ICU后门诊应用情况的范围综述

Application of the post-ICU clinic:a scoping review

目的对国内外ICU后门诊的应用情况进行范围综述。方法以JBI范围综述指南为框架,计算机检索PubMed、Embase、CINAHL、Web of Science、中国知网、万方数据知识服务平台、维普网、中国生物医学文献服务系统(SinoMed)中的相关研究。检索时限为建库至2023年11月28日,对纳入文献进行分析和讨论。结果最终纳入12篇文献,其中中文4篇、英文8篇,发表时间为2003-2023年,分析总结了ICU后门诊的接诊对象、随访时间点、干预措施及应用效果。ICU后门诊改善了患者的心理状态和与心理健康相关的生活质量。结论ICU后门诊在延续护理方面发挥重要作用,但缺乏统一的指南和诊疗流程,未来需探讨ICU后门诊的开展模式,为构建符合我国医疗体系的ICU后门诊提供参考。

Objective To conduct a scoping review of studies related to the application of post-ICU clinic at home and abroad.Methods The JBI scoping review guide was used as the methodological framework,and the relevant studies in PubMed,Embase,CINAHL,Web of Science,CNKI,Wanfang Data Knowledge Service platform,VIP and China Biomedical Literature Service System(SinoMed)were searched by using computer.Search time frame was from database inception to November 28,2023,and the included studies were analyzed and discussed.Results A total of 12 articles were included,comprising 4 in Chinese and 8 in English,published from 2003 to 2023.The patient populations,the time to follow-up,interventions and the application effect of the post-ICU clinic were analyzed and summarized.The post-ICU clinic was effective for improving psychological symptoms and mental health-related quality of life in ICU survivors.Conclusion The post-ICU clinic plays a significant role in the transitional care,while there is a lack of unified guidelines and diagnosis and treatment procedures.It is suggested to explore the development model of the post-ICU clinic in the future,so as to provide references for constructing the post-ICU clinic in line with Chinese medical system.