Abstract:
OBJECTIVE:Post-intensive care syndrome is a term used to describe new or worsening multidimensional impairments in physical, psychological cognitive and social status arising from critical illness and persisting beyond hospital discharge. It is associated with high morbidity among patients discharged from intensive care units. However, due to its complexities, which encompass physical, psychological, cognitive and social impairments, the exact nature of this condition has not been fully conceptualized. The aim of this analysis therefore was to define the concept of post-intensive care syndrome. This conceptual clarity provides a general definition that is essential for practitioners and researchers to gain a comprehensive understanding of the syndrome and provide for accurate measurement of its incidence and prevalence. DESIGN:The Walker and Avant approach to concept analysis guided this investigation. DATA SOURCE:An electronic search of the literature using PubMed, CINHAL, PsycArticles, Academic search complete, Science Direct, MEDLINE and Health Source databases informed the analysis. The search included both quantitative and qualitative studies related to post-intensive care syndrome published in English between 2010 and 2020. RESULTS:Of the 3948 articles identified, 24 ultimately met the inclusion criteria. Analysis identified the defining attributes of post-intensive care syndrome as: (1) new or worsening multidimensional impairments; (2) physical dysfunction; (3) psychological disorder; (4) cognitive impairment; (5) failed social reconstruction; and (6) persistent impaired multidimensional symptoms extending beyond intensive care and hospital discharge. Antecedents were divided into two categories: pre-existing and those related to the intensive care admission. Consequences were identified as both positive (for example the establishment of coping processes) and adverse (for example decreased quality of life and caregiver burden). CONCLUSION:Post-intensive care syndrome affects more than half of patients discharged from intensive care units. This operational definition and conceptual understanding of this syndrome will help improve understanding and inform the design of preventative strategies to improve long-term consequences of the syndrome. Future research and standardized instrument development will serve to better understand the scope and characteristics of this syndrome and inform the development of possible preventative interventions.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Yuan C,Timmins F,Thompson DRdoi
10.1016/j.ijnurstu.2020.103814subject
Has Abstractpub_date
2021-02-01 00:00:00pages
103814eissn
0020-7489issn
1873-491Xpii
S0020-7489(20)30300-Xjournal_volume
114pub_type
杂志文章,评审abstract:BACKGROUND:Institutionalized elderly continue to have the need for sexual expression and intimacy. Nurses often display negative responses when they are confronted with the sexual behavior of residents. They feel ashamed and do not know how to react. This generates feelings of discomfort, resulting in the denial of res...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2011.05.013
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:Fatigue is the most common symptom experienced by cancer patients. However, longitudinal studies of changes in the severity and predictors of fatigue are limited. OBJECTIVES:The purposes of this study were to evaluate changes in fatigue severity in women with breast cancer prior to and for twelve months aft...
journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析
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更新日期:2020-02-01 00:00:00
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journal_title:International journal of nursing studies
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abstract:BACKGROUND:Early mobilization is considered a safe and effective therapeutic strategy for accelerating the rehabilitation of patients admitted to the intensive care unit, with a proven benefit for critically ill patients. OBJECTIVES:To evaluate the effects of early mobilization on the prognosis of critically ill patie...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2009.02.006
更新日期:2009-09-01 00:00:00
abstract::Background. There is evidence that compliance therapy improves treatment adherence and clinical outcomes in patients with schizophrenia. Community Mental Health Nurses (CMHNs) are ideally placed to deliver compliance therapy but require training to develop the necessary clinical skills.Aim. To explore whether a brief ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
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pub_type: 杂志文章
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abstract:BACKGROUND:Nurses caring for the large numbers of people with leg ulceration play a key role in promoting quality in health via their diagnostic and treatment clinical judgements. In the UK, audit evidence suggests that the quality of these judgements is often sub optimal. Misdiagnosis and incorrect treatment choices a...
journal_title:International journal of nursing studies
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pub_type: 杂志文章,随机对照试验
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2021-02-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
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更新日期:1997-04-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2010.09.005
更新日期:2011-01-01 00:00:00
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journal_title:International journal of nursing studies
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更新日期:1989-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2008-10-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2007.01.013
更新日期:2008-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2010-05-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
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更新日期:2007-08-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2016-11-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2010.08.011
更新日期:2011-04-01 00:00:00