Depressive symptoms and anxiety in intensive care unit (ICU) survivors after ICU discharge

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• 作者：JiYeon Choi ; PhD ; RN^a ; ^{jic11@pitt.edu" class="auth_mail" title="E-mail the corresponding author} ; Judith A. Tate ; PhD ; RN^c ; Mary Alana Rogers ; BSN ; RN^d ; Michael P. Donahoe ; MD^b ; Leslie A. Hoffman ; PhD ; RN^a ; ^e
• 关键词：Post intensive care unit ; Intensive care unit survivors ; Depressive symptoms ; Anxiety ; Recovery
• 刊名：Heart & Lung: The Journal of Acute and Critical Care
• 出版年：2016
• 出版时间：March-April 2016
• 年：2016
• 卷：45
• 期：2
• 页码：140-146
• 全文大小：836 K

文摘

The association between intensive care unit (ICU) survivors' psychological sequelae, individual care needs, and discharge disposition has not been evaluated.

Objective

To describe depressive symptoms and anxiety in ICU survivors and explore these symptoms based on individual care needs and discharge disposition for 4 months post-ICU discharge.

Methods

We analyzed data from 39 ICU survivors who self-reported measures of depressive symptoms (Center for Epidemiologic Studies-Depression 10 items [CESD-10]) and anxiety (Shortened Profile of Mood States-Anxiety subscale [POMS-A]).

Results

A majority of patients reported CESD-10 scores above the cut off (≥ 8) indicating risk for clinical depression. POMS-A scores were highest within 2 weeks post-ICU discharge and decreased subsequently. Data trends suggest worse depressive symptoms and anxiety when patients had moderate to high care needs and/or were unable to return home.

Conclusion

ICU survivors who need caregiver assistance and extended institutional care reported trends of worse depressive symptoms and anxiety.