Distress and the Long-Stay Pediatric Intensive Care Unit Admission: A Longitudinal Study of Parents and the Medical Team
| Autor: | Jeffrey D. Edwards, Jennifer A. Salant, Maalobeeka Gangopadhyay, Haomiao Jia, Lucia D. Wocial |
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| Rok vydání: | 2021 |
| Předmět: |
Pediatric intensive care unit
medicine.medical_specialty Longitudinal study business.industry Critical Care and Intensive Care Medicine Hospital Anxiety and Depression Scale 03 medical and health sciences Distress 0302 clinical medicine 030225 pediatrics Pediatrics Perinatology and Child Health medicine Anxiety 030212 general & internal medicine medicine.symptom Psychiatry business Psychosocial Depression (differential diagnoses) Cohort study |
| Zdroj: | Journal of Pediatric Intensive Care. |
| ISSN: | 2146-4626 2146-4618 |
| DOI: | 10.1055/s-0041-1731429 |
| Popis: | Prolonged critical illness in children has emotional consequences for both parents and providers. In this observational cohort study, we longitudinally surveyed anxiety and depression in parents and moral distress in pediatric intensive care unit (PICU) providers (attendings, fellows, and bedside registered nurses) and explored their trajectories and relationships. Anxiety/depression and provider moral distress were measured using the Hospital Anxiety and Depression Scale and the Moral Distress Thermometer, respectively. The relationships of parental and provider distress were evaluated using Spearman's correlations, and their trajectories and potentially associated variables were explored using quadratic random slope and intercept models. Predetermined associated factors included demographic and clinical factors, including parent psychosocial risk and intubation status. We found parental anxiety and depression decreased over their child's admission, and parental psychosocial risk was significantly associated with anxiety (coefficient = 4.43, p |
| Databáze: | OpenAIRE |
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