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Prevalence of Post Intensive Care Syndrome in Adult After Cardiac Surgery

Received: 15 March 2023     Accepted: 4 April 2023     Published: 15 April 2023
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Abstract

Background: Post-intensive care syndrome is the most common complication in patients discharged from ICU, which seriously affects the life quality of the patients. Adult patients after cardiac surgery, as a special group admitted to the ICU, have many differences Characteristics of other ICU patients, the purpose of this study was to describe the prevalence of post-intensive care syndrome in adult survivors after cardiac surgery. Objective: To investigate the current status of Post-intensive care syndrome after cardiac surgery in adults, and to provide evidence support for targeted intervention measures in the next step, so as to improve the quality of life of patients transferred from ICU after cardiac surgery. Methods: In this study, a cross-sectional survey and convenient sampling were used to select 120 adult patients admitted to ICU after cardiac and vascular surgery from June 2021 to June 2022 in two tertiary hospitals in China. A questionnaire survey was conducted on ICU transferees in the form of a questionnaire at the time of 3 month outpatient review. The judgment of Post-intensive care syndrome is mainly based on psychological basis by the Hospital Anxiety and Depression Scale. Results: This study eventually included 120 research object, with a loss of follow-up rate of 6.3%. The age range is 33-88 years old, with an average of 64.40±8.20. Among them, the proportion of males was 62.5%; there were 45 females, accounting for 37.5%; there were 32 patients with anxiety symptoms during this study, and the incidence of anxiety was 26.7%. There were 38 patients with depressive symptoms, and the incidence of depression was 31.7%. There were 27 patients with anxiety and depression symptoms, and the incidence was 22.5%. According to the definition of Post-intensive care syndrome, the incidence of Post-intensive care syndrome was 31.7% during this study. Conclusion: For patients admitted to ICU after cardiac surgery, the incidence of Post-intensive care syndrome is high. Clinical workers should pay attention to the long-term mental health of patients transferred out of ICU and take measures to prevent and reduce the occurrence of psychological disorders.

Published in American Journal of Health Research (Volume 11, Issue 2)
DOI 10.11648/j.ajhr.20231102.13
Page(s) 55-57
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Patients After Cardiac Surgery, Psychological Disorders, Post-Intensive Care Syndrome

References
[1] You L, Jiang Z, Yuan X, et al. Research progress in the evaluation of post-intensive care syndrome [J]. Chinese Critical Care Emergency Medicine, 2022, 34 (10): 1116-1120.
[2] Pant U, Vyas K, Meghani S, et al. Screening tools for post-intensive care syndrome and post-traumatic symptoms in intensive care unit survivors: A scoping review [J]. Aust Crit Care, 2022.
[3] Spies C D, Krampe H, Paul N, et al. Instruments to measure outcomes of post-intensive care syndrome in outpatient care settings - Results of an expert consensus and feasibility field test [J]. J Intensive Care Soc, 2021, 22 (2): 159-174.
[4] Jackson J C, Pandharipande P P, Girard T D, et al. Depression, post-traumatic stress disorder, and functional disability in survivors of critical illness in the BRAIN-ICU study: a longitudinal cohort study [J]. Lancet Respir Med, 2014, 2 (5): 369-379.
[5] Marra A, Pandharipande P P, Girard T D, et al. Co-Occurrence of Post-Intensive Care Syndrome Problems Among 406 Survivors of Critical Illness [J]. Crit Care Med, 2018, 46 (9): 1393-1401.
[6] Zigmond A S, Snaith R P. The hospital anxiety and depression scale [J]. Acta Psychiatr Scand, 1983, 67 (6): 361-370.
[7] Liu FY, Zhang XY, Deng DG, et al. Research progress on the status quo of ICU patients ' perception of environmental stressors and intervention measures [J]. Nursing research, 2022, 36 (15): 2736-2739.
[8] Nikayin S, Rabiee A, Hashem M D, et al. Anxiety symptoms in survivors of critical illness: a systematic review and meta-analysis [J]. Gen Hosp Psychiatry, 2016, 43: 23-29.
[9] Rabiee A, Nikayin S, Hashem M D, et al. Depressive Symptoms After Critical Illness: A Systematic Review and Meta-Analysis [J]. Crit Care Med, 2016, 44 (9): 1744-1753.
[10] Iwashyna T J, Netzer G. The burdens of survivorship: an approach to thinking about long-term outcomes after critical illness [J]. Semin Respir Crit Care Med, 2012, 33 (4): 327-338.
[11] Deng XC, JiangYL, Qiu J, et al. Visual analysis of Chinese and foreign literature on post-ICU syndrome based on CiteSpace [J]. Heilongjiang Medicine, 2020, 44 (06): 858-863.
[12] Sun TT, Xiao H, Wu M, et al. Chinese version of Post-ICU Syndrome Questionnaire and test of reliability and validity [J]. Nursing research. 2022, 36 (05): 892-895.
[13] Griffiths J, Hatch R A, Bishop J, et al. An exploration of social and economic outcome and associated health-related quality of life after critical illness in general intensive care unit survivors: a 12-month follow-up study [J]. Crit Care, 2013, 17 (3): R100.
[14] Barreto B B, Luz M, Rios M, et al. The impact of intensive care unit diaries on patients' and relatives' outcomes: a systematic review and meta-analysis [J]. Crit Care, 2019, 23 (1): 411.
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  • APA Style

    Jiquan Zhang, Fan Xu, Jinlei Du. (2023). Prevalence of Post Intensive Care Syndrome in Adult After Cardiac Surgery. American Journal of Health Research, 11(2), 55-57. https://doi.org/10.11648/j.ajhr.20231102.13

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    ACS Style

    Jiquan Zhang; Fan Xu; Jinlei Du. Prevalence of Post Intensive Care Syndrome in Adult After Cardiac Surgery. Am. J. Health Res. 2023, 11(2), 55-57. doi: 10.11648/j.ajhr.20231102.13

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    AMA Style

    Jiquan Zhang, Fan Xu, Jinlei Du. Prevalence of Post Intensive Care Syndrome in Adult After Cardiac Surgery. Am J Health Res. 2023;11(2):55-57. doi: 10.11648/j.ajhr.20231102.13

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  • @article{10.11648/j.ajhr.20231102.13,
      author = {Jiquan Zhang and Fan Xu and Jinlei Du},
      title = {Prevalence of Post Intensive Care Syndrome in Adult After Cardiac Surgery},
      journal = {American Journal of Health Research},
      volume = {11},
      number = {2},
      pages = {55-57},
      doi = {10.11648/j.ajhr.20231102.13},
      url = {https://doi.org/10.11648/j.ajhr.20231102.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20231102.13},
      abstract = {Background: Post-intensive care syndrome is the most common complication in patients discharged from ICU, which seriously affects the life quality of the patients. Adult patients after cardiac surgery, as a special group admitted to the ICU, have many differences Characteristics of other ICU patients, the purpose of this study was to describe the prevalence of post-intensive care syndrome in adult survivors after cardiac surgery. Objective: To investigate the current status of Post-intensive care syndrome after cardiac surgery in adults, and to provide evidence support for targeted intervention measures in the next step, so as to improve the quality of life of patients transferred from ICU after cardiac surgery. Methods: In this study, a cross-sectional survey and convenient sampling were used to select 120 adult patients admitted to ICU after cardiac and vascular surgery from June 2021 to June 2022 in two tertiary hospitals in China. A questionnaire survey was conducted on ICU transferees in the form of a questionnaire at the time of 3 month outpatient review. The judgment of Post-intensive care syndrome is mainly based on psychological basis by the Hospital Anxiety and Depression Scale. Results: This study eventually included 120 research object, with a loss of follow-up rate of 6.3%. The age range is 33-88 years old, with an average of 64.40±8.20. Among them, the proportion of males was 62.5%; there were 45 females, accounting for 37.5%; there were 32 patients with anxiety symptoms during this study, and the incidence of anxiety was 26.7%. There were 38 patients with depressive symptoms, and the incidence of depression was 31.7%. There were 27 patients with anxiety and depression symptoms, and the incidence was 22.5%. According to the definition of Post-intensive care syndrome, the incidence of Post-intensive care syndrome was 31.7% during this study. Conclusion: For patients admitted to ICU after cardiac surgery, the incidence of Post-intensive care syndrome is high. Clinical workers should pay attention to the long-term mental health of patients transferred out of ICU and take measures to prevent and reduce the occurrence of psychological disorders.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Prevalence of Post Intensive Care Syndrome in Adult After Cardiac Surgery
    AU  - Jiquan Zhang
    AU  - Fan Xu
    AU  - Jinlei Du
    Y1  - 2023/04/15
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ajhr.20231102.13
    DO  - 10.11648/j.ajhr.20231102.13
    T2  - American Journal of Health Research
    JF  - American Journal of Health Research
    JO  - American Journal of Health Research
    SP  - 55
    EP  - 57
    PB  - Science Publishing Group
    SN  - 2330-8796
    UR  - https://doi.org/10.11648/j.ajhr.20231102.13
    AB  - Background: Post-intensive care syndrome is the most common complication in patients discharged from ICU, which seriously affects the life quality of the patients. Adult patients after cardiac surgery, as a special group admitted to the ICU, have many differences Characteristics of other ICU patients, the purpose of this study was to describe the prevalence of post-intensive care syndrome in adult survivors after cardiac surgery. Objective: To investigate the current status of Post-intensive care syndrome after cardiac surgery in adults, and to provide evidence support for targeted intervention measures in the next step, so as to improve the quality of life of patients transferred from ICU after cardiac surgery. Methods: In this study, a cross-sectional survey and convenient sampling were used to select 120 adult patients admitted to ICU after cardiac and vascular surgery from June 2021 to June 2022 in two tertiary hospitals in China. A questionnaire survey was conducted on ICU transferees in the form of a questionnaire at the time of 3 month outpatient review. The judgment of Post-intensive care syndrome is mainly based on psychological basis by the Hospital Anxiety and Depression Scale. Results: This study eventually included 120 research object, with a loss of follow-up rate of 6.3%. The age range is 33-88 years old, with an average of 64.40±8.20. Among them, the proportion of males was 62.5%; there were 45 females, accounting for 37.5%; there were 32 patients with anxiety symptoms during this study, and the incidence of anxiety was 26.7%. There were 38 patients with depressive symptoms, and the incidence of depression was 31.7%. There were 27 patients with anxiety and depression symptoms, and the incidence was 22.5%. According to the definition of Post-intensive care syndrome, the incidence of Post-intensive care syndrome was 31.7% during this study. Conclusion: For patients admitted to ICU after cardiac surgery, the incidence of Post-intensive care syndrome is high. Clinical workers should pay attention to the long-term mental health of patients transferred out of ICU and take measures to prevent and reduce the occurrence of psychological disorders.
    VL  - 11
    IS  - 2
    ER  - 

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Author Information
  • Department of Nursing, Deyang City People's Hospital, Deyang, China

  • Department of Nursing, Deyang City People's Hospital, Deyang, China

  • Department of Nursing, Zigong Fourth People's Hospital, Zigong, China

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