Sleep problems, anxıety, depressıon and fatıgue on famıly members of adult intensıve care unıt patıents

Çelik, Sevim; Genc, Gizem Esra; Kinetli, Yasemin; Aşılıoğlı, Meral; Sari, Merve; Kivanç, Meral Madenoğlu

doi:10.1111/ijn.12451

Cited by 24 publications

(22 citation statements)

References 35 publications

(165 reference statements)

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“…Noteworthy, anxiety is the commonest psychological disorder in the PICS-F cluster experienced by family members. Anxiety has been reported among 81.4% of family members, while depression is experienced in up to 94.2% of family members of ICU patients [11]. A similar study of Kose et al [12] showed that 35.9% and 71.8% of family members experienced anxiety and depression respectively.…”

Section: Discussionmentioning

confidence: 88%

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Postintensive care syndrome-family in Intensive Care Units: “What is it in the name?” A Scoping Definitive Review

Kiwanuka

Rad²

2019

SJRR

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Aim: In this review, we sought to succinctly review what Postintensive care syndrome is, it's risk factors, consequences, assessment, diagnosis, prevention and treatment among family members of intensive care patients. Background:The proportion of family members caring for a patient in intensive care units is expected to proportionally increase with increase in utilization of intensive care units due to various reasons. Subsequently, unfavorable physical, psychosocial responses due to exposure to complications following admission of a family member in intensive care due to critical illness will consequently increase among family members. These unfavorable family responses to critical illness have been termed "Postintensive care syndrome-family (PICS-F)." Postintensive care syndrome-family encompasses: anxiety, acute stress disorder, post-traumatic stress, depression and complicated grief. Healthcare providers as well as family members need to be knowledgeable on the extent, diagnosis, prevention and outcomes of these sequelae. Relationship to the patient, younger patients, prior experience of ICU, low economic status, length of ICU stay, unmet self-care, communication needs and distance from the hospital seem to predispose family members to PICS-F. Longer distance from hospital and higher resilience seem to protect family members from PICS-F. Prevention of PICS-F includes: effective family-ICU staff communication, enhancing resilience and coping, post discharge planning and follow-up interventions. Conclusion:results highlight the importance of acknowledging experiences of family members having a patient admitted in intensive care unit. Healthcare professionals need to have insights into this phenomenon and optimally intervene to prevent these physiological and psychosocial sequelae.

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Section: Discussionmentioning

confidence: 88%

“…These have been largely studied depending on the component of PICS-F under consideration. Celik et al [11] showed that married, low income and family members who used regular medication experienced significantly higher scores of anxiety and depression. A positive association was also liked to age, and length of hospital stay.…”

Section: Risk Factorsmentioning

confidence: 99%

Postintensive care syndrome-family in Intensive Care Units: “What is it in the name?” A Scoping Definitive Review

Kiwanuka

Rad²

2019

SJRR

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“…Previous studies have found that when pleasantness was perceived as high, the environment was also perceived as safe, secure, and stimulating (Bengtsson & Carlsson, 2006;Shih & Ramilo, 2014). Previous research has reported that families of critically ill patients cared for in ICUs experience serious types of ill-being such as depression, anxiety, and fatigue (Apple, 2014;Celik et al, 2016;Day et al, 2013); sometimes, they even develop post-traumatic stress disorder (Petrinec & Daly, 2016;Stayt & Venes, 2019;Wintermann et al, 2016). These findings from the refurbished intervention room can be a way of reducing some elements of ill-being.…”

Section: Discussionmentioning

confidence: 99%

“…The alien environment, with its advanced monitoring and aggressive treatments of critically ill patients, is harsh for the family members (Imanipour et al, 2019;Ruckholdt et al, 2019;Turner-Cobb et al, 2016). Experiences like anxiety, sadness, depression, and fatigue in family members of ICU patients have been reported repeatedly in prior studies (Apple, 2014;Celik et al, 2016;Day et al, 2013). These stressful experiences can sometimes develop into more persistent conditions such as post-traumatic stress disorder (Petrinec & Daly, 2016).…”

Section: Visiting the Intensive Care Unit (Icu)mentioning

confidence: 99%

Visitor’s Experiences of an Evidence-Based Designed Healthcare Environment in an Intensive Care Unit

Sundberg

Fridh

Lindahl

et al. 2020

HERD

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Objectives: The objective of the research was to study the visitors’ experiences of different healthcare environment designs of intensive care unit (ICU) patient rooms. Background: The healthcare environment may seem frightening and overwhelming in times when life-threatening conditions affect a family member or close friend and individuals visit the patient in an ICU. A two-bed patient room was refurbished to enhance the well-being of patients and their families according to the principles of evidence-based design (EBD). No prior research has used the Person-centred Climate Questionnaire—Family version (PCQ-F) or the semantic environment description (SMB) in the ICU setting. Methods: A sample of 99 visitors to critically ill patients admitted to a multidisciplinary ICU completed a questionnaire; 69 visited one of the two control rooms, while 30 visited the intervention room. Results: For the dimension of everydayness in the PCQ-F, a significantly better experience was expressed for the intervention room ( p < .030); the dimension regarding the ward climate general was also perceived as higher in the intervention room ( p < .004). The factors of pleasantness ( p < .019), and complexity ( p < 0.049), showed significant differences favoring the intervention room in the SMB, with borderline significance on the modern factor ( p < .061). Conclusion: Designing and implementing an enriched healthcare environment in the ICU setting increases person-centered care in relation to the patients’ visitors. This could lead to better outcomes for the visitors, for example, decreasing post-traumatic stress disorder symptoms, but this needs further investigations.

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“…Celik et al. showed that out of 350 family members studied, 76% experienced moderate to severe problems, of these 81.4% experienced anxiety, and 94.2% experienced depression and an average score of fatigue of 79.4. In addition, Kose's et al.…”

Section: Introductionmentioning

confidence: 99%

Family members’ experiences in adult intensive care units: a systematic review

Imanipour

Kiwanuka

Rad

et al. 2019

Scandinavian Caring Sciences

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Background Admission to Intensive Care Units (ICU) exposures family members to a new environment, advanced monitoring systems and aggressive treatments. This is coupled with the critical condition of the patient being admitted in ICU. In such times of stress and crisis, families have varying experiences as they navigate the ICU journey. These happen more or less in chronological phases. Aim This review sought to describe the experiences of family members of patients admitted in adult ICUs. Data sources Four electronic databases (PubMed, Embase, Scopus and Web of Science) were searched, using keywords and free‐text words. Methods Curation of the review question involved problem identification, a scoping search, developing a search strategy, evaluation, data analysis, and reporting. Freehand search in reference lists of eligible articles was also done to obtain potentially eligible articles published in English language between 2007 and 2018. Studies were included if they reported on family members’ experiences in adult ICUs. This review conforms to the Preferred Reporting Items for Systematic review and Meta‐Analysis (PRISMA). Results Upon completion of the screening process, 28 studies were included. Most studies were conducted in the United States while no study was identified from Africa. We report on 717 family members. Family members’ experience of the ICU journey falls into three main themes: (i) Floating, (ii) Probing and (iii) Continuity or Closure. Conclusion As healthcare technology advances, the ICU environment consequently needs to evolve. As such, healthcare providers will need to adjust their practice, support and consider the patients’ family as the other part of the patient and members of the care team in order to meet their expectations. Further research highlighting family members’ experience of the ICU journey in Africa is needed.

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Sleep problems, anxıety, depressıon and fatıgue on famıly members of adult intensıve care unıt patıents

Cited by 24 publications

References 35 publications

Postintensive care syndrome-family in Intensive Care Units: “What is it in the name?” A Scoping Definitive Review

Postintensive care syndrome-family in Intensive Care Units: “What is it in the name?” A Scoping Definitive Review

Visitor’s Experiences of an Evidence-Based Designed Healthcare Environment in an Intensive Care Unit

Family members’ experiences in adult intensive care units: a systematic review

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