Journal of Shanghai Jiao Tong University (Medical Science) ›› 2024, Vol. 44 ›› Issue (6): 733-740.doi: 10.3969/j.issn.1674-8115.2024.06.008
• Clinical research • Previous Articles Next Articles
DONG Ran1(), YU Qian2, TAI Rui2, YANG Fu2, FANG Fang2(
)
Received:
2023-12-15
Accepted:
2024-03-01
Online:
2024-06-28
Published:
2024-06-18
Contact:
FANG Fang
E-mail:random5126@126.com;fang_fang0604@163.com
Supported by:
CLC Number:
DONG Ran, YU Qian, TAI Rui, YANG Fu, FANG Fang. Early symptom network analysis of patients after transfer from intensive care unit[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2024, 44(6): 733-740.
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URL: https://xuebao.shsmu.edu.cn/EN/10.3969/j.issn.1674-8115.2024.06.008
Symptom and manifestation | Incidence/n(%) | Item No. | R2 |
---|---|---|---|
Sleep disturbance | 246 (81.5) | ||
Sleep depth | R1 | 0.660 | |
Time to fall asleep | R2 | 0.627 | |
Wake up in the night | R3 | 0.677 | |
Sleep after waking up | R4 | 0.688 | |
Overall sleep quality | R5 | 0.734 | |
Anxiety | 50 (16.6) | ||
Tense or wound up | A1 | 0.513 | |
Afraid of upcoming awful things | A2 | 0.627 | |
Worrying thoughts | A3 | 0.696 | |
Can sit at ease | A4 | 0.575 | |
Feel restless | A5 | 0.635 | |
Sudden panic | A6 | 0.602 | |
Butterflies in stomach | A7 | 0.541 | |
Depression | 113 (37.4) | ||
Enjoy something | D1 | 0.722 | |
Laugh on funny thing | D2 | 0.738 | |
Feel cheerful | D3 | 0.758 | |
Not interested in appearance | D4 | 0.610 | |
Look forward with enjoyment | D5 | 0.718 | |
Feel slowed down | D6 | 0.650 | |
Read or enjoy other entertainment | D7 | 0.646 | |
Fatigue | 167 (55.3) | ||
Motivation is lower when fatigued | F1 | 0.698 | |
Exercise brings on my fatigue | F2 | 0.818 | |
Easily fatigued | F3 | 0.820 | |
Interferes with physical function | F4 | 0.857 | |
Causes frequent problems | F5 | 0.817 | |
Prevents sustained physical function | F6 | 0.811 | |
Troubles with duties and responsibilities | F7 | 0.814 | |
Most disabling symptom | F8 | 0.828 | |
Interferes with work, family or social life | F9 | 0.810 | |
Sleep-affected pain | 71 (23.5) | ||
Pain numeric rating | P | 0.346 |
Tab 1 Early symptoms and predictability of 302 post-ICU patients
Symptom and manifestation | Incidence/n(%) | Item No. | R2 |
---|---|---|---|
Sleep disturbance | 246 (81.5) | ||
Sleep depth | R1 | 0.660 | |
Time to fall asleep | R2 | 0.627 | |
Wake up in the night | R3 | 0.677 | |
Sleep after waking up | R4 | 0.688 | |
Overall sleep quality | R5 | 0.734 | |
Anxiety | 50 (16.6) | ||
Tense or wound up | A1 | 0.513 | |
Afraid of upcoming awful things | A2 | 0.627 | |
Worrying thoughts | A3 | 0.696 | |
Can sit at ease | A4 | 0.575 | |
Feel restless | A5 | 0.635 | |
Sudden panic | A6 | 0.602 | |
Butterflies in stomach | A7 | 0.541 | |
Depression | 113 (37.4) | ||
Enjoy something | D1 | 0.722 | |
Laugh on funny thing | D2 | 0.738 | |
Feel cheerful | D3 | 0.758 | |
Not interested in appearance | D4 | 0.610 | |
Look forward with enjoyment | D5 | 0.718 | |
Feel slowed down | D6 | 0.650 | |
Read or enjoy other entertainment | D7 | 0.646 | |
Fatigue | 167 (55.3) | ||
Motivation is lower when fatigued | F1 | 0.698 | |
Exercise brings on my fatigue | F2 | 0.818 | |
Easily fatigued | F3 | 0.820 | |
Interferes with physical function | F4 | 0.857 | |
Causes frequent problems | F5 | 0.817 | |
Prevents sustained physical function | F6 | 0.811 | |
Troubles with duties and responsibilities | F7 | 0.814 | |
Most disabling symptom | F8 | 0.828 | |
Interferes with work, family or social life | F9 | 0.810 | |
Sleep-affected pain | 71 (23.5) | ||
Pain numeric rating | P | 0.346 |
1 | NEEDHAM D M, DAVIDSON J, COHEN H, et al. Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders' conference[J]. Crit Care Med, 2012, 40(2): 502-509. |
2 | ENGER R, ANDERSHED B. Nurses' experience of the transfer of ICU patients to general wards: a great responsibility and a huge challenge[J]. J Clin Nurs, 2018, 27(1/2): e186-e194. |
3 | 台瑞, 方芳, 杨富. ICU转出病人过渡期护理的研究进展[J]. 护理研究, 2019, 33(9): 1522-1526. |
TAI R, FANG F, YANG F. Research advances on transitional care of patients transferred from ICU[J]. Chinese Nursing Research, 2019, 33(9): 1522-1526. | |
4 | 詹昱新, 喻姣花. ICU联络护士临床实践研究进展[J]. 护理学杂志, 2023, 38(24): 95-98. |
ZHAN Y X, YU J H. Research progress on clinical practice of ICU liaison nurses[J]. Journal of Nursing Science, 2023, 38(24): 95-98. | |
5 | 王佩, 詹昱新. ICU过渡期护理人员角色认知质性研究的Meta整合[J]. 护理学杂志, 2024, 39(6): 63-67. |
WANG P, ZHAN Y X. Cognition of the role of nursing staff in ICU transition period: a meta-synthesis of qualitative research [J]. Journal of Nursing Science, 2024, 39(6): 63-67. | |
6 | HARVEY M A, DAVIDSON J E. Postintensive care syndrome: right care, right now...and later[J]. Crit Care Med, 2016, 44(2): 381-385. |
7 | KOSINSKI S, MOHAMMAD R A, PITCHER M, et al. What is post-intensive care syndrome (PICS)?[J]. Am J Respir Crit Care Med, 2020, 201(8): P15-P16. |
8 | HEYDON E, WIBROW B, JACQUES A, et al. The needs of patients with post-intensive care syndrome: a prospective, observational study[J]. Aust Crit Care, 2020, 33(2): 116-122. |
9 | JACKSON J C, PANDHARIPANDE P P, GIRARD T D, et al. Depression, post-traumatic stress disorder, and functional disability in survivors of critical illness in the BRAIN-ICU study: a longitudinal cohort study[J]. Lancet Respir Med, 2014, 2(5): 369-379. |
10 | MARRA A, PANDHARIPANDE P P, GIRARD T D, et al. Co-occurrence of post-intensive care syndrome problems among 406 survivors of critical illness[J]. Crit Care Med, 2018, 46(9): 1393-1401. |
11 | UNOKI T, SAKURAMOTO H, UEMURA S, et al. Prevalence of and risk factors for post-intensive care syndrome: multicenter study of patients living at home after treatment in 12 Japanese intensive care units, SMAP-HoPe study[J]. PLoS One, 2021, 16(5): e0252167. |
12 | 汤铂, 陈文劲, 蒋丽丹, 等. 重症后管理专家共识[J]. 中华内科杂志, 2023, 62(5): 480-493. |
TANG B, CHEN W J, JIANG L D, et al. Expert consensus on late stage of critical care management[J]. Chinese Journal of Internal Medicine, 2023, 62(5): 480-493. | |
13 | EPSKAMP S, BORSBOOM D, FRIED E I. Estimating psychological networks and their accuracy: a tutorial paper[J]. Behav Res Methods, 2018, 50(1): 195-212. |
14 | BORSBOOM D. A network theory of mental disorders[J]. World Psychiatry, 2017, 16(1): 5-13. |
15 | 翟林君, 刘蓉, 郭傲寒, 等. 维持性血液透析患者的症状群及网络分析[J]. 护士进修杂志, 2023, 38(24): 2289-2294, 2302. |
ZHAI L J, LIU R, GUO A H, et al. Symptom clusters and network analysis of maintenance hemodialysis patients[J]. Journal of Nurses Training, 2023, 38(24): 2289-2294, 2302. | |
16 | 杨红丽, 朱政, 胡雁, 等. HIV感染者随访期间核心症状及严重程度的调查研究[J]. 中华护理杂志, 2021, 56(5): 727-731. |
YANG H L, ZHU Z, HU Y, et al. Centrality and serverity of symptoms in people living with HIV: a cross-sectional study[J]. Chinese Journal of Nursing, 2021, 56(5): 727-731. | |
17 | 叶艳欣, 秦岚, 曾凯, 等. 癌症患者治疗间歇期核心症状及症状群的识别[J]. 护理学杂志, 2022, 37(1): 20-24. |
YE Y X, QIN L, ZENG K, et al. Identifying core symptoms and symptom clusters in patients during intermittent period of cancer therapy[J]. Journal of Nursing Science, 2022, 37(1): 20-24. | |
18 | ZHU Z, SUN Y L, KUANG Y, et al. Contemporaneous symptom networks of multidimensional symptom experiences in cancer survivors: a network analysis[J]. Cancer Med, 2023, 12(1): 663-673. |
19 | COLD S, COLD F, JENSEN M B, et al. Systemic or vaginal hormone therapy after early breast cancer: a Danish observational cohort study[J]. J Natl Cancer Inst, 2022, 114(10): 1347-1354. |
20 | 陈丽霞. 中文版理查兹-坎贝尔睡眠量表的信效度研究及临床应用评价[D]. 大连: 大连大学, 2017. |
CHEN L X. Reliability and validity and clinical practice of the Chinese version of Richards-Campbell Sleep Questionnaire[D]. Dalian: Dalian University, 2017. | |
21 | 孙振晓, 刘化学, 焦林瑛, 等. 医院焦虑抑郁量表的信度及效度研究[J]. 中华临床医师杂志(电子版), 2017, 11(2): 198-201. |
SUN Z X, LIU H X, JIAO L Y, et al. Reliability and validity of Hospital Anxiety and Depression Scale[J]. Chinese Journal of Clinicians (Electronic Edition), 2017, 11(2): 198-201. | |
22 | 顾晓婕, 张智, 邓小岚, 等. 疲劳严重程度评估量表在2型糖尿病患者中应用的信效度分析[J]. 护士进修杂志, 2021, 36(10): 876-880. |
GU X J, ZHANG Z, DENG X L, et al. Preliminary application of Fatigue Severity Assessment Scale in patients with type 2 diabetes[J]. Journal of Nurses Training, 2021, 36(10): 876-880. | |
23 | LI L, HERR K, CHEN P Y. Postoperative pain assessment with three intensity scales in Chinese elders[J]. J Nurs Scholarsh, 2009, 41(3): 241-249. |
24 | GÉLINAS C. Pain assessment in the critically ill adult: recent evidence and new trends[J]. Intensive Crit Care Nurs, 2016, 34: 1-11. |
25 | KUISMIN M, SILLANPÄÄ M J. MCPeSe: Monte Carlo penalty selection for graphical lasso[J]. Bioinformatics, 2021, 37(5): 726-727. |
26 | ROBINAUGH D J, MILLNER A J, MCNALLY R J. Identifying highly influential nodes in the complicated grief network[J]. J Abnorm Psychol, 2016, 125(6): 747-757. |
27 | JONES P J, MA R F, MCNALLY R J. Bridge centrality: a network approach to understanding comorbidity[J]. Multivariate Behav Res, 2021, 56(2): 353-367. |
28 | PAPACHRISTOU N, BARNAGHI P, COOPER B, et al. Network analysis of the multidimensional symptom experience of oncology[J]. Sci Rep, 2019, 9(1): 2258. |
29 | HUANG S S, LAI X X, XUE Y, et al. A network analysis of problematic smartphone use symptoms in a student sample[J]. J Behav Addict, 2020, 9(4): 1032-1043. |
30 | PROFFITT T, MENZIES V. Relationship of symptoms associated with ICU-survivorship: an integrative literature review[J]. Intensive Crit Care Nurs, 2019, 53: 60-67. |
31 | CUZCO C, CASTRO P, MARÍN PÉREZ R, et al. Impact of a nurse-driven patient empowerment intervention on the reduction in patients' anxiety and depression during ICU discharge: a randomized clinical trial[J]. Crit Care Med, 2022, 50(12): 1757-1767. |
32 | HATCH R, YOUNG D, BARBER V, et al. Anxiety, depression and post traumatic stress disorder after critical illness: a UK-wide prospective cohort study[J]. Crit Care, 2018, 22(1): 310. |
33 | 李真, 吴欣娟, 杨慧, 等. ICU日记对患者及家属心理健康干预效果的Meta分析[J]. 中华护理杂志, 2020, 55(7): 1091-1096. |
LI Z, WU X J, YANG H, et al. The effectiveness of ICU diary on mental health status of ICU patients and their family members: a systematic review and meta-analysis[J]. Chinese Journal of Nursing, 2020, 55(7): 1091-1096. | |
34 | 台瑞, 方芳, 杨富, 等. 综合重症监护室患者过渡期护理方案的构建与应用[J]. 解放军护理杂志, 2021, 38(3): 10-13. |
TAI R, FANG F, YANG F, et al. Design and implementation of a transitional care plan in comprehensive intensive care unit[J]. Nursing Journal of Chinese People's Liberation Army, 2021, 38(3): 10-13. | |
35 | 吴贤群, 尚彬, 周燕, 等. 基于网络分析的维持性血液透析患者透析期间核心症状研究[J]. 实用临床医药杂志, 2023, 27(15): 56-61, 67. |
WU X Q, SHANG B, ZHOU Y, et al. Investigation of core symptoms during hemodialysis period in maintenance hemodialysis patients: a network analysis[J]. Journal of Clinical Medicine in Practice, 2023, 27(15): 56-61, 67. | |
36 | 刘敏君, 祁海鸥, 童莺歌, 等. 危重症术后患者ICU过渡期疼痛管理方案的构建[J]. 中国护理管理, 2023, 23(10): 1452-1456. |
LIU M J, QI H O, TONG Y G, et al. Construction of pain management plan for postoperative critical ill patients during ICU transition[J]. Chinese Nursing Management, 2023, 23(10): 1452-1456. |
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