A family information brochure and dedicated website to improve the ICU experience for patients' relatives: an Italian multicenter before-and-after study
| Autor: | P. Spanu, Federico Valdambrini, Riccarda Russo, Michele Umbrello, Giovanni Mistraletti, Irene Vecchi, Paolo Malacarne, E. Mantovani, Alessandra Palo, Cristina Pinna, Silvia Francesconi, Giulio Radeschi, Paolo Formenti, Gaetano Iapichino, Alessandra Di Carlo, Enrica Ferretti, F. Martinetti, Elisa Andrighi, Stefania Anania, B. Moroni, Edda Bosco |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Critical Care Anxiety Critical Care and Intensive Care Medicine Hospital Anxiety and Depression Scale law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Professional-Family Relations Intensive care Intervention (counseling) Surveys and Questionnaires medicine Humans Family 030212 general & internal medicine Prospective Studies Prospective cohort study Psychiatry Depression (differential diagnoses) Aged Aged 80 and over Intention-to-treat analysis business.industry Depression Information Dissemination Communication 030208 emergency & critical care medicine Middle Aged Intensive Care Units Female Pamphlets medicine.symptom business Computer-Assisted Instruction |
| Zdroj: | Intensive care medicine. 43(1) |
| ISSN: | 1432-1238 |
| Popis: | Good communication between ICU staff and patients’ relatives may reduce the occurrence of post-traumatic stress disorder, anxiety or depression, and dissatisfaction with clinicians. An information brochure and website to meet relatives’ needs were designed to explain in technical yet simple terms what happens during and after an ICU stay, to legitimize emotions such as fear, apprehension, and suffering, and to improve cooperation with relatives without increasing staff workload. The main outcomes were improved understanding of prognosis and procedures, and decrease of relatives’ anxiety, depression, and stress symptoms. In this prospective multicenter before-and-after study, a self-administered questionnaire was used to investigate relatives’ understanding of prognosis, treatments, and organ dysfunction, families’ satisfaction, and symptoms of anxiety, depression, and post-traumatic stress. A total of 551 relatives received questionnaires in nine Italian ICUs; 332 (60%) responded, 144 before and 179 after implementation of the brochure and website. Of the 179 relatives who responded after, 131 (73%) stated they had read the brochure and 34 (19%) reported viewing the website. The intervention was associated with increased correct understanding of the prognosis (from 69 to 84%, p = 0.04) and the therapeutic procedures (from 17 to 28%, p = 0.03). Multivariable analysis, together with non-modifiable factors (relative’s gender, education level, relationship to patient, and patient status at ICU discharge), showed the intervention to be significantly associated with a lower incidence of post-traumatic stress symptoms (Poisson coefficient = −0.29, 95% CI −0.52/−0.07). The intervention had no effect on the prevalence of symptoms of anxiety and depression. An information brochure and website designed to meet relatives’ needs improved family members’ comprehension and reduced their prevalence of stress symptoms. |
| Databáze: | OpenAIRE |
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