China News Service, Guangzhou, September 7 (Cai Minjie, Huang Jinyan) Patients who have been treated in the ICU (intensive care unit) are more prone to anxiety and fear.

In order to alleviate the fear of ICU for critically ill patients and their families, the Department of Critical Care Medicine of the Third Affiliated Hospital of Guangzhou Medical University recently thought of a "loving" way: write an ICU diary for the patient, record the patient's diagnosis and treatment process and recovery, with a personalized narrative Nursing allows critically ill patients to correctly review the entire event, accept the entire process of treatment in the ICU, rather than escape, and help patients relieve anxiety, fear and depression.

　　Unlike most people's fear of ICU, the 24-year-old young mother Zhu Fang (pseudonym) feels warm when she thinks of ICU.

In August, Zhu Fang was admitted to the Department of Critical Care Medicine of the Third Affiliated Hospital of Guangzhou Medical University because of pregnancy and pulmonary hypertension. At that time, she had difficulty breathing and was exhausted. Due to her serious condition, Zhu Fang, who was 35 weeks pregnant, was early on August 18 After cesarean section, he continued to be transferred to the ICU for continuous monitoring.

　　After the operation, as Zhu Fang became more conscious, a diary was placed in front of Zhu Fang.

　　"On August 19, the oral tracheal intubation was removed, and the patient was lethargic and very tired..."

　　"On August 21, you are still relatively tired and unwilling to exercise. After a long time of communication, you are willing to exercise. If you want to go out early, you should cooperate with doctors and nurses to strengthen exercise. You have to work harder. Oh!"

　　"On August 23, the mental state was very good this morning. You said that you did ankle and foot exercises in the morning, which is great!"

　　...

　　These diaries record the changes in Zhu Fang's illness in the ICU, so that Zhu Fang knows everything he has experienced in these clips.

When transferring to the ICU, Zhu Fang wrote in his diary: "These diaries, as well as what the doctors and nurses said to me, I realized that I am getting better." Recently, Zhu Fang has been discharged from the hospital in good health.

Photo by Zhang Xiaorui, handwritten diary for critically ill patients at Guangdong Hospital

　　"After experiencing a life-and-death contest, psychological problems such as anxiety and fear are another major hurdle they need to overcome." Wang Yichun, director of the Department of Critical Care Medicine of the Third Hospital of Guangzhou Medical University, said: "Write an ICU diary for the patient so that the patient can review it correctly. And looking at the treatment process will help reduce the occurrence of ICU syndrome."

　　Post-ICU syndrome refers to a series of dysfunctions in cognitive, psychological and physical aspects after the patient is transferred from the ICU, and these disorders will continue to affect the patient after discharge.

At the same time, all kinds of pressures are brought to the family members because the patients are admitted to the ICU for treatment and later care, which causes the family members to have psychological and physical obstacles.

　　In order to help patients and their families overcome the injuries and impacts caused by ICU syndrome, members of the rehabilitation team of the Critical Care Medicine Department of the Third Hospital of Guangzhou Medical University introduced the concept of ICU diary by referring to overseas treatment cases and consulting related literature. The purpose is to help Patients and their family members record ICU diaries to help patients rebuild their memories in the ICU, correct their mental disorders, and make them clearly aware that they were surrounded by doctors and nurses instead of the devil. Their performance in the treatment process was more than imagined. The Chinese are even stronger.

　　With the development of ICU diary work, the number of people involved in diary writing has gradually increased, and the forms have become diversified, including text, pictures, and even paintings.

Since the introduction of ICU diaries in early 2019, there have been more than 150 ICU diaries in the Department of Critical Care Medicine of the Third Hospital of Guangzhou Medical University, and more than 100 people have participated in the writing of the diaries.

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