Abstract
Background
Patients transferred from the respiratory intensive care unit (ICU) can experience
post–intensive care syndrome (PICS), which comprises cognitive, psychological, and
physical disorders that seriously affect the quality of life. Therefore, it was necessary
to explore the incidence of and the risk factors for PICS among respiratory ICU patients.
Objectives
This study evaluated PICS among respiratory ICU patients and explored the risk factors
for PICS.
Methods
This cross-sectional, prospective study was performed at one hospital in China. Using
convenience sampling, 125 respiratory ICU patients from August 2018 to June 2019 were
recruited for the study. The Mini-Mental State Examination, Confusion Assessment Method
for the Intensive Care Unit, Hospital Anxiety and Depression Scale, Medical Research
Council Scale, activities of daily living scale, Pittsburgh Sleep Quality Index, and
the 14-item fatigue scale were used to comprehensively assess the patients' cognitive
status, psychological status, and physiological status when entering the ICU and 2
weeks after leaving the ICU. Factors affecting PICS were measured using researcher-created
questionnaires of patients’ general information and disease-related information.
Results
Fifteen patients were lost to follow-up. Fifty-nine patients had PICS (incidence rate,
53.6%). Logistic regression showed that risk factors for PICS were age, invasive mechanical
ventilation, noninvasive ventilator-assisted ventilation, and coronary heart disease
(P < 0.05).
Conclusion
The PICS incidence was high. Older age, longer invasive mechanical ventilation times,
longer noninvasive ventilator times, and coronary heart disease were risk factors
for PICS. ICU medical workers in China should pay more attention on PICS, know the
risk factors, and implement preventive measures.
Keywords
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Article info
Publication history
Published online: September 11, 2022
Accepted:
July 31,
2022
Received in revised form:
July 31,
2022
Received:
March 23,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.
