ICU转出患者心理障碍风险预测工具的范围综述

doi:10.3761/j.issn.0254-1769.2022.03.005

摘要/Abstract

摘要：

目的对ICU转出患者心理障碍风险预测工具进行范围综述,为临床实践及相关研究提供参考。方法检索PubMed、Embase、Web of Science核心合集、中国知网、万方数据库、中国生物医学文献数据库中有关ICU转出患者心理障碍风险预测工具的研究,检索时限为建库至2021年7月11日。由2名研究者独立筛选文献和提取数据。采用预测模型偏倚风险评价工具及诊断准确性研究质量评价工具2对纳入文献进行偏倚风险及适用性评价。结果共纳入6篇文献,包括2项预测模型开发研究及4项预测工具效能验证研究。结论目前ICU转出患者心理障碍风险预测工具的预测效能较好,但纳入文献偏倚风险较高。未来应对现有的工具进行验证和完善,或构建低偏倚风险、高适用性的本土化预测工具。

关键词: 重症监护病房, 心理障碍, 焦虑, 抑郁, 应激障碍, 创伤后, 风险预测, 范围综述, 护理

Abstract:

Objective A scoping review was performed to examine the risk prediction instruments of psychological disorder of ICU discharged patients,in order to provide references for clinical nursing practice and further research. Methods The PubMed,Embase,Web of Science core collection,CNKI,China Biology Medicine and WanFang Database were searched from inception to July 11,2021. 2 researchers independently screened the literature,extracted the information,and assessed the risk of bias and applicability by the prediction model risk of bias assessment tool and quality assessment of diagnostic accuracy studies-2. Results 6 studies were involved in the final review,including 2 model development studies and 4 validation studies on the effectiveness of screening instruments. Conclusion The risk prediction instruments of psychological disorder of ICU discharged patients had higher predictive performance,but there was also a high risk of bias in the included studies. It is recommended that further examination,verification and development of the existing instruments should be conducted,in order to build a localized prediction instrument with low risk of bias and high applicability.

Key words: Intensive Care Units, Psychological Disorders, Anxiety, Depression, Stress Disorders, Post-Traumatic, Risk Prediction, Scoping Review, Nursing Care

杜羿霏, 钟月欢, 包旭平, 王怡, 孙琪钰, 伍严骏. ICU转出患者心理障碍风险预测工具的范围综述[J]. 中华护理杂志, 2022, 57(3): 284-289.

DU Yifei, CHUNG YuetFoon, BAO Xuping, WANG Yi, SUN Qiyu, WU Yanjun. Instruments for predicting the risk of psychological disorder of ICU discharged patients：a scoping review[J]. Chinese Journal of Nursing, 2022, 57(3): 284-289.

图/表 3

图1 文献筛选流程图

Figure 1 Flow chart of literature selection

表1 纳入文献的基本特征

Table 1 Characteristics of the included studies

表2 4种ICU转出患者心理障碍风险预测工具的预测效能

Table 2 Performance of 4 screening questionnaire for psychological disorder

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