| 중환자실 퇴원환자의 집중치료 후 증후군과 삶의 질 |
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김수경, 강지연 |
1고신대학교 복음병원 중환자실
2동아대학교 간호학과 |
| Post-intensive Care Syndrome and Quality of Life in Survivors of Critical Illness |
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Soo Gyeong Kim, Jiyeon Kang |
1Surgical Intensive Care Unit, Koshin University Gaspel Hospital
2Department of Nursing, Dong-A University |
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| Abstract |
Purpose
To investigate the post-intensive care syndrome (PICS) and to analyze the factors affecting the quality of life (QoL) of survivors of critical illness.
Methods
Subjects were 114 outpatients who had been discharged from intensive care units of a university hospital in B city, Korea. From July 30 through September 30, 2015, PICS was assessed using the Korean Montreal Cognitive Assessment, Hospital Anxiety-Depression Scale, Korean Instrumental/Activities of Daily Living (K-I/ADL) index, and handwriting transformation, while physical and mental health-related QoL was measured using the SF-12.
Results
Of the subjects, 39.5% were screened for mild cognitive disorder and 23.7% experienced handwriting transformation after discharge. Multiple regression analysis revealed that restraint application, current job, time of ${geq}36$ months after discharge, depression, anxiety, and handwriting transformation accounted for 40.9% of the physical health-related QoL, and depression, anxiety and experience of delirium accounted for 62.4% of the mental health-related QoL.
Conclusions
It is necessary to make efforts to reduce restraint application in intensive care units and prevent the occurrence of delirium, with the objective of reducing PICS and improving the QoL of critical illness survivors. |
| Key Words:
Intensive care units, Discharged patient, Post intensive care syndrome, Quality of life |
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