Family care in the intensive care unit: The Golden Rule, evidence, and resources*

Plost, Gerald; Nelson, Delores Privette

doi:10.1097/01.ccm.0000254040.14921.26

Cited by 7 publications

(3 citation statements)

References 12 publications

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“…Investigations into liberal visiting policies in the ICU have revealed a positive impact on family satisfaction; however, the impacts on anxiety, depression, and PTSD symptoms remained unclear [ 47 ]. Hence, the content and context of the ICU visits may be crucial for coping with PTSD symptoms (avoidance of frustration, improvement of vigilance, reassurance, proximity, provision of information) [ 48 , 49 ].…”

Section: Discussionmentioning

confidence: 99%

Symptoms of post-traumatic stress disorder (PTSD) in next of kin during suspension of ICU visits during the COVID-19 pandemic: a prospective observational study

et al. 2021

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Background During the COVID-19 pandemic, suspension of visits by next of kin to patients in intensive care units (ICU), to prevent spread of the SARS-CoV-2 virus, has been a common practice. This could impede established family-centered care and may affect the mental health of the next of kin. The aim of this study was to explore symptoms of post-traumatic stress syndrome (PTSD) in the next of kin of ICU patients. Methods In this prospective observational single-center study, next of kin of ICU patients were interviewed by telephone, using the Impact of Event Scale-Revised (IES-R), to assess symptoms of acute stress disorder during the ICU stay and PTSD symptoms at 3 months after the ICU stay. The primary outcome was the prevalence of severe PTSD symptoms (IES-R score ≥ 33) at 3 months. The secondary outcomes comprised the IES-R scores during the ICU stay, at 3 months, and the prevalence of severe symptoms of acute stress disorder during ICU stay. An inductive content analysis was performed of the next of kin’s comments regarding satisfaction with patient care and the information they were given. Results Of the 411 ICU patients admitted during the study period, 62 patients were included together with their next of kin. An IES-R score > 33 was observed in 90.3% (56/62) of next of kin during the ICU stay and in 69.4% (43/62) 3 months later. The median IES-R score was 49 (IQR 40–61) during the ICU stay and 41 (IQR 30–55) at 3 months. The inductive content analysis showed that communication/information (55%), support (40%), distressing emotions (32%), and suspension of ICU visits (24%) were mentioned as relevant aspects by the next of kin. Conclusions During the suspension of ICU visits in the COVID-19 pandemic, high prevalence and severity of both symptoms of acute stress disorder during the ICU stay and PTSD symptoms 3 months later were observed in the next of kin of ICU patients.

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Section: Discussionmentioning

confidence: 99%

Symptoms of post-traumatic stress disorder (PTSD) in next of kin during suspension of ICU visits during the COVID-19 pandemic: a prospective observational study

et al. 2021

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“…Few studies have examined what health care providers should do after discharge to protect the partner's health. Despite a growing literature on the partners' burden after critical illness, we still do not know what type of intervention produces the best improvement (Lautrette et al , ; Plost and Nelson, ; Engström et al , ; Schmidt and Azoulay, ).…”

Section: Discussionmentioning

confidence: 99%

Moving on in life after intensive care – partners' experience of group communication

Ahlberg

Bäckman

Jones

et al. 2015

Nursing in Critical Care

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“…Several measures have been recently proposed to cope with family members' stress (Table 1) [19,[42][43][44][45][46][47]. Clinicians have a moral role to help family members to anticipate what they will see, hear, or experience while visiting in the ICU and after ICU discharge or death.…”

Section: How To Improve Psychological Symptoms In Family Members Of Imentioning

confidence: 99%

Having a loved one in the ICU

Schmidt

Azoulay

2012

Current Opinion in Critical Care

154

100

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A high proportion of family members present with symptoms of anxiety (70%) and depression (35%). Acute stress disorder and posttraumatic stress disorder (PTSD) related symptoms are also common. These symptoms are significantly more frequent when the relative is a spouse, or in bereaved family members. Few long-term data are available. However, in family members of dying patients, 1 year after the loss, up to 40% of them present with criteria for psychiatric illness such as generalized anxiety, major depressive disorders, or complicated grief. Prevention of post-ICU burden, mostly based on communication strategies, has been proposed to assist relatives.

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Family care in the intensive care unit: The Golden Rule, evidence, and resources*

Cited by 7 publications

References 12 publications

Symptoms of post-traumatic stress disorder (PTSD) in next of kin during suspension of ICU visits during the COVID-19 pandemic: a prospective observational study

Symptoms of post-traumatic stress disorder (PTSD) in next of kin during suspension of ICU visits during the COVID-19 pandemic: a prospective observational study

Moving on in life after intensive care – partners' experience of group communication

Having a loved one in the ICU

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