Postintensive care unit psychological burden in patients with chronic obstructive pulmonary disease and informal caregivers: A multicenter study

Miranda, S. De; Pochard, Frédéric; Chaize, Marine; Mégarbane, Bruno; Cuvelier, A.; Bele, Nicolas; Gonzalez-Bermejo, Jésus; Aboab, Jérôme; Lautrette, Alexandre; Lemiale, Virginie; Roche, N.; Thirion, Marina; Chevret, Sylvie; Schlemmer, Benoı̂t; Similowski, Thomas; Azoulay, Élie

doi:10.1097/ccm.0b013e3181feb824

Cited by 133 publications

(115 citation statements)

References 58 publications

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“…A stay in the ICU may also be associated with significant and long-lasting distress; two-thirds of patients remembered their stay in the ICU associated with negative affect and post-traumatic stress [139]. In fact, memories of ''suffocation'' were the second most reported complaint after a stay in the ICU [140]. Things could get worse in the future, as current ICU management trends are designed to reduce iatrogenic complications and shorten ICU stay.…”

Section: Dyspnoea Mechanisms and Relief In Specific Conditionsmentioning

confidence: 99%

Dyspnoea: a multidimensional and multidisciplinary approach

Laviolette¹,

2014

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Dyspnoea is a debilitating symptom that affects quality of life, exercise tolerance and mortality in various disease conditions/states. In patients with chronic obstructive pulmonary disease (COPD), it has been shown to be a better predictor of mortality than forced expiratory volume in 1 s. In patients with heart disease it is a better predictor of mortality than angina. Dyspnoea is also associated with decreased functional status and worse psychological health in older individuals living at home. It also contributes to the low adherence to exercise training programmes in sedentary adults and in COPD patients. The mechanisms of dyspnoea are still unclear. Recent studies have emphasised the multidimensional nature of dyspnoea in the sensory–perceptual (intensity and quality), affective distress and impact domains. The perception of dyspnoea involves a complex chain of events that depend on varying cortical integration of several afferent/efferent signals and coloured by affective processing. This review, which stems from the European Respiratory Society research symposium held in Paris, France in November 2012, aims to provide state-of-the-art advances on the multidimensional and multidisciplinary aspects of dyspnoea, by addressing three different themes: 1) the neurophysiology of dyspnoea, 2) exercise and dyspnoea, and 3) the clinical impact and management of dyspnoea.

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Section: Dyspnoea Mechanisms and Relief In Specific Conditionsmentioning

confidence: 99%

Dyspnoea: a multidimensional and multidisciplinary approach

Laviolette¹,

2014

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Section: Impact On Informal Caregiversmentioning

confidence: 99%

“…A study including patients with COPD and their relatives after an intensive care unit (ICU) stay showed that 72% of the caregivers had symptoms of anxiety and 26% had symptoms of depression at the point of discharge from the ICU [40]. After 90 days, 32% of the caregivers received medication for anxiety or depression prescribed after the patient's ICU stay [40]. In a general population, symptoms of depression were more prevalent in caregivers of nonsurvivors [41], indicating that the burden is higher in caregivers of deceased patients.…”

Section: Impact On Informal Caregiversmentioning

confidence: 99%

Informal caregivers of patients with COPD: Home Sweet Home?

et al. 2015

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The burden of chronic obstructive pulmonary disease (COPD) on society is increasing. Healthcare systems should support patients with COPD in achieving an optimal quality of life, while limiting the costs of care. As a consequence, a shift from hospital care to home care seems inevitable. Therefore, patients will have to rely to a greater extent on informal caregivers. Patients with COPD as well as their informal caregivers are confronted with multiple limitations in activities of daily living. The presence of an informal caregiver is important to provide practical help and emotional support. However, caregivers can be overprotective, which can make patients more dependent. Informal caregiving may lead to symptoms of anxiety, depression, social isolation and a changed relationship with the patient. The caregivers' subjective burden is a major determinant of the impact of caregiving. Therefore, the caregiver's perception of the patient's health is an important factor. This article reviews the current knowledge about these informal caregivers of patients with COPD, the impact of COPD on their lives and their perception of the patient's health status. @ERSpublications Informal caregivers play important roles: their needs should be part of research and clinical care for COPD patients http://ow.ly/PSl7F

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“…Symptoms of post-traumatic stress disorder (PTSD), another outcome of concern, have been reported in 35~50% of family caregivers [31][32][33][34]. For the first 6 months after patients' ICU discharge or death, symptoms of PTSD have been reported to be problematic in more than one third of family members [31,32,34].…”

Section: Psychological Outcomesmentioning

confidence: 99%

Psychological and Physical Health in Family Caregivers of Intensive Care Unit Survivors: Current Knowledge and Future Research Strategies

2016

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Purpose: This article provides an overview of current knowledge on the impact of caregiving on the psychological and physical health of family caregivers of intensive care unit (ICU) survivors and suggestions for future research. Methods: Review of selected papers published in English between January 2000 and October 2015 reporting psychological and physical health outcomes in family caregivers of ICU survivors. Results: In family caregivers of ICU survivors followed up to five years after patients' discharge from an ICU, psychological symptoms, manifested as depression, anxiety and post-traumatic stress disorder, were highly prevalent. Poor self-care, sleep disturbances and fatigue were identified as common physical health problems in family caregivers. Studies to date are mainly descriptive; few interventions have targeted family caregivers. Further, studies that elicit unique needs of families from diverse cultures are lacking. Conclusion: Studies to date have described the impact of caregiving on the psychological and physical health in family caregivers of ICU survivors. Few studies have tested interventions to support unique needs in this population. Therefore, evidence for best strategies is lacking. Future research is needed to identify ICU caregivers at greatest risk for distress, time points to target interventions with maximal efficacy, needs of those from diverse cultures and test interventions to mitigate family caregivers' burden.

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Postintensive care unit psychological burden in patients with chronic obstructive pulmonary disease and informal caregivers: A multicenter study

Cited by 133 publications

References 58 publications

Dyspnoea: a multidimensional and multidisciplinary approach

Dyspnoea: a multidimensional and multidisciplinary approach

Informal caregivers of patients with COPD: Home Sweet Home?

Psychological and Physical Health in Family Caregivers of Intensive Care Unit Survivors: Current Knowledge and Future Research Strategies

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