianfeng2; FU Huanxu1; YAN Chengkun1
(1.School of Nursing,Nanchang University,Nanchang 330006,Jiangxi Province,China; 2.Department of nursing,The First Affiliated Hospital of Nanchang University,Nanchang 330006,Jiangxi Province,China)
关键词:
ICU后综合征;  心理功能障碍;  危险因素;  Meta分析
Keywords:
post-ICU syndrome;  psychological dysfunction;  risk factor;  Meta-analysis
分类号:
R
DOI:
10.3969/j.issn.2097-1826.2023.08.019
文献标志码:
A
摘要:
目的 总结危重症患者ICU后心理功能障碍的发生率和危险因素。方法 系统检索PubMed、Embase、Cochrane library、中国知网、中国生物医学文献服务系统、万方数据库、维普等数据库,检索时限为建库至2023年1月,纳入关于ICU后心理功能障碍发生率及危险因素的文献并进行Meta分析。结果 共纳入16篇文献,计167 642例患者,ICU后心理功能障碍发生率为32%(95%CI:0.25～0.40)。患者年龄≤70岁、女性、学历水平高、饮酒史、脓毒症、慢性病史、精神疾病史、机械通气、ICU住院时间长、使用镇静剂、妄想记忆,事实记忆是ICU后心理功能障碍的危险因素(均P<0.05)。结论 临床医护人员可根据以上危险因素采取相应干预措施,以降低ICU后心理功能障碍的发生率。
Abstract:
Objective To summarize the incidence and risk factors of post-ICU psychological dysfunction in critically ill patients.Methods The literatures were systematically retrieved from PubMed,Embase,Cochrane library,CNKI,SinoMed,Wanfang Data,and VIP,with the time period from the inception to January 2023.The studies on the incidence and risk factors of post-ICU psychological dysfunction were selected for Meta analysis.Results A total of 16 articles with 167,642 patients were included.The incidence of post-ICU psychological dysfunction was 32%(95%CI:0.25-0.40).Patient age ≤70 years old,female,high level of education,history of alcohol drinking,sepsis,history of chronic disease,history of mental disease,mechanical ventilation,long stay in ICU,using tranquilizer,delusional memory, and factual memory were the risk factors of post-ICU psychological dysfunction(all P<0.05).Conclusions Clinical medical staff can provide corresponding interventions according to the above risk factors to reduce the incidence of post-ICU psychological dysfunction.

参考文献/References:

[1] BOEDE M,GENSICHEN J S,JACKSON J C,et al.Trajectories of depression in sepsis survivors:an observational cohort study[J].Crit Care,2021,25(1):161-172.
[2] RAMNARAIN D,AUPERS E,DEN OUDSTEN B,et al.Post intensive care syndrome(PICS):an overview of the definition,etiology,risk factors,and possible counseling and treatment strategies[J].Expert Rev Neurother,2021,21(10):1159-1177.
[3] 程志强,张宝珍,夏娇云,等.患者家属ICU后心理功能障碍发生率及危险因素的Meta分析[J].军事护理,2023,40(2):102-106.
[4] MARRA A,PANDHARIPANDE P P,GIRARD T D,et al.Co-occurrence of post-intensive care syndrome problems among 406 survivors of critical illness[J].Crit Care Med,2018,46(9):1393-1401.
[5] MARTILLO M A,DANGAYACH N S,TABACOF L,et al.Postintensive care syndrome in survivors of critical illness related to coronavirus disease 2019:cohort study from a New York city critical care recovery clinic[J].Crit Care Med,2021,49(9):1427-1438.
[6] HAINES K J,HIBBERT E,MCPEAKE J,et al.Prediction models for physical,cognitive,and mental health impairments after critical illness:a systematic review and critical appraisal[J].Crit Care Med,2020,48(12):1871-1880.
[7] LO C K,MERTZ D,LOEB M.Newcastle-Ottawa scale:comparing reviewers' to authors' assessments[J/OL].[2022-12-01].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4021422/.DOI:10.1186/1471-2288-14-45.
[8] 曾宪涛,刘慧,陈曦,等.Meta分析系列之四:观察性研究的质量评价工具[J].中国循证心血管医学杂志,2012,4(4):297-299.
[9] 李荣华.广州地区ICU机械通气存活者及家属ICU后综合征的相关研究[D].广州:广州医科大学,2019.
[10]邵勤文.ICU后综合征心理功能障碍的现状及影响因素分析[D].沈阳:中国医科大学,2021.
[11]MYHREN H,EKEBERG O,TØIEN K,et al.Posttraumatic stress,anxiety and depression symptoms in patients during the first year post intensive care unit discharge[J/OL].[2022-12-01].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2875529/.DOI:10.1186/cc8870.
[12]BIENVENU O J,GELLAR J,ALTHOUSE B M,et al.Post-traumatic stress disorder symptoms after acute lung injury:a 2-year prospective longitudinal study[J].Psychol Med,2013,43(12):2657-2671.
[13]TRIPATHY S,ACHARYA S P,SINGH S,et al.Post traumatic stress symptoms,anxiety,and depression in patients after intensive care unit discharge-a longitudinal cohort study from a LMIC tertiary care centre[J/OL].[2022-12-01].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216410/.DOI:10.1186/s12888-020-02632-x.
[14]DEMORO G,DAMICO V,MURANO L,et al.Long-term consequences in survivors of critical illness.Analysis of incidence and risk factors[J].Ann Ist Super Sanita,2020,56(1):59-65.
[15]CALSAVARA A J,COSTA P A,NOBRE V,et al.Prevalence and risk factors for post-traumatic stress,anxiety,and depression in sepsis survivors after ICU discharge[J].Braz J Psychiatry,2021,43(3):269-276.
[16]GEENSE W W,ZEGERS M,PETERS M A A,et al.New physical,mental,and cognitive problems 1 year after ICU admission:a prospective multicenter study[J].Am J Respir Crit Care Med,2021,203(12):1512-1521.
[17]DAMICO V,MURANO L,TELI M,et al.Prevalence of post traumatic stress disorder,anxiety and depression among COVID-19 survivors 1 year after intensive care discharge[J].Prof Inferm,2021,74(4):264-271.
[18]TEIXEIRA C,ROSA R G,SGANZERLA D,et al.The burden of mental illness among survivors of critical care-risk factors and impact on quality of life:a multicenter prospective cohort study[J].Chest,2021,160(1):157-164.
[19]UNOKI T,SAKURAMOTO H,UEMURA S,et al.Prevalence of and risk factors for post-intensive care syndrome:multicenter study of patients living at home after treatment in 12 Japanese intensive care units,SMAP-HoPe study[J/OL].[2022-12-01].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8158919/.DOI:10.1371/journal.pone.0252167.
[20]BATTLE C,JAMES K,TEMBLETT P.Depression following critical illness:analysis of incidence and risk factors[J].J Intensive Care Soc,2015,16(2):105-108.
[21]KANG J,YUN S,CHO Y S,et al.Post-intensive care unit depression among critical care survivors:a nationwide population-based study[J/OL].[2022-12-01].https://onlinelibrary.wiley.com/doi/10.1111/jjns.12299.DOI:10.1111/jjns.12299.
[22]WINTERMANN G B,ROSENDAHL J,WEIDNER K,et al.Risk factors of delayed onset posttraumatic stress disorder in chronically critically ill patients[J].J Nerv Ment Dis,2017,205(10):780-787.
[23]WADE D M,HOWELL D C,WEINMAN J A,et al.Investigating risk factors for psychological morbidity three months after intensive care:a prospective cohort study[J/OL].[2022-12-01].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682294/.DOI:10.1186/cc11677.
[24]LI Z,HE J,WANG Y,et al.A cross-sectional study on the mental health of patients with COVID-19 1 year after discharge in Huanggang,China[J].Eur Arch Psychiatry Clin Neurosci,2023,273(2):301-310.
[25]LEE M,KANG J,JEONG Y J.Risk factors for post-intensive care syndrome:a systematic review and meta-analysis[J].Aust Crit Care,2020,33(3):287-294.
[26]HATCH R,YOUNG D,BARBER V,et al.Anxiety,depression and post traumatic stress disorder after critical illness:a UK-wide prospective cohort study[J/OL].[2022-12-01].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251214/.DOI:10.1186/s13054-018-2223-6.
[27]HEESAKKERS H,VAN DER HOEVEN J G,CORSTEN S,et al.Mental health symptoms in family members of COVID-19 ICU survivors 3 and 12 months after ICU admission:a multicentre prospective cohort study[J].Intensive Care Med,2022,48(3):322-331.
[28]黄丽.ICU相关记忆与创伤后应激障碍危险因素的研究[D].福州:福建医科大学,2016.
[29]王烁,侯婉玲,胡蓉芳,等.ICU患者创伤后应激障碍危险因素的Meta分析[J].中华护理杂志,2016,51(8):915-922.
[30]VELLA L D,CAMERON-SMITH D.Alcohol,athletic performance and recovery[J].Nutrients,2010,2(8):781-789.
[31]朱小芳,乔瑶,王宜庭,等.危重症患者ICU后综合征的危险因素分析[J].重庆医学,2018,47(26):3383-3385,3389.
[32]JACKSON J C,PANDHARIPANDE P P,GIRARD T D,et al.Depression,post-traumatic stress disorder,and functional disability in survivors of critical illness in the BRAIN-ICU study:a longitudinal cohort study[J].Lancet Respir Med,2014,2(5):369-379.
[33]PAPARRIGOPOULOS T,MELISSAKI A,TZAVELLAS E,et al.Increased co-morbidity of depression and post-traumatic stress disorder symptoms and common risk factors in intensive care unit survivors:a two-year follow-up study[J].Int J Psychiatry Clin Pract,2014,18(1):25-31.
[34]李荣华,黄敬烨,刘晓青,等.ICU机械通气存活者不同时期心理功能状况的纵向研究[J].实用医学杂志,2020,36(11):1531-1536.
[35]DUAN Y,WEI J,GENG W,et al.The effect of short-term use of benzodiazepines on cognitive function of major depressive disorder patients being treated with antidepressants[J].J Affect Disord,2019(256):1-7.
[36]曹书奎,金晓烨,张运才,等.右美托咪定联合镇静镇痛对ICU机械通气患者心理状态及认知功能的影响[J].国际精神病学杂志,2021,48(6):1087-1090.
[37]柴秀琴,王敏焱,徐雪飞.护理组织氛围对呼吸机相关性肺炎患者ICU记忆的影响[J].解放军护理杂志,2018,35(9):39-42.
[38]黄丽,罗利,胡蓉芳.ICU相关记忆及其影响因素的研究[J].护理学杂志,2015,30(24):70-73.

相似文献/References:

[1]程志强,张宝珍,夏娇云,等.患者家属ICU后心理功能障碍发生率及危险因素的Meta分析[J].军事护理,2023,40(02):102.[doi:10.3969/j.issn.2097-1826.2023.02.025]
　CHENG Zhiqiang,ZHANG Baozhen,XIA Jiaoyun,et al.The Incidence and Risk Factors of Psychological Dysfunction in Patients' Family Members After Intensive Care Unit: A Meta-analysis[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(08):102.[doi:10.3969/j.issn.2097-1826.2023.02.025]

备注/Memo

备注/Memo:
【 收稿日期 】 2022-12-11 【 修回日期 】 2023-06-07
【 基金项目 】 江西省卫生健康委科技计划项目(202310357); 江西省教育厅科学技术研究项目(GJJ2200153)
【 作者简介 】 程志强,硕士在读,护师,电话:0791-86319399
【 通信作者 】 张宝珍,电话:0791-86319399
更新日期/Last Update: 2023-08-15