| Author/Editor | Dular, Katja | |
| Title | Psihološke posledice pri pacientu po hujšem poteku COVID-19 | |
| Translated title | Psychological consequences in a patient with severe course of COVID-19 | |
| Type | članek | |
| Source | 65166083 | |
| Vol. and No. | Letnik 20, št. supl. 1 | |
| Publication year | 2021 | |
| Volume | str. 36-43 | |
| Language | slv | |
| Abstract | Uvod: Pandemija COVID-19 je pri pacientih s težjim potekom bolezni razkrila podobnosti s predhodnimi epidemijami korona virusov. V prispevku navajamo dolgotrajne psihološke in psihiatrične posledice teh epidemij in posledice dolgotrajnega zdravljenja kritično bolnih v Enotah za intenzivno nego (EIN), kar je značilno tudi za obolele s COVID-19. Metode: Prikazujemo primer 65-letnega pacienta, ki je po dolgotrajnem zdravljenju COVID- 19 v EIN prišel na celostno rehabilitacijo v URI-Soča januarja 2021. Pacient je poročal o značilnostih delirija, psihotičnega doživljanja po zbujanju iz kome; zato je prišlo do razvoja psiholoških težav, ki so pomembno vplivale na potek rehabilitacije. Znotraj celostne rehabilitacije je bil vključen v intenzivno klinično-psihološko obravnavo. Za oceno njegovega psihološkega stanja smo poleg klinično-psihološkega intervjuja uporabili še Vprašalnik za oceno potravmatskega stresa (DAPS), Beckov vprašalnik depresivnosti (BDI) in Beckovo lestvico anksioznosti (BAI). Rezultati: Rezultati klinično-psihološke preizkušnje in obravnave kažejo na klinično pomembna odstopanja na področju doživljanja simptomatike potravmatske stresne motnje (PTSM), ki je bila pri pacientu huje izražena. Ugotovili smo pomembno vlogo stresnih dejavnikov, značilnih za zdravljenje v EIN, ki so vplivali na razvoj razpoloženjske simptomatike in motnje spanja. Prepoznavamo povišano tveganje za vztrajanje psiholoških težav in razvoj kroničnih motenj ter predstavljamo pomembnost klinično-psihološke in psihoterapevtske obravnave. Zaključek: Sovplivanje različnih dejavnikov med zdravljenjem COVID-19 in psiholoških odzivov, vezanih na travmatski dogodek ter dejavnikov osebnosti, so pomembno vplivali na hudo izraženost stresne motnje in razvoj razpoloženjske simptomatike pri prikazanem primeru pacienta. Zgodnja prepoznava rizičnih posameznikov za razvoj psihopatologije in intenzivna psihološka obravnava predstavljata pomemben zaščitni dejavnik za preprečevanje dolgotrajnih psiholoških težav.Introduction: Patients with severe course of COVID-19 disease show similarities with previous corona virus pandemics. This paper demonstrates long-term psychological and psychiatric consequences of these epidemics and the consequences of long-term treatment of COVID-19 patients in an intensive care unit (ICU). Methods: We report the case of a 65-year-old patient who was admitted to the University Rehabilitation Institute in Ljubljana after long-term ICU treatment, in January 2021. The patient reported a delirium % psychotic experience when waking from the coma, which subsequently led to development of psychological problems that considerably affected the rehabilitation process. The patient was included in psychological treatment and detailed assessment during complex rehabilitation. To assess his psychological condition, we used Detailed Assessment of Posttraumatic Stress (DAPS), Beck Depressive Inventory (BDI) and Beck Anxiety Inventory (BAI). Results: The results of psychological assessment show a clinically significant deviation in symptoms experience in post-traumatic stress disorder (PTSD), which was very pronounced in this patient. We found that stress factors typical of ICU treatment have an important role, and that they had impact on the patient%s mood symptoms and sleep disorder. Increased risk for prolonged psychological problems and developing chronic disorders was identified and the importance of clinical psychological assessment and psychotherapy is demonstrated in the report. Conclusions: The interaction of different factors during treatment of COVID-19 and psychological responses due to traumatic incident has major impact on severity of PTSD expression and on development of mood symptoms. Early recognition of individuals at risk of developing psychopathology and intense psychologic treatment are an important protective factor in prevention of long-term psychological problems. | |
| Descriptors | Rehabilitation COVID-19 | |
| Keywords | hujši potek COVID-19 dejavniki tveganja psihološke posledice potravmatska stresna motnja prikaz primera rehabilitacija severe course of COVID-19 risk factors psychological consequences post-traumatic stress disorder case report rehabilitation |