CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Anest. neodkl. Péče, 13, 2002, No. 5, p. 241–243 |
Posttraumatic Stress Disorder in Intensive Care ŠESTÁKOVÁ B., CHYTRA I., SKALKOVÁ H., KASAL E., PRADL R., FESSL V. Anesteziologicko-resuscitační klinika FN v Plzni, přednosta doc. MUDr. E. Kasal, CSc. |
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Summary: The aim of our work was to specify in detail mental trauma experienced by the critically ill patients during the treatment in intensive care unit.
Physical deprivation, fear of death and pharmacological sedation in patients who survive intensive care lead to biopsychosocial process which has all
the attributes of posttraumatic stress disorder (PTSD). We analyzed the group of 26 patients who had returned from the intensive care unit to everyday
life. For the diagnosis of PTSD we used standard patient exploration guided by the psychologist, STAI (State-Trait Anxiety Inventory) and MHQ
(Middlesex Hospital Questionnaire) questionnaires, and drawing projection techniques. Manifestation of acute posttraumatic stress disorder was
evidently the most intensive in the period of decreasing dose of analgosedation drugs. The traumatic emotional experiences and emotional memory
can be visible for the whole future life of patients. The consequences of the primary disease are complicated by PTSD which decrease their quality of
life. These patients need psychotherapy and pharmacological treatment.
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