重症监护室病房日记在危重症患者中应用的范围综述

A scoping review of application of ICU diary in critically ill patients

目的对ICU日记在危重症患者中的应用进行范围综述,为进一步探索并构建符合中国国情、针对不同地域、不同文化背景的ICU日记模式和框架奠定基础。方法以乔安娜布里格斯研究所发布的范围综述指南为方法学框架,计算机检索中国知网、万方数据库、中国生物医学文献数据库、Cochrane Library、PubMed、Embase等9个国内外数据库,检索时限均为建库至2023年3月13日。对纳入文献进行筛选、汇总和分析。结果共纳入19篇文献。ICU日记多采用图文结合、医护人员与家属共同参与的方式进行记录,大部分患者在转出ICU后1个月时收到ICU日记。15项研究证明ICU日记是有效的,而有4项研究表明ICU日记对改善患者的心理问题并无效果,但ICU日记仍然被患者和家属认为是可接受的。结论ICU日记的应用在危重症患者中具有积极意义,但其对于创伤后应激障碍、焦虑、抑郁、生命质量等问题的影响仍需要进一步研究和探索。未来应结合多种形式,并采用大样本、长周期、多结构化的高质量研究设计来探究其对于心理问题的应用效果及长期影响。

Objective To conduct a scope review on the application of ICU diaries in critically ill patients,laying the foundation for further exploration and construction of ICU diary patterns and frameworks that were in line with the national conditions and tailored to different regions and cultural backgrounds.Methods The Joanna Briggs Institute Reviewer′s Manual was used as the methodological framework,and a computer search was conducted in nine domestic and international databases,including China National Knowledge Infrastructure,Wanfang Database,China Biomedical Literature Database,Cochrane Library,PubMed,and Embase,etc.The search period was from the inception of the databases until March 13,2023.The included literature was screened,summarized,and analyzed.Results A total of 19 articles were included.ICU diaries were commonly recorded using a combination of text and visuals,with the involvement of both healthcare professionals and family members.Most patients received ICU diaries approximately one month after their transfer from the ICU.Out of the 15 studies,ICU diaries were found to be effective,while 4 studies indicated no significant improvement in patients′psychological issues.However,ICU diaries were still considered acceptable by patients and their families.Conclusions The application of ICU diaries has shown positive significance in critically ill patients,but further research and exploration are needed to investigate its impact on issues such as post-traumatic stress disorder,anxiety,depression,and quality of life.In the future,a combination of multiple forms and high-quality research designs with large samples,long periods,and structured approaches should be employed to explore its application effects and long-term outcomes on psychological problems.