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Intensive Crit Care Nurs ; 59: 102829, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32173238

RESUMO

OBJECTIVES: To describe gender differences in health-related quality of life and characterise discharged patients' perceptions of follow-up needs after extracorporeal membrane oxygenation. RESEARCH METHODOLOGY/DESIGN: A descriptive, comparative cross-sectional pilot design was used. Adult patients receiving extracorporeal membrane oxygenation discharged between January 1, 2016 and March 31, 2018 participated in telephone interviews. SETTING: A 580-bed community teaching hospital in south central Pennsylvania. MAIN OUTCOME MEASURES: Health-related quality of life was measured with the Rand 36-item Short Form Health Survey. Open-ended questions identified post-discharge healthcare services and perceived follow-up needs. RESULTS: Of 30 eligible patients, 24 completed a telephone interview. All health-related quality of life dimensions, except for role-emotional and mental health, were lower in post- extracorporeal membrane oxygenation patients at follow-up compared to national norms. Women scored lower than men in all health-related quality of life dimensions. The most frequent post-discharge services used were physical therapy (66.7%), rehabilitation (62.5%) and occupational therapy (54.2%). The need for coordination of care post-discharge was identified. CONCLUSIONS: Given long-term sequelae of extracorporeal membrane oxygenation on health-related quality of life and gender differences in health-related quality of life outcomes, ongoing interdisciplinary follow-up is imperative to ensure comprehensive patient management across the continuum of care.


Assuntos
Oxigenação por Membrana Extracorpórea/efeitos adversos , Avaliação das Necessidades/estatística & dados numéricos , Qualidade de Vida/psicologia , Sobreviventes/psicologia , Adulto , Estudos Transversais , Oxigenação por Membrana Extracorpórea/métodos , Oxigenação por Membrana Extracorpórea/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pennsylvania , Projetos Piloto , Sobreviventes/estatística & dados numéricos , Resultado do Tratamento
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