Health related quality of life of survivors of trauma six months after discharge

Schneiderman, Jane E.; Aswegen, H. van; Becker, Piet J.

doi:10.4102/sajp.v69i1.366

Cited by 6 publications

(14 citation statements)

References 21 publications

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“…This study contributes to the available limited evidence in South Africa on changes in biopsychosocial outcomes of survivors of critical illness in hospital and over the first 6 months after discharge. The majority of participants were males which is similar to the gender-related demographics described by other South African researchers (Schneiderman et al 2013 ; Van Aswegen et al 2011 ). The participants in this study were older than those described by Schneiderman et al ( 2013 ) and Van Aswegen et al ( 2011 ), and more participants had pre-existing diseases prior to ICU admission.…”

Section: Discussionsupporting

confidence: 84%

“…The majority of participants were males which is similar to the gender-related demographics described by other South African researchers (Schneiderman et al 2013 ; Van Aswegen et al 2011 ). The participants in this study were older than those described by Schneiderman et al ( 2013 ) and Van Aswegen et al ( 2011 ), and more participants had pre-existing diseases prior to ICU admission. LOS in ICU and hospital was shorter than that described for the polytrauma population by Schneiderman et al ( 2013 ) and the long MV penetrating trunk trauma group in the study by Van Aswegen et al ( 2011 ).…”

Section: Discussionsupporting

confidence: 84%

“…The participants in this study were older than those described by Schneiderman et al ( 2013 ) and Van Aswegen et al ( 2011 ), and more participants had pre-existing diseases prior to ICU admission. LOS in ICU and hospital was shorter than that described for the polytrauma population by Schneiderman et al ( 2013 ) and the long MV penetrating trunk trauma group in the study by Van Aswegen et al ( 2011 ). Severity of illness (APACHE II) scores for participants in this study were similar to those described for the polytrauma group by Schneiderman et al ( 2013 ) but less than that described for the penetrating trunk trauma group (Van Aswegen et al 2011 ).…”

Section: Discussionmentioning

confidence: 60%

“…This improved in the first 6 months after discharge for some participants; however, those who required MV for prolonged periods of time experienced more impairments in the physical health component scores (PCS) of HRQOL compared to the mental health component scores (MCS) at 6 months after hospital discharge (Van Aswegen et al 2011 ). A cross-sectional study conducted by Schneiderman, Van Aswegen and Becker ( 2013 ) investigated the HRQOL of survivors of trauma 6 months after discharge. They showed that these patients experienced reductions in the emotional and physical function domains of HRQOL at 6 months after discharge from hospital.…”

Section: Introductionmentioning

confidence: 99%

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Changes in biopsychosocial outcomes for a mixed cohort of ICU survivors

Aartsen

Aswegen

2018

South African Journal of Physiotherapy

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BackgroundProlonged inflammation and infection associated with being critically ill and the ensuing physical inactivity has proven negative effects on the recovery of physical function, psychological health and reintegration into society for intensive care unit (ICU) survivors. Limited evidence is available on changes in biopsychosocial outcomes for South Africans recovering from an episode of critical illness.ObjectivesTo determine changes in biopsychosocial outcomes for a mixed cohort of ICU survivors in hospital and at 1 month and 6 months after discharge.MethodA prospective, observational, longitudinal study was conducted. Severity of illness, mechanical ventilation (MV) duration and ICU and hospital length of stay (LOS) were recorded. Physical function in ICU test-scored (PFIT-s) was performed at discharge from ICU and hospital. At 1 month and 6 months, peripheral muscle strength, exercise endurance, health-related quality of life (HRQOL), depression status and return to work were assessed. Descriptive and inferential statistics were used.ResultsParticipants (n = 24) had a median age of 51.5 years, majority were male (n = 19; 79%) and most were employed before admission (n = 20; 83%). At 6 months, 11 participants (n = 11) were part of the final sample. Median PFIT-s changed significantly (0.3 points; p = 0.02) between ICU and hospital discharge. Peripheral muscle strength improved significantly for upper and lower limbs over 6 months (p = 0.00–0.03) but change in median 6-minute walk test distance (65m) was not significantly different. Significant improvements occurred in mean Medical Outcomes Short Form-36 (SF-36) physical health component scores (8.8 ± 7.6; p = 0.00). Mean SF-36 mental health component scores had a strong negative relationship with MV duration (r = −0.7; p = 0.01), LOS (r = −0.56; p = 0.04) and Patient Health Questionnaire 9 scores (r = −0.72; p = 0.01). Six participants (55%) returned to employment.ConclusionClinically important improvements in biopsychosocial outcomes related to physical function and social factors were observed. Limitations in mental aspects of HRQOL were present at 6 months and some reported mild depressive symptoms.Clinical implicationsIntensive care unit survivors with a history of prolonged MV duration and hospital LOS who exhibit limitations in mental HRQOL, and signs of depressive symptoms should be referred to a psychologist for evaluation.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 60%

Section: Introductionmentioning

confidence: 99%

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Changes in biopsychosocial outcomes for a mixed cohort of ICU survivors

Aartsen

Aswegen

2018

South African Journal of Physiotherapy

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“…Individuals who suffer from injury may experience various physical, psychological, social, and cognitive disabilities and impairments (Aitken et al., ). To identify the recovery trajectory of patients after an injury, previous research has followed patients over 3 months (Lee, Chaboyer, & Marianne, ), 6 months (Schneiderman, Van Aswegen, & Becker, ), and 12 to 18 months (Holtslag, van Beeck, Lindeman, & Leenen, ). Previous studies reported that not all injured patients completely recover from their injuries.…”

mentioning

confidence: 99%

Early Recovery Experience of Patients With Injury in Taiwan

Chou

Chien

Lee

et al. 2014

J of Nursing Scholarship

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Effectiveness of a Nurse-Delivered Intervention on Illness Perceptions and Quality of Life in Patients With Injury

Fann

Hung

Chaboyer

et al. 2021

Journal of Nursing Research

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Background Research has shown that nursing interventions are able to affect short-term outcomes in patients with injury. However, evidence based on a comprehensive nurse-led intervention may be beneficial for trauma care. Purpose This study was designed to assess the effect of a nursing intervention on the illness perceptions and quality of life of patients with injury. Methods A two-group experimental design and a follow-up period of 12 months were used. Ninety-four patients were randomly assigned to either the experimental group or the control group. A nurse-led cognitive behavioral therapy intervention was used to improve outcomes. Results The illness perception variables of “personal control” and “treatment control” were found to be significantly improved in the experimental group at 3 months after discharge, whereas “emotional perception” was significantly improved at 6 months after discharge. The intervention was also shown to improve “social quality of life” at 6 and 12 months after injury. Conclusions This study adds new knowledge related to nursing interventions for patients with injury in terms of the intervention achieving longer-term effects than the interventions examined in previous studies. The results highlight the importance of providing interprofessional collaborative care. However, the intervention protocol should be tested further in future studies.

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Health related quality of life of survivors of trauma six months after discharge

Cited by 6 publications

References 21 publications

Changes in biopsychosocial outcomes for a mixed cohort of ICU survivors

Changes in biopsychosocial outcomes for a mixed cohort of ICU survivors

Early Recovery Experience of Patients With Injury in Taiwan

Effectiveness of a Nurse-Delivered Intervention on Illness Perceptions and Quality of Life in Patients With Injury

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