Research on the current status and influencing factors of post ICU syndrome in severe patients
10.3761/j.issn.0254-1769.2025.19.008
- VernacularTitle:重症患者ICU后综合征的发生现状及影响因素研究
- Author:
Tingshu WANG
1
;
Li YAO
;
Yan LIU
;
Bei JING
;
Qinqin LI
;
Tingrui WANG
Author Information
1. 550000 贵阳市 贵州医科大学护理学院
- Publication Type:Journal Article
- Keywords:
Critical Patients;
Post-Intensive Care Syndrome;
Assessment;
Root Cause Analysis;
Critical Care
- From:
Chinese Journal of Nursing
2025;60(19):2356-2363
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the current situation and influencing factors of post-intensive care syndrome(PICS)in critically ill patients a month after their transfer out,and to provide a basis for formulating individualized intervention measures.Methods By the convenience sampling method,550 patients who were transferred out of the ICU of a tertiary A hospital in Guizhou Province for a month from April to November 2024 were selected as the survey subjects.The general information of the patients was collected and sorted out.During their stay in the ICU,the Barthel Index,the Richards Campbell Sleep Scale,and the Perceived Social Support Scale were employed for evaluation.A month after the patients were transferred out of the ICU,the assessment was completed through telephone follow-up using the Chinese version of the Brain Care Monitoring Questionnaire for Healthy Aging.According to the assessment a month after the patients were transferred out,they were divided into a PICS group and a non-PICS group.Univariate analysis and binary Logistic regression analysis were completed based on the data of the 2 groups.Results A total of 550 questionnaires were distributed,and 442 valid questionnaires were ultimately collected,with a valid questionnaire collection rate of 80.3%.Among them,194 cases(43.9%)were high-risk patients with PICS.Binary logistic regression analysis showed that advanced age,pulmonary infection,total hospitalization time>15 days,and internal environment disorder were the risk factors for PICS in ICU patients(P<0.05).Conclusion The risk of PICS is relatively high in critically ill patients a month after the transfer.Medical staff need to pay attention to patients who are older,have pulmonary infections and internal environment disorders,and formulate personalized intervention measures for different disease types to improve the long-term health prognosis of patients.