摘要
目的:探讨危重患者ICU后综合征(post-intensive care syndrome,PICS)发生抑郁障碍的相关危险因素。方法:选取2017年6月-2018年7月由本院ICU转出并符合纳入标准的危重患者为研究对象,采用抑郁自评量表(self-rating depression scale,SDS)进行评估,收集患者相关资料并记录,分析其抑郁障碍发生情况及相关因素。结果:转出危重患者中,抑郁障碍发生率为39.4%。ICU住院时间≥15 d、吸烟、饮酒、创伤史、镇静治疗、机械通气治疗是危重患者PICS发生抑郁障碍的独立危险因素(P<0.001)。结论:危重患者PICS的抑郁障碍发生率较高,且危害较大,应加强对ICU患者的抑郁关注,从不同角度开展抑郁干预,帮助患者树立战胜疾病的信心,从而减少危重患者PICS发生抑郁障碍,促进患者早日回归家庭、社会。
Objective:To explore the risk factors associated with depressive disorder in post-intensive care syndrome patient.Method:A critically ill patients who were transferred from the ICU from June 2017 to July 2018 in Guangdong Province and met the inclusion criteria were enrolled in a third-class hospital in Guangdong Province.The self-rating depression scale(SDS)was used for evaluation,and patient-related data were collected and recorded,the occurrence of depression disorders and related factors.Result:Among the critically ill patients,the incidence of depression was 39.4%.ICU length of stay greater than or equal to 15 d,smoking,drinking,trauma history,sedation therapy,mechanical ventilation therapy were independent risk factors for depression disorder in critically ill patients(P<0.001).Conclusion:The occurrence rate of depression disorder in critically ill patients is high,and the harm is great,therefore,we should pay more attention to the depression of ICU patients,and carry out depression intervention from different angles to help patients establish the confidence to conquer the disease,so as to reduce the occurrence of depression disorder in critically ill patients and promote the early return of patients to family and society.
作者
黄庆萍
黄艳芳
罗芳梅
兰红双
杨凤玲
农礼荣
HUANG Qingping;HUANG Yanfang;LUO Fangmei(Dongguan Houjie Hospital Affiliated to Guangdong Medical University,Dongguan 523945,China)
出处
《中国医学创新》
CAS
2019年第26期154-158,共5页
Medical Innovation of China
基金
东莞市社会科技发展项目(2018507150231219)
关键词
ICU后综合征
抑郁障碍
危险因素
Post-intensive care syndrome
Depressive disorder
Risk factors
