Limited family members/staff communication in intensive care units in the Czech and Slovak Republics considerably increases anxiety in patients ́ relatives – the DEPRESS study

Abstract

BackgroundSymptoms of anxiety and depression are common among family members of ICU patients and are culturally dependent. The aim of the study was to assess the prevalence of symptoms of anxiety and depression and associated factors in family members of ICU patients in two Central European countries.MethodsWe conducted a prospective multicenter study involving 22 ICUs (250 beds) in the Czech and Slovak Republics. The Hospital Anxiety and Depression Scale (HADS) was used to assess symptoms of anxiety and depression in family members of ICU patients. Family member understanding of the patient’s condition was assessed using a structured interview and a questionnaire was used to assess satisfaction with family member/ICU staff communication.ResultsTwenty two intensive care units (both adult and pediatric) in academic medical centers and community hospitals participated in the study. During a 6 month period, 405 family members of 293 patients were enrolled. We found a high prevalence of anxiety and depression symptoms – 78% and 54%, respectively. Information leaflets distributed to family members did not lower incidences of anxiety/depression. Family members with symptoms of depression reported higher levels of satisfaction according to the modified Critical Care Family Needs Inventory. Extended contact between staff and family members was the only related factor associated with anxiety reduction (p = 0.001).ConclusionFamily members of ICU patients in East European countries suffer from symptoms of anxiety and depression. We identified limited family member/ICU staff communication as an important health care professional-related factor associated with a higher incidence of symptoms of anxiety. This factor is potentially amenable to improvement and may serve as a target for proactive intervention proactive intervention.

Forças Que Interferem Na Maternagem Em Unidade De Terapia Intensiva Neonatal

“…24 Communication failures contribute to the highest incidences of anxiety in families. 21,25 On the other hand, effective communication allows professionals to establish authentic interpersonal relationships with their clients, helping them to recover and overcome traumatic situations, 21 and can contribute to keeping the bond between mother and newborn and boost the mothering process, as was observed in the statements of the participants of this study.…”

The relationship between communication of nurses and level of anxiety of patient's family in emergency room dr. Dradjat Prawiranegara hospital, Serang Banten, Indonesia

“…1 Likewise, another study were identified that not a few families who are experiencing emotional changes, such as anxiety, fear of death to family members as well as the changing role of the new environment for the family when he found one member families in emergency condition. 8 Furthermore, some factors affect to the anxiety level of family in emergency room including the severity of disease, emergency situation, trauma neurology, heart disease and lung disease.…”

“…The anxiety level in family members is varied, including depression. 1 The impact of distress and anxiety are destruction of communication among family members and these will result to inability to concentrate and insufficiency of coping mechanism.…”

“…The anxiety level in family members is varied, including depression. 1 The impact of distress and anxiety are destruction of communication among family members and these will result to inability to concentrate and insufficiency of coping mechanism.2 As a result, the changes of emotional status of the family members are ABSTRACT Background: Critical condition of patient is trigger to the increasing of anxiety of family members. This situation is vulnerable of ineffective nursing care services provide by nurses in emergency room.…”

O acolhimento no cuidado à família numa unidade de terapia intensiva

“…O cuidado centrado no paciente e na sua família tem aumentado e visa melhorar a qualidade do tratamento, bem como a satisfação do paciente e da família 4 . Unidades de cuidados intensivos são, provavelmente, um dos lugares mais difíceis e estressantes em um hospital em termos de ansiedade e depressão entre os familiares de pacientes internados em UTI 9 . Por isso, acolher a família em cuidados intensivos precisa ser uma prática constante como um cuidado relevante na UTI.…”