Depressive, Angst- und posttraumatische Belastungsstörungen als Konsequenzen intensivmedizinischer Behandlung

Hp, Kapfhammer

doi:10.1007/s00115-016-0070-8

Cited by 14 publications

(10 citation statements)

References 79 publications

(56 reference statements)

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“…Previous studies have shown that somatization refers to the transition from mental state to physical symptoms [ 23 ]. Somatic symptoms are defined as a group of physical disorders, such as digestion, appetite, sleep, or physical unhappiness or worry that are not pretending or intentional [ 24 ]. These symptoms are or are not caused by organic diseases.…”

Section: Discussionmentioning

confidence: 99%

Comparison of prevalence and risk factors of somatization between Chinese health care workers and non-health care workers during COVID-19 outbreak

et al. 2021

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Background This study aimed to compare prevalence and risk factors of somatization (SOM) between health care workers and non-health care workers during COVID-19 outbreak in China. Methods From 14 February to 29 March 2020, an online survey was performed in both 605 health care workers and 1151 non-health care workers. Based on the somatization dimension score of the Symptom Checklist-90, participants were divided into non-SOM group and SOM group. Results Health care workers had higher prevalence rate of SOM (p < 0.001) than non-health care workers, with an OR of 1.70 (95% CI, 1.22–2.36, p = 0.002). Multiple logistic regression analysis revealed that in non-health care workers, the risk factors of SOM included other ethnicities, insomnia, and suicide, while in health care workers, the risk factors included working 6–8 h per day, and working ≥10 h per day during COVID-19 outbreak. Conclusions Our research suggests that both non-health care workers and health care workers have a relatively high prevalence of somatization. However, the related factors for somatization in both groups are significantly different, showing that medical service-related factors are associated with somatization in health care workers, while demographic and clinical factors are associated with somatization in non-health care workers.

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Section: Discussionmentioning

confidence: 99%

Comparison of prevalence and risk factors of somatization between Chinese health care workers and non-health care workers during COVID-19 outbreak

et al. 2021

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“…The reason for this finding in ICU patients may be that thirst is not the only factor that affects the mental health outcomes of ICU patients in terms of anxiety and depression. Empirical analysis of the risk factors reveals that symptoms such as pain and dyspnoea, sociodemographic and socioeconomic variables, personality traits, disease diagnosis, treatments, life support measures, manifold traumatic experiences and memories during the stay in the ICU are all associated with it (Battle et al, 2017 ; Kapfhammer, 2016 ; Nikayin et al, 2016 ; Rabiee et al, 2016 ), and future research is needed to investigate it.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of and risk factors for thirst in the intensive care unit: An observational study

Lin

Chen

et al. 2022

Journal of Clinical Nursing

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Aim and objectives This study investigated the incidence of thirst and contributing factors in intensive care unit (ICU) patients by analysing differences in physiologic, psychological, and disease‐ and environment‐related parameters in ICU patients with vs without thirst. Background Little is known about the factors that influence thirst, and there are no standardised methods for identifying at‐risk patients in the ICU. Previous studies generalised the risk of thirst in ICU patients because of a lack of data on relevant variables. Here, we examined the factors contributing to thirst based on symptom management theory. Design Prospective descriptive design. Methods Physiologic, psychological, disease‐related and environment‐related data were collected for 301 patients from 4 ICUs (medical, surgical, cardiac and emergency ICUs) of a hospital from 15 December 2017–10 July 2019 through a screening interview, questionnaires and from electronic medical records. The data were analysed with descriptive statistics, the t‐test and chi‐squared test, and by logistic regression. Binary stepwise logistic regression was used to identify thirst‐associated factors. The findings are reported according to the STROBE checklist for cross‐sectional studies. Results In total, 210/301 (69.8%) ICU patients experienced thirst. Risk factors were nil per os order (odds ratio [OR] = 4.10, 95% confidence interval [CI]: 1.44–11.69), surgery (OR = 2.96, 95% CI: 1.11–7.93), high glucose (OR = 3.36, 95% CI: 1.01–11.17) and greater disease severity (OR = 1.13, 95% CI: 1.02–1.24). Conclusion Thirst is common in ICU patients. Timely detection of patients’ thirst and identification of those at high risk by ICU nurses can ensure the implementation of effective and safe interventions. Relevance to clinical practice The results of this study highlight the need to evaluate thirst symptoms in patients with severe disease and develop relief strategies for fasting, perioperative, and hyperglycaemic patients and others who are at high risk of thirst.

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“…Hinzu kommt, dass den Intensivpatienten Bewältigungsstrategien fehlen, da die individuelle Wahrnehmung und Verarbeitung der Erlebnisse durch sedierende Medikamente und die dadurch resultierende veränderte Bewusstseinslage gestört sind. Das zeigt sich durch die hohen Raten von neu auftretenden Depressionen, Angst-und posttraumatischen Belastungsstörungen im Langzeitverlauf [24].…”

Section: Psychische Beeinträchtigungenunclassified

“…All diese negativen Erinnerungen an den Intensivaufenthalt können zu einer psychischen Folgeerkrankung in Form der Posttraumatischen Belastungsstörung (PTBS) führen. Im Durchschnitt leidet im ersten Jahr nach intensivmedizinischer Behandlung circa ein Fünftel der überlebenden Patienten an einer klinisch relevanten PTBS [24].…”

Section: Posttraumatische Belastungsstörungunclassified

“…Die individuelle Wahrnehmung und Verarbeitung der Wirklichkeit sowie vorbestehende kognitive Defizite oder individuelle Persönlichkeitscharakteristika, wie allgemeine Ängstlichkeit, eingeschränkte Copingstrategien, soziales Umfeld und Bildungsstatus, beeinflussen die Qualität der Verarbeitung belastender intensivmedizinischer Erlebnisse und die Entstehung neuropsychologischer Folgemorbidität [24] [30].…”

Section: Patientenfaktorenunclassified

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Feldhofer,

Haas

2023

intensiv

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Ein Aufenthalt auf einer Intensivstation ist für viele Patienten ein einschneidendes, traumatisches Erlebnis. Oft bleiben noch lange nach der Entlassung vielfältige Beeinträchtigungen zurück – auch bei den Angehörigen. Der folgende Beitrag zeichnet ein umfassendes Bild dieses Post-Intensive-Care-Syndroms und seiner Risikofaktoren, schildert aber auch, welche Möglichkeiten zur Prävention es gibt und wie eine Nachsorge gelingen kann. – Die Autorinnen haben mit ihrem Beitrag den 5. Platz beim 25. intensiv-Pflegepreis 2021 belegt.

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Depressive, Angst- und posttraumatische Belastungsstörungen als Konsequenzen intensivmedizinischer Behandlung

Cited by 14 publications

References 79 publications

Comparison of prevalence and risk factors of somatization between Chinese health care workers and non-health care workers during COVID-19 outbreak

Comparison of prevalence and risk factors of somatization between Chinese health care workers and non-health care workers during COVID-19 outbreak

Prevalence of and risk factors for thirst in the intensive care unit: An observational study

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