Angst, Befindlichkeit und Depression: Vergleich zwischen tracheotomierten und intubierten Patienten einer Intensivstation

Abstract

Research question: This study investigated whether anxiety or depression was different between intubated and tracheotomised patients in a surgical intensive care unit. This study is the first that compares the well-being of intubated vs. tracheotomised patients. Method: 17 intubated patients (7 women and 10 men) and 9 tracheotomised patients (3 women and 6 men) in an interdisciplinary intensive care unit took part in the study which was approved by the local ethics committee. Anxiety and depression were evaluated by the Hospital Anxiety and Depression Scale (HADS), disability was evaluated by a disability scale, vigilance by the Glasgow Coma Scale and the severity of the illness was evaluated by the Simplified Acute Physiology Score (SAPS II). Results: Age, body mass index, vigilance, SAPS II Score, anxiety and depression were not different between intubated and tracheotomised patients. Mean HADS-A was 9.8 (SD=4.7) for the intubated patients and 10 (SD=3.6) for the tracheotomised patients. 47.1% of the intubated patients and 44.4% of the tracheotomised patients had an abnormal HADS-A with a cut-off of more than 10 points. Mean HADS-D was 10.9 (SD=6.1) for the intubated patients and 8.7 (SD=4.5) for the tracheotomised patients. 52.9% of the intubated patients and 44.4% of the tracheotomised patients had an abnormal HADS-D with a cut-off of more than 8 points. HADS-A and HADS-D were not significantly different between intubated and tracheotomised patients. Discussion: Anxiety and depression as measured by the HADS were high in both intubated and tracheotomised patients but there was no difference between the two groups. This is interesting, because tracheotomised patients are predestined for a longer mechanical ventilation period than intubated patients.