Search Results

You are looking at 1 - 3 of 3 items for

  • Author or Editor: Adrienn K. Szilágyi x
  • Refine by Access: All Content x
Clear All Modify Search

A lélegeztetett betegek sorsának kimenetele hosszú és rövid távon is függ az intenzív osztályon és a lélegeztetőgépen töltött időtől. Az intenzív osztályos kezelést túlélt betegek egészséghez kötött életminősége bizonyítottan összefügg az intenzíves kezelés fizikai és pszichés hatásaival. Előző multicentrikus randomizált vizsgálatunkban bemutattuk az intenzíves kezeléssel egy időben adott pszichés támogatás hatását. Célkitűzés: A jelen post hoc analízis célja, hogy bemutassa a pszichés támogatás hatását, amikor azt folytonosan ugyanaz, a teamhez tartozó terapeuta biztosítja. Módszer: A post hoc analízisbe 36 beteg került: 17 a kontroll-, 19 a vizsgálati csoportba. A vizsgálati csoport naponta részesült pozitív szuggesztiókon alapuló pszichés támogatásban, amelyet a kezelés minimum 50%-ában ugyanaz a terapeuta végzett. A kontrollcsoport ugyanazt a kezelést kapta, a pszichológus bevonása nélkül. A két csoport között nem volt különbség korban, nemben, SAPSII-pontokban és az orvosi alapellátásban. Eredmények: Az eredmények szignifikánsan rövidebb gépi lélegeztetést (3,6 nap, p < 0,014) és osztályon tartózkodást (4,2 nap, p < 0,022) mutattak a vizsgálati csoport esetében. Következtetések: Ezek az eredmények igazolják az intenzív osztályos team teljes tagjaként alkalmazott pszichológus értékét és annak fontosságát, hogy gondoskodjunk a betegek pszichés támogatásáról.

Restricted access

The purpose of intensive care is recovery from the critical state with the best possible quality of life. Lengthy therapy with its physical and psychological complications and iatrogen effect may spoil the expected outcome. The positive effect of the psychological support of the patient that can be proven empirically has been applied and examined in the present study. In the present prospective, randomised, controlled study the patients – mechanically ventilated for more than 48 hours – of two intensive care units of Budapest have been examined. In the study they were given psychological support based on positive suggestions (PSBPS) using their susceptibility induced by the situation, complementing their somatic treatment. Altogether 60 persons have been examined (27 in the control, 33 in the suggestion group). The result showed a statistically significant 2.5 day shorter ventilation period ( p < 0.04). The length of stay (LOS) in the intensive care unit (ICU) was also reduced by 4 days in the group who received suggestions. If the patient was treated by the same psychologist during at least 50% of the ICU stay, both parameters were reduced by 3.5 days at a significance level of p < 0.01. In the case of those patients with the same psychologist who died during the study, it was mainly their age and state that contributed to their death. Their dying was 4.5 days shorter or they left the ICU sooner than the control group members, in whose case lengthy ventilation was typical.

Restricted access

Abstract

Long stay in intensive care unit (ICU) and prolonged ventilation are deleterious for subsequent quality of life and surcharge financial capacity. We have already demonstrated the beneficial effects of using suggestive communication on recovery time during intensive care. The aim of our present study was to prove the same effects with standardized positive suggestive message delivered by an MP3 player. Patients ventilated in ICU were randomized into a control group receiving standard ICU treatment and two groups with a standardized pre-recorded material delivered via headphones: a suggestive message about safety, self-control, and recovery for the study group and a relaxing music for the music group. Groups were similar in terms of age, gender, and mortality, but the SAPS II scores were higher in the study group than that in the controls (57.8 ± 23.6 vs. 30.1 ± 15.5 and 33.7 ± 17.4). Our post-hoc analysis results showed that the length of ICU stay (134.2 ± 73.3 vs. 314.2 ± 178.4 h) and the time spent on ventilator (85.2 ± 34.9 vs. 232.0 ± 165.6 h) were significantly shorter in the study group compared to the unified control. The advantage of the structured positive suggestive message was proven against both music and control groups.

Restricted access