ICU患者出院后健康相关生存质量及其相关影响因素的调查分析

Investigation and Analysis of Health-related Quality of Life and its Related Influencing Factors in ICU Patients After Discharge

目的探讨ICU患者出院后健康相关生存质量的现状并分析其影响因素。方法便利选取2021年9月-2022年2月安徽省内的两所三级甲等医院ICU住院治疗并成功转出的218例患者作为调查对象,在患者转出前采用一般资料调查表、临床资料调查表进行资料收集,在出院1个月后采用EQ-5D-5L量表对其进行随访。结果出院后1个月患者的健康效用值为(0.68±0.40);多元线性回归分析显示:年龄、性格、转出时患者自理能力、认知障碍史、APACHEⅡ评分、谵妄是影响ICU患者出院后健康相关生存质量的主要因素(P<0.05)。结论ICU患者出院后健康相关生存质量普遍较低,主要受高龄、内向型性格、转出时自理能力、认知障碍史、APACHEⅡ和谵妄的影响较大。医护人员应加强观察,及时对存在这些因素的高危人群实现早期干预。

Objective To explore the status quo of health-related quality of life of ICU patients after discharge and analyze its influencing factors.Methods From September 2021 to February 2022,218 patients who were hospitalized in ICU of two tertiary hospitals in Anhui Province and successfully discharged were selected as the subjects of investigation.Before the patient was discharged,the general data questionnaire and clinical data questionnaire were used for data collection,and the EQ-5D-5L scale was used for follow-up one month after discharge.Results The health utility value of patients at 1 month after discharge was(0.68±0.40).Multivariate linear regression analysis showed that age,personality,self-care ability of patients at the time of discharge,history of cognitive impairment,APACHEⅡscore and delirium were the main factors affecting the health-related quality of life of ICU patients after discharge(P<0.05).Conclusion The health-related quality of life of ICU patients after discharge is generally low,which is mainly affected by advanced age,introverted personality,self-care ability at discharge,history of cognitive impairment,APACHEⅡand delirium.Medical staff should strengthen observation and realize early intervention in high-risk groups with these factors in a timely manner.