Psychological experience of patients 3 months after a stay in the intensive care unit: A descriptive and qualitative study

Chahraoui, Khadija; Laurent, Alexandra; Bioy, Antoine; Quenot, Jean‐Pierre

doi:10.1016/j.jcrc.2015.02.016

Cited by 104 publications

(106 citation statements)

References 30 publications

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“…In 10 studies, patients described positive emotions related to their overall view of life in response to critical illness, such as finding a new source of motivation and strength [32, 36–44]. Acceptance was another common theme, emerging from seven studies, whereby patients described how their feelings transformed from anger and denial to accepting the consequences of their illness and trying to move on [34, 36, 38, 40–42, 45]. In addition, gratitude emerged from five studies, where patients felt thankful for surviving critical illness, with deeper appreciation of the value of life [36–39, 46].…”

Section: Resultsmentioning

confidence: 99%

Patient outcomes after critical illness: a systematic review of qualitative studies following hospital discharge

et al. 2016

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BackgroundThere is growing interest in patient outcomes following critical illness, with an increasing number and different types of studies conducted, and a need for synthesis of existing findings to help inform the field. For this purpose we conducted a systematic review of qualitative studies evaluating patient outcomes after hospital discharge for survivors of critical illness.MethodsWe searched the PubMed, EMBASE, CINAHL, PsycINFO, and CENTRAL databases from inception to June 2015. Studies were eligible for inclusion if the study population was >50 % adults discharged from the ICU, with qualitative evaluation of patient outcomes. Studies were excluded if they focused on specific ICU patient populations or specialty ICUs. Citations were screened in duplicate, and two reviewers extracted data sequentially for each eligible article. Themes related to patient outcome domains were coded and categorized based on the main domains of the Patient Reported Outcomes Measurement Information System (PROMIS) framework.ResultsA total of 2735 citations were screened, and 22 full-text articles were eligible, with year of publication ranging from 1995 to 2015. All of the qualitative themes were extracted from eligible studies and then categorized using PROMIS descriptors: satisfaction with life (16 studies), including positive outlook, acceptance, gratitude, independence, boredom, loneliness, and wishing they had not lived; mental health (15 articles), including symptoms of post-traumatic stress disorder, anxiety, depression, and irritability/anger; physical health (14 articles), including mobility, activities of daily living, fatigue, appetite, sensory changes, muscle weakness, and sleep disturbances; social health (seven articles), including changes in friends/family relationships; and ability to participate in social roles and activities (six articles), including hobbies and disability.ConclusionICU survivors may experience positive emotions and life satisfaction; however, a wide range of mental, physical, social, and functional sequelae occur after hospital discharge. These findings are important for understanding patient-centered outcomes in critical care and providing focus for future interventional studies aimed at improving outcomes of importance to ICU survivors.Electronic supplementary materialThe online version of this article (doi:10.1186/s13054-016-1516-x) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Patient outcomes after critical illness: a systematic review of qualitative studies following hospital discharge

et al. 2016

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“…However, there was a significantly higher risk of developing PTSD in the intervention group. Therefore, this begs the question of whether information that is too direct and open may not actually be deleterious and traumatic for the families, by highlighting the gravity of the situation to them, and by breaking down their coping mechanisms (36), particularly in cases where the prognosis is very poor. Similarly, addressing the question of the patient's preferences can also underscore the family's lack of knowledge of their loved one in this regard, bringing an increased feeling of responsibility to bear on them.…”

Section: The Specific Situation Of End-of-life Decisionsmentioning

confidence: 99%

What are the ethical issues in relation to the role of the family in intensive care?

Quenot¹,

Ecarnot²,

Meunier-Beillard³

et al. 2017

Ann. Transl. Med.

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“…Apart from the often invasive treatments and 24-h care requirements, the high-tech character of ICU is associated with increased stress among patients. [3][4][5][6] Reported common circadian rhythm, producing negative impacts on cardiovascular and physiological function. 7,14 The World Health Organization (WHO) guidelines recommend that the average sound levels in hospital should not exceed 30 dB(A) during the day or night, and night-time peak levels should not exceed 40 dB(A).…”

Section: Introductionmentioning

confidence: 99%

An investigation of light and sound levels on intensive care units in China

Hegadoren

Wang

et al. 2016

Australian Critical Care

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Psychological experience of patients 3 months after a stay in the intensive care unit: A descriptive and qualitative study

Cited by 104 publications

References 30 publications

Patient outcomes after critical illness: a systematic review of qualitative studies following hospital discharge

Patient outcomes after critical illness: a systematic review of qualitative studies following hospital discharge

What are the ethical issues in relation to the role of the family in intensive care?

An investigation of light and sound levels on intensive care units in China

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