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

被引：2
作者：
Parker A.M. [1 ,2 ]
Sricharoenchai T. [1 ,2 ,4 ]
Needham D.M. [1 ,2 ,3 ]
机构：
[1] Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, 1830 East Monument St., 5th Floor, Baltimore, 21205, MD
[2] Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD
[3] Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD
[4] Division of Pulmonary and Critical Care Medicine, Thammasat University, Pathum Thani
来源：
Current Physical Medicine and Rehabilitation Reports | 2013年 / 1卷 / 4期
关键词：
Anxiety; Critical illness; Depression; ICU diary; Mental health; Mobility; Muscle weakness; Physical therapy modalities; Post-Intensive Care Syndrome; Post-traumatic-stress disorder; Rehabilitation;
D O I：
10.1007/s40141-013-0027-9
中图分类号：
学科分类号：
摘要：
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 life-support therapy, may reduce the complications associated with PICS. This article addresses evidence-based rehabilitation interventions to reduce the physical and mental health impairments associated with PICS. Implementation of effective early rehabilitation interventions targeting physical impairment requires consideration of five factors: barriers, benefits, feasibility, safety, and resources. Mental health impairments may be addressed by use of the following interventions: use of ICU diaries, early in-ICU psychological interventions, and post-ICU coping skills training. In both cases, a multidisciplinary team-based approach is paramount to successful incorporation of early rehabilitation into routine practice in the ICU. © 2013, Springer Science + Business Media New York.
引用
收藏
页码：307 / 314
页数：7
相关论文
共 58 条
[1]  
Needham D.M., Davidson J., Cohen H., Et al., Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders’ conference, Crit Care Med, 40, pp. 502-509, (2012)
[2]  
Desai S.V., Law T.J., Needham D.M., Long-term complications of critical care, Crit Care Med, 39, pp. 371-379, (2011)
[3]  
Dowdy D.W., Eid M.P., Dennison C.R., Et al., Quality of life after acute respiratory distress syndrome: a meta-analysis, Intensive Care Med, 32, pp. 1115-1124, (2006)
[4]  
Herridge M.S., Cheung A.M., Tansey C.M., Et al., One-year outcomes in survivors of the acute respiratory distress syndrome, N Engl J Med, 348, pp. 683-693, (2003)
[5]  
Fletcher S.N., Kennedy D.D., Ghosh I.R., Et al., Persistent neuromuscular and neurophysiologic abnormalities in long-term survivors of prolonged critical illness, Crit Care Med, 31, pp. 1012-1016, (2003)
[6]  
Needham D.M., Mobilizing patients in the intensive care unit: improving neuromuscular weakness and physical function, JAMA, 300, pp. 1685-1690, (2008)
[7]  
Davydow D.S., Desai S.V., Needham D.M., Bienvenu O.J., Psychiatric morbidity in survivors of the acute respiratory distress syndrome: a systematic review, Psychosom Med, 70, pp. 512-519, (2008)
[8]  
Davydow D.S., Gifford J.M., Desai S.V., Et al., Posttraumatic stress disorder in general intensive care unit survivors: a systematic review, Gen Hosp Psychiatry, 30, pp. 421-434, (2008)
[9]  
Davydow D.S., Gifford J.M., Desai S.V., Et al., Depression in general intensive care unit survivors: a systematic review, Intensive Care Med, 35, pp. 796-809, (2009)
[10]  
Hopkins R.O., Weaver L.K., Collingridge D., Et al., Two-year cognitive, emotional, and quality-of-life outcomes in acute respiratory distress syndrome, Am J Respir Crit Care Med, 171, pp. 340-347, (2005)
123456