Psychological recovery after intensive care: Outcomes of a long-term quasi-experimental study of structured nurse-led follow-up.
Intensive Crit Care Nurs
; 44: 59-66, 2018 Feb.
Article
em En
| MEDLINE
| ID: mdl-28739293
ABSTRACT
OBJECTIVES:
To compare psychological recovery of patients receiving structured nurse-led follow-up and patients receiving usual care after intensive care discharge.DESIGN:
Quasi-experimental study.SETTING:
Single centre, university hospital, mixed intensive care patient population. MAIN OUTCOMEMEASURES:
Symptoms of post-traumatic stress disorder, anxiety and depression measured three and four times over 12 months after intensive care discharge. Disturbing memories of the intensive care stay and psychological reactions (that one's life was in danger, threat to physical integrity, intense fear, helplessness, horror) three months after intensive care. A mixed effect model tested differences between the groups over time and regression model predicted post-traumatic stress at three months.RESULTS:
The experimental group had significantly more symptoms of post-traumatic stress and anxiety than the control group over the 12 months. Patients from both groups had severe symptoms of post-traumatic stress. Patients with post-traumatic stress at three months had disturbing memories and psychological reactions.CONCLUSION:
The structured nurse-led follow-up did not improve patients' measured outcomes of psychological recovery after intensive care. Patients with severe symptoms of post-traumatic stress are of concern. Emphasis needs to be placed on disturbing memories of the intensive care stay and psychological reactions when constructing intensive care nurse-led follow-up.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Estresse Psicológico
/
Estado Terminal
/
Avaliação de Resultados da Assistência ao Paciente
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Intensive Crit Care Nurs
Assunto da revista:
ENFERMAGEM
/
TERAPIA INTENSIVA
Ano de publicação:
2018
Tipo de documento:
Article