Caregiver strain following critical care discharge: An exploratory evaluation
| Autor: | John Kinsella, Joanne McPeake, Ruth Struthers, Leanne Fleming, Malcolm Daniel, Pamela MacTavish, Rebecca Crawford, Helen Devine, Martin Shaw, Tara Quasim |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Gerontology medicine.medical_specialty Quality management Critical Care medicine.medical_treatment Anxiety Critical Care and Intensive Care Medicine law.invention 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) law Sleep Initiation and Maintenance Disorders Surveys and Questionnaires Survivorship curve Intensive care medicine Humans 030212 general & internal medicine Psychiatry Depression (differential diagnoses) Aged Rehabilitation Depression business.industry 030208 emergency & critical care medicine Middle Aged Quality Improvement Intensive care unit Patient Discharge Intensive Care Units Caregivers Scotland Quality of Life Female medicine.symptom business Stress Psychological |
| Zdroj: | Journal of Critical Care. 35:180-184 |
| ISSN: | 0883-9441 |
| DOI: | 10.1016/j.jcrc.2016.05.023 |
| Popis: | Objective The objective of this exploratory evaluation was to understand the impact of critical care survivorship on caregivers. Design Family members who attended a quality improvement initiative within our critical care unit were asked to complete 4 questionnaires. Setting The setting for this study was a 20-bedded mixed critical care unit in a large teaching hospital in Scotland. Data were collected as a part of an evaluation of a quality improvement initiative. Participants Thirty-six carers completed the questionnaire set. Measurements and main results A total of 53% of caregivers suffered significant strain. Poor quality of life in the patient was significantly associated with higher caregiver strain ( P = .006). Anxiety was present in 69% of caregivers. Depression was present in 56% of caregivers, with a significant association between carer strain and depression ( P Those caregivers who were defined as being strained also had significantly higher Insomnia Severity Index scores than those without carers strain ( P = .007). Conclusion This evaluation has demonstrated that there is a significant burden for caregivers of critical care survivors. Furthermore, they reported high levels of posttraumatic stress disorder, anxiety, depression, and insomnia. Future work on rehabilitation from critical care should focus on the inclusion of caregivers. |
| Databáze: | OpenAIRE |
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