Stress Management Intervention to Prevent Post-Intensive Care Syndrome-Family in Patients' Spouses
| Autor: | Harleah G. Buck, Cindy L. Munro, Paula Cairns, Zhan Liang, Carmen S. Rodriguez, Kevin E. Kip |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Critical Care Critical Illness Decision Making Critical Care Nursing law.invention Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intensive care Medicine Humans Family 030212 general & internal medicine Spouses Aged business.industry Family caregivers Trauma center General Medicine Middle Aged Intensive care unit Post-intensive care syndrome Clinical trial Distress 030228 respiratory system Physical therapy Female business |
| Zdroj: | American journal of critical care : an official publication, American Association of Critical-Care Nurses. 28(6) |
| ISSN: | 1937-710X |
| Popis: | Background Post–intensive care syndrome–family (PICS-F) refers to acute and chronic psychological effects of critical care on family members of patients in intensive care units (ICUs). Evidence suggests that increased distress during the ICU stay increases risk of PICS-F. Sensation Awareness Focused Training (SĀF-T) is a new, promising stress management intervention, but the feasibility of such training during the ICU stay for family caregivers who are acting as the surrogate decision-maker for patients who are undergoing mechanical ventilation is unknown. Objectives To assess feasibility and acceptability of SĀF-T to inform a future larger randomized controlled trial. Methods This randomized controlled trial of SĀF-T (n = 5) versus a control (n = 5) group was conducted at a level 1 trauma center. Participants assigned to SĀF-T completed 1 session daily for 3 days. Measures included enrollment rate, data completion rate, acceptability of SĀF-T, and symptoms of PICS-F. Scales used included Perceived Stress, Hospital Anxiety and Depression, Impact of Event, and National Institutes of Health Toolbox Emotion Battery. Results Mean age was 58 (SD, 12) years; 70% of participants were female. Predetermined feasibility criteria were met in enrollment rate (67%), outcome measures completion rate (> 90%), and SĀF-T acceptability (100% of doses completed during the ICU stay) without adverse events. Stress scores after SĀF-T were significantly lower than scores before SĀF-T (z = −3.5, P = .01). Conclusions SĀF-T intervention during the ICU stay is feasible, acceptable, and may improve family caregivers’ post-ICU outcomes. Larger clinical trial to assess the effectiveness of SĀF-T in preventing PICS-F seem warranted. |
| Databáze: | OpenAIRE |
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