The purpose of this study is to explore PTSD, depression and quality of life(QOL), and to follow up their change in post ICU stay patients.
Methods:
The sample is selected from Chest Medical Ward. Patients are first time treated in ICU and transfer to ward 3-5 days, above 20 years old, no other life threat events or disease in recently one year and no mental illness history. Data collect at 4 time points while patients transfer to ward from ICU 3-5 days, 1 month, 3 months and 6 months. Instruments in this study include Post-traumatic Stress Disorder Reaction Index(PTSD-RI), Beck’s Depression Inventory(BDI) and 36-items Short Form of the Medical Outcomes Study Questionnaire(SF-36, include PCH and MCH).
Results:
Total 70 subjects participate this study. The result show PTSD-RI average score at 4 time points are 12.04(SD= 10.65), 9.50(SD= 8.32), 9.17(SD= 9.23) and 7.83(SD= 9.77). and the rate of PTSD occurrence are 44.3%, 32.3%, 30.2% and 21.3%. BDI average score are 12.20(SD= 11.64), 9.75(SD= 9.88), 8.84(SD= 10.37) and 8.97(SD= 11.25), and depression occurrence rate are 50%, 35.4%, 30.2% and 27.9%. The report of GEE analysis indicates that PTSD-RI and BDI at 6 months compares to transfer to ward from ICU 3-5 days dose not decrease significantly. Old patient(p= .009), live alone(p= .042) and lack family support(p= .001) will have higher PTSD-RI score. Aged (p= .005)and patients are sedation in ICU(p< .001) have higher BDI score.
This study also show that there are significantly negative correlation between PTSD-RI, BDI and SF-36. PCH and MCH two domain of SF-36 analysis by GEE to compare quality of life at each data collected time point. MCH has significant improvement at 3 months and 6 months post ICU stay, but PCH dosen’t. Age(p= .001), depression(p< .001) and days of ICU stay(p< .001) will influence quality of life in this population.
Conclusion:
Summary this study result is that PTSD, depression and quality of life do not improve post 6 months ICU stay. Old people, live alone, sedation in ICU, lack family support will worse PTSD, depression and quality of life.