Zusammenfassung
Ungefähr 10% aller intensivpflichtigen Patienten entwickeln ein akutes Atemnotsyndrom
(Acute respiratory Distress Syndrome; ARDS). Durch die COVID-19-Pandemie kam es zu
einer Häufung von
Patienten mit schwerem ARDS. Das Erleben dieser schweren respiratorischen Insuffizienz
geht mit dem Empfinden existenzieller Angst bei vielen Patienten einher. Der Beitrag
stellt die
psychologische Unterstützung während und nach der intensivmedizinischen Behandlung
des ARDS dar.
Abstract
Approximately 10% of all patients requiring intensive care develop acute respiratory
distress syndrome (ARDS). The COVID-19 pandemic led to an accumulation of patients
with severe ARDS. The
experience of this severe respiratory failure is accompanied by feelings of existential
anxiety in many patients.
The complexity of the challenges and stresses that the disease and its treatment pose
for the ARDS patient require an early multiprofessional approach to treatment already
during intensive
care. Psychological approaches are suitable to support the patient as well as the
relatives in coping with the disease and to minimise risks for potential subsequent
stress. Despite the
long-term impairments of patients who have survived ARDS and the resulting need for
follow-up care, suitable multimodal follow-up care concepts and the necessary care
structures are still
lacking. The article presents the psychological support during and after the intensive
care treatment of ARDS.
Schlüsselwörter
ARDS - psychologische Versorgung - Angehörige - PICS - Post-Intensive-Care-Syndrom
- posttraumatische Belastungsstörung
Keywords
psychological care - relatives - post intensive care syndrome - post-traumatic stress
disorder