Having a loved one in the ICU

Schmidt, Matthieu; Azoulay, Élie

doi:10.1097/mcc.0b013e328357f141

Cited by 154 publications

(118 citation statements)

References 64 publications

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“…하지만 중환자의 가족 들은 가족구성원이 중환자라는 사실로 인해 일련의 신체적, 정신적 증상을 겪는다. 이를 '중환자 가족증상(post-intensive care syndrome-family)'이라고 일컫고 있으며 [8], 중환자 가 족을 위한 건강관리의 중요성을 강조하고 있다 [9,10] [11,12]. 또한 낯선 중환자실 환 경과 치료 및 검사과정에서 오는 부담감, 의료인의 태도에서 느 껴지는 긴장감, 그리고 미지의 상황에 대한 두려움까지 부가되 고 있다 [13].…”

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Experiences of Families in the Intensive Care Unit: Interactions with Health Care Providers

Lee

2017

Korean J Adult Nurs

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Purpose:The purpose of the study was to provide deep understanding of the reported experiences of families with their loved one in the intensive care unit (ICU), focusing on interactions with healthcare providers. Methods: The data were collected by individual interviews of eleven participants. The transcribed data were analyzed using qualitative content analysis to identify major themes and sub-themes that represented the experiences of families. Results: Five themes and 13 sub-themes emerged. "Captive of patients' delayed death: Fear and anxiety" describes psychological problems arising when the family member became critically ill enough to warrant being admitted to the ICU. "Families as the weak: Suppression and resistance" describes interpersonal difficulties arising due to lack of information and trust with healthcare providers. "Deprivation of authority and duty as families: Helplessness" illustrate situational barriers in attempting to protect and support family member. "Re-establishment of trust relationship with healthcare providers: Gratitude and appreciation" describes how they satisfied with themselves by regaining trust relationship. Lastly, "Acceptance of reality through direct care participation: Relief and peace" illustrates peace of mind by gaining sense of reality through active direct care participation. Conclusion: This study demonstrates the positive and negative experiences of families with ICU patients. The results will be useful in developing family-centered nursing interventions. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Experiences of Families in the Intensive Care Unit: Interactions with Health Care Providers

Lee

2017

Korean J Adult Nurs

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“…[1,2] PICS-F refers to the acute and the chronic psychological effects of critical illness on the family of the patient and includes the symptoms that are experienced by family members during the critical illness as well as those that occur following death or discharge of a loved one from the ICU. [1][2][3][4] It has been observed that up to 30% of family or the caregivers experience stress, anxiety, depression, and complicated grief. [3,4] …”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4] It has been observed that up to 30% of family or the caregivers experience stress, anxiety, depression, and complicated grief. [3,4] …”

Section: Introductionmentioning

confidence: 99%

Post-intensive care syndrome: An overview

Rawal

Yadav

Kumar

2017

Journal of Translational Internal Medicine

467

330

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Survival of critically unwell patients has improved in the last decade due to advances in critical care medicine. Some of these survivors develop cognitive, psychiatric and /or physical disability after treatment in intensive care unit (ICU), which is now recognized as post intensive care syndrome (PICS). Given the limited awareness about PICS in the medical faculty this aspect is often overlooked which may lead to reduced quality of life and cause a lot of suffering of these patients and their families. Efforts should be directed towards preventing PICS by minimizing sedation and early mobilization during ICU.All critical care survivors should be evaluated for PICS and those having signs and symptoms of it should be managed by a multidisciplinary team which includes critical care physician, neuro-psychiatrist, physiotherapist and respiratory therapist,with the use of pharmacological and non-apharmacological interventions. This can be achieved through an organizational change and improvement, knowing the high rate of incidence of PICS and its adverse effects on the survivor's life and daily activities and its effect on the survivor's family.

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“…Furthermore, the IES and HADS are screening tools rather than diagnostic tools and provide information only about symptom levels. Another limitation is that we followed family members only three months after ICU and some studies have been demonstrated that family members have an increased risk of depressive and/or anxiety disorders as well as post-traumatic stress more than one year following a relative's stay in ICU, principally when occur the patient's death during ICU stay or with high risk of death [22,23].…”

Section: Discussionmentioning

confidence: 99%

“…Communication about the goals of care in this setting should be a high priority as studies suggest that the effective ICU communication may diminish the psychological distress among family members of critically ill patients [10]. Many studies have shown that family members of patients who died in the ICU are at higher risk of developing PTSD [8,9,[22][23][24].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Poor Prognostic Patients Admitted to the Intensive Care Unit on Family Member's Emotional Disorders

Fumis¹,

Martins²,

Schettino³

2016

Intensive & Crit Care

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Background: Having a loved one admitted to the ICU is an extraordinarily stressful event, principally with poor prognosis and when death may occur. Aim:To evaluate the impact of poor prognosis patients admitted in the ICU on their family member's emotional disorders. Design and setting:Prospective study conducted in a 22-bed mixed ICU in a tertiary hospital in Sao Paulo, Brazil. Family members completed the Hospital Anxiety and Depression Scale 48 hours post-admission. Family members answered the HADS, the Impact of Event Scale by phone at 30-days and 90-days after ICU discharge.Results: 95/575 patients admitted at the ICU were defined as poor prognostic patients. Poor prognostic patients required more mechanical ventilation (50.0% vs. 32.9%, p=0.002), tracheotomy (11.6% vs. 5.0%, p=0.014), vasopressors (54.7% vs. 36.8%, p=0.001), remained longer under mechanical ventilation (7 [3-15] vs. 3 [2-6] days, p=0.030) and stay longer at ICU (8 [5-18] vs. 4 [3-8], p<0.001) when compared with non-poor prognosis patients. They also had high mortality at ICU (32.6%), 30-days (60.0%) and 90-days (73.5%) and we also observed an intense emotional suffering among their respective family members during and after ICU discharge. Conclusion:Family members of poor prognosis patients admitted to the ICU were more likely to suffer with symptoms of anxiety, depression and post traumatic distress. Their loved ones needed more aggressive treatments during ICU and had higher mortality in a short time.

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Having a loved one in the ICU

Cited by 154 publications

References 64 publications

Experiences of Families in the Intensive Care Unit: Interactions with Health Care Providers

Experiences of Families in the Intensive Care Unit: Interactions with Health Care Providers

Post-intensive care syndrome: An overview

The Impact of Poor Prognostic Patients Admitted to the Intensive Care Unit on Family Member's Emotional Disorders

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