ICU后综合征(PICS)的预防与护理干预研究进展
Prevention and Nursing Interventions for Post-Intensive Care Syndrome (PICS): A Review of Current Progress
DOI: 10.12677/ns.2026.158263, PDF,   
作者: 王国帅*：广州市东升医院内科，广东 广州；冯 景#：武警广东总队医院重症医学科，广东 广州
关键词: 危重症护理；ICU后综合征；早期活动；集束化策略；延续性护理；文献综述；Critical Care Nursing； Post-Intensive Care Syndrome (PICS)； Early Mobilization； Care Bundle； Transitional Care； Literature Review
摘要: 随着重症医学救治水平的显著提升，危重症患者的短期生存率大幅提高，但随之而来的远期并发症严重制约了患者的预后与生活质量。ICU后综合征(Post-Intensive Care Syndrome, PICS)是指患者在转出ICU后持续存在的躯体、认知和心理功能的长期衰退。本文系统检索并梳理了近年的相关文献，深入探讨了PICS的发生机制及评估手段，并重点从ABCDEF集束化策略的深化落实、精准化早期康复、ICU日记及数字叙事干预、以及延续性护理模式四个维度对核心护理干预策略进行综述，旨在为临床医护人员构建标准化、规范化的PICS早期预防与护理体系提供循证依据。
Abstract: With significant advancements in critical care medicine, the short-term survival rate of critically ill patients has improved substantially. However, the ensuing long-term complications severely compromise their prognosis and quality of life. Post-Intensive Care Syndrome (PICS) refers to the persistent, long-term decline in physical, cognitive, and psychological functions that patients experience following discharge from the intensive care unit (ICU). This paper systematically reviews recent literature to explore the underlying mechanisms and assessment tools of PICS. Furthermore, it comprehensively reviews core nursing intervention strategies from four key dimensions: the in-depth implementation of the ABCDEF bundle, precise early rehabilitation, ICU diaries and digital narrative interventions, and transitional care models. This review aims to provide an evidence-based foundation for clinical healthcare professionals to establish a standardized early prevention and nursing care system for PICS.
文章引用：王国帅, 冯景. ICU后综合征(PICS)的预防与护理干预研究进展[J]. 护理学, 2026, 15(8): 211-216. https://doi.org/10.12677/ns.2026.158263

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