Effects of a visit prior to hospital admission on anxiety, depression and satisfaction of patients in an intensive care unit

González-Martín, Sara; Becerro-de-Bengoa-Vallejo, Ricardo; Carrere, María Teresa Angulo; Iglesias, Marta Elena-Losa; Martínez‐Jiménez, Eva María; Casado-Hernández, Israel; López‐López, Daniel; Calvo‐Lobo, César; Rodríguez‐Sanz, David

doi:10.1016/j.iccn.2019.07.001

Cited by 8 publications

(9 citation statements)

References 30 publications

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“…Whereas previous studies often assessed one specific pre-ICU health outcome, for example, cognitive functioning ( 13 , 27 ) or quality of life ( 28 , 29 ), we assessed patient’s physical, mental, and cognitive functioning, as well as the quality of life, thereby providing a more complete picture of the pre-ICU health status. However, rates of pre-ICU frailty, anxiety, depression, and cognitive impairment are lower compared with other studies ( 13 , 17 , 27 , 40 , 41 ). This may be explained by differences in inclusion criteria: in other studies, only elderly patients ( 13 , 27 ) or medical patients with an ICU LOS of more than 48 hours ( 41 ) were included.…”

Section: Discussioncontrasting

confidence: 70%

Physical, Mental, and Cognitive Health Status of ICU Survivors Before ICU Admission: A Cohort Study

Geense¹,

Boogaard²,

Peters

et al. 2020

Critical Care Medicine

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Section: Discussioncontrasting

confidence: 70%

Physical, Mental, and Cognitive Health Status of ICU Survivors Before ICU Admission: A Cohort Study

Geense¹,

Boogaard²,

Peters

et al. 2020

Critical Care Medicine

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“…Neither cardiac surgeons, nurses, patients, nor relatives preprocedurally knew whether they were involved in the study. Therefore, the information provided by surgeons and nurses did not influence the study results due to all patients received the same information regardless of whether they participated in the study [ 19 ].…”

Section: Methodsmentioning

confidence: 99%

“…Experimental group participants ( n = 19) consisted of relatives who received 1 ICU visit prior to the patient's admission. Control group participants ( n = 19) consisted of patients' relatives who received standard care alone [ 19 ].…”

Section: Methodsmentioning

confidence: 99%

Influence on Depression, Anxiety, and Satisfaction of the Relatives’ Visit to Intensive Care Units prior to Hospital Admission for Elective Cardiac Surgery: A Randomized Clinical Trial

González-Martín

Becerro-de-Bengoa-Vallejo

Rodríguez-García

et al. 2022

International Journal of Clinical Practice

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Background. Intensive care units (ICUs) may produce stress on the relatives of patients that have long-term physiological and psychological implications. Objectives. This study aimed to evaluate the effects of the relatives´ visit prior to hospital admission(s) on the patient’s scheduled cardiac surgery regarding depression, anxiety, and satisfaction of the patient’s family in an ICU. Methods. A randomized clinical trial [NCT03605420] was carried out according to the CONSORT criteria. Thirty-eight relatives of ICU patients were recruited at an ICU and randomized into study groups. Experimental group participants (n = 19) consisted of relatives who received 1 ICU visit prior to the patient’s admission. Control group participants (n = 19) consisted of patients’ relatives who received standard care alone. A self-report test battery, including the Impact of Event Scale-Revised (IES-R) and the Hospital Anxiety and Depression Scale (HADS), was completed by the patient’s relative prior to the patient’s ICU admission and again three and 90 days after ICU discharge. Furthermore, the Family Satisfaction with Care in the Intensive Care Unit (FS-ICU) and Critical Care Family Needs Inventory (CCFNI) were administered to help determine the respondents’ satisfaction three days after the patient’s ICU discharge. Results. Statistically significant differences in FS-ICU results were found between control and experimental groups; no statistically significant differences were found in IES-R, HADS, and CCFNI results. Thus, members in the control group were more satisfied with the time elapsed to raise their concerns ( p = 0.005 ), emotional support provided ( p = 0.020 ), quality of care ( p = 0.035 ), opportunities to express concerns and ask questions ( p = 0.005 ), and general satisfaction with the ICU’s decision-making ( p = 0.003 ). Conclusions. Relatives’ satisfaction during patients’ ICU admission may be impaired after their prior visit to the hospital admission. Relative’s anxiety and depression scores did not seem to be significantly affected. Relatives´ visit prior to elective cardiac surgery hospital admission impaired their satisfaction in an ICU and may not be advisable for healthcare practice.

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“…Some of these symptoms have been grouped into “post‐intensive care syndrome” (PICS) 11‐13 and can also affect the patient's family (PICS‐F) 14,15 . The incidence of psychological disorders in adult patients 3‐month post‐ICU is high, and these may persist during the first year following ICU discharge and are strongly associated with a reduction in the quality of life 16‐18 …”

Section: Introductionmentioning

confidence: 99%

“…14,15 The incidence of psychological disorders in adult patients 3-month post-ICU is high, and these may persist during the first year following ICU discharge and are strongly associated with a reduction in the quality of life. [16][17][18] Although much effort is made to reduce PICS by intervening during the ICU stay and post hospital discharge, [19][20][21] little attention has been paid to the transition process and the understanding of the experiences and expectations of ICU patients during the transition from ICU to a general ward.…”

mentioning

confidence: 99%

Patients' experience while transitioning from the intensive care unit to a ward

Cuzco

Hito

Pérez

et al. 2021

Nursing in Critical Care

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Background: Intensive care unit (ICU) patients can experience emotional distress and post-traumatic stress disorder when they leave the ICU, also referred to as post-intensive care syndrome. A deeper understanding of what patients go through and what they need while they are transitioning from the ICU to the general ward may provide input on how to strengthen patient-centred care and, ultimately, contribute to a positive experience.Aim: To describe the patients' experience while transitioning from the ICU to a general ward.Design: A descriptive qualitative study.Method: Data were gathered through in-depth interviews and analysed using a qualitative content analysis. The qualitative study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research guidelines.Findings: Forty-eight interviews were conducted. Impact on emotional well-being emerged as a main theme, comprising four categories with six subcategories. Conclusion:Transition from the ICU can be a shock for the patient, leading to the emergence of a need for information, and an impact on emotional well-being that has to be planned for carefully and addressed prior to, during, and following transition from the ICU to the general ward.Relevance to clinical practice: It is essential that nurses understand patients' experiences during transfer, identifying needs and concerns to be able to develop and implement new practices such as ICU Liaison Nurse or Nurse Outreach for the follow-up of these patients, the inclusion of a consultant mental health nurse, and the application of patient empowerment during ICU discharge.

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Effects of a visit prior to hospital admission on anxiety, depression and satisfaction of patients in an intensive care unit

Cited by 8 publications

References 30 publications

Physical, Mental, and Cognitive Health Status of ICU Survivors Before ICU Admission: A Cohort Study

Physical, Mental, and Cognitive Health Status of ICU Survivors Before ICU Admission: A Cohort Study

Influence on Depression, Anxiety, and Satisfaction of the Relatives’ Visit to Intensive Care Units prior to Hospital Admission for Elective Cardiac Surgery: A Randomized Clinical Trial

Patients' experience while transitioning from the intensive care unit to a ward

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