重症患者ICU后综合征心理功能障碍发生率的Meta分析  

Meta analysis of the incidence of psychological dysfunction in critically ill patients with post-intensive care syndrome

作　　者：张婷婷 易晓平 邢娅娜 李娟[1] 韩丽军[1] Zhang Tingting;Yi Xiaoping;Xing Yana;Li Juan;Han Lijun(Nursing Department,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院护理部,北京100070

出　　处：《中华现代护理杂志》2024年第20期2724-2731,共8页Chinese Journal of Modern Nursing

基　　金：首都医科大学附属北京天坛医院2022年度"院青年"科研基金(2022-YQN-06)。

摘　　要：目的:系统评价重症患者ICU后综合征心理功能障碍的发生率。方法:计算机检索中国知网、万方数据库、维普网、中国生物医学文献服务系统、PubMed、Embase、Cochrane Library、Web of Science、CINAHL、Scopus中关于重症患者ICU后综合征心理功能障碍发生率相关的文献,检索时限为建库至2023年4月。对纳入文献进行数据提取和质量评价,采用Stata 17.0软件进行Meta分析。结果:共纳入32篇文献,共计496 399例患者。Meta分析结果显示,重症患者ICU后心理功能障碍的发生率为31.0%(95% CI:26%~35%)。亚组分析结果显示,国外文献、研究对象为病毒感染ICU患者的文献、2017—2023年发表的文献,ICU后综合征心理功能障碍发生率更高,分别为32.5%(95% CI:25%~40%)、34.0%(95% CI:29%~39%)、32.8%(95% CI:28%~38%)。 结论:重症患者ICU后综合征心理功能障碍发生率较高,医护人员应提高对ICU后患者心理健康的重视,加强对重症患者ICU后综合征心理功能障碍的筛查,并及时给予针对性的干预措施。ObjectiveTo systematically evaluate the incidence of psychological dysfunction in critically ill patients with post-intensive care syndrome(PICS).MethodsComputer search was conducted on CNKI,Wanfang Database,VIP,SinoMed,PubMed,Embase,Cochrane Library,Web of Science,CINAHL and Scopus for literature related to the incidence of psychological dysfunction in critically ill PICS patients,and the search period was from establishment of the databases to April 2023.Data extraction and quality evaluation were carried out for the included literatures and Stata 17.0 software was used for meta-analysis.ResultsA total of 32 articles were included,with a total of 496399 patients.Meta-analysis results showed that the incidence of psychological dysfunction in critically ill PICS patients was 31.0%(95%CI:26%-35%).Subgroup analysis results showed that the incidence of psychological dysfunction in PICS patients was higher in foreign literature,literature on virus-infected ICU patients,and literature published from 2017 to 2023,with incidence of 32.5%(95%CI:25%-40%),34.0%(95%CI:29%-39%),and 32.8%(95%CI:28%-38%),respectively.ConclusionsThe incidence of psychological dysfunction in critically ill patients with post-intensive care syndrome is relatively high.Medical staff should pay more attention to the psychological health of post-ICU patients,strengthen screening of psychological dysfunction in critically ill patients with post-intensive care syndrome and give timely targeted intervention measures.

关 键 词：ICU后综合征 心理障碍 发生率 META分析 

分 类 号：R472[医药卫生—护理学]