physical and mental health of patients immediately after discharge from intensive care unit and 24 hours later

نویسندگان

marzieh momennasab department of nursing, school of nursing and midwifery, shiraz university of medical sciences, shiraz, ir iran; department of nursing, school of nursing and midwifery, shiraz university of medical sciences, shiraz, ir iran. tel: +98-7116474256, fax: +98-7116474252

tahereh ghahramani student research committee, school of nursing and midwifery, shiraz university of medical sciences, shiraz, ir iran

shahrzad yektatalab psychiatric care research center, department of nursing, school of nursing and midwifery, shiraz university of medical sciences, shiraz, ir iran

farid zand anesthesiology and critical care research center, shiraz university of medical sciences, shiraz, ir iran

چکیده

background monitoring the health status of patients discharged from intensive care units is a crucial method of service evaluation. objectives this study aimed to assess the physical and mental health status of patients immediately after discharge from the icu and 24 hours later. patients and methods this descriptive comparative study was conducted on 104 patients discharged from the icus of a referral trauma center in shiraz, southwest iran. physical parameters, including respiratory rate, need for supplemental oxygen, heart rate, blood pressure, and need for cardiac monitoring, were assessed. hospital anxiety and depression scale (hads) was used for mental health evaluation. the mental and physical status of patients were assessed before icu discharge and 24 hours later; data were recorded in information forms and were analyzed using spss statistical software version 17. results at the time of discharge, the respiratory rate of 28% of the participants was more than 24 minutes, and 95.2% received supplemental oxygen. however, after 24 hours these values decreased to 10% and 21.6%, respectively. the mean heart rate and systolic blood pressure were within the normal range at both time points. additionally, 63% of the patients had anxiety scores above 11 at both time points, reflecting high anxiety. the number of patients who reported depression increased from 58.7% at icu discharge to 69.6% after 24 hours. conclusions despite the considerable improvement in most of the patients’ physical condition in the first 24 hours after discharge from icu, a significant number of them remain at risk for the development of adverse effects from this transition. the high prevalence of mental health disorders in these patients reveals the necessity to conduct follow-up consultations.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Physical and Mental Health of Patients Immediately After Discharge From Intensive Care Unit and 24 Hours Later

BACKGROUND Monitoring the health status of patients discharged from intensive care units is a crucial method of service evaluation. OBJECTIVES This study aimed to assess the physical and mental health status of patients immediately after discharge from the ICU and 24 hours later. PATIENTS AND METHODS This descriptive comparative study was conducted on 104 patients discharged from the ICUs o...

متن کامل

Functional and psychological features immediately after discharge from an intensive care unit: prospective cohort study

OBJECTIVE To assess the functional and psychological features of patients immediately after discharge from the intensive care unit. METHODS Prospective cohort study. Questionnaires and scales assessing the degree of dependence and functional capacity (modified Barthel and Karnofsky scales) and psychological problems (Hospital Anxiety and Depression Scale), in addition to the Epworth Sleepines...

متن کامل

Mothers' Challenges after Infants' Discharge from Neonatal Intensive Care Unit: A Qualitative Study

ABSTRACTBackground: Mothers with premature infants face certain challenges such as uncertainty on how to deal with their infant's condition and care for it after discharge from neonatal intensive care unit (NICU).Methods: A qualitative design was used to explain mothers' challenges after their infant's discharge from NICUs in Isfahan, Iran, 2015. Purposive sampling was adopted to interview the ...

متن کامل

Outcome after pediatric intensive care unit discharge.

A avaliação do desfecho de crianças tratadas em unidades de terapia intensiva (UTIs) vem se modificando consideravelmente nos últimos 25 anos. O aumento na disponibilidade e na capacidade dos sistemas mecânicos e artificiais de suporte de órgãos e as consequentes baixas taxas de mortalidade na maioria das unidades de terapia intensiva pediátricas (UTIPs) indicam que a sobrevida após a internaçã...

متن کامل

Survival of hematological patients after discharge from the intensive care unit: a prospective observational study

INTRODUCTION Although the survival rates of hematological patients admitted to the ICU are improving, little is known about the long-term outcome. Our objective was to identify factors related to long-term outcome in hematological patients after ICU discharge. METHODS A prospective, observational study was carried out in seven centers in Spain. From an initial sample of 161 hematological pati...

متن کامل

HOT TOPIC Early Rehabilitation in the Intensive Care Unit: Preventing Impairment of Physical and Mental Health

Survivors of critical illness often experience new or worsening impairments of physical, cognitive, and/or mental health, referred to as Post-Intensive Care Syndrome (PICS). Such impairments can be long-lasting and negatively affect survivors’ quality of life. Early rehabilitation in the intensive care unit (ICU), while patients remain on lifesupport therapy, may reduce the complications associ...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
trauma monthly

جلد ۲۱، شماره ۱، صفحات ۰-۰

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023