Stress, anxiety, depression and basic hope in family members of patients hospitalised in intensive care units – preliminary report

Białek, Katarzyna; Sadowski, Marcin

doi:10.5114/ait.2021.105728

Cited by 14 publications

(10 citation statements)

References 26 publications

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“…Studies [26][27][28][29] show that the incidence of PICS-F psychological dysfunction is 21% to 54%. The incidence of PICS-F psychological dysfunction in this study is 28%, which is similar to the results of previous studies.…”

Section: The Incidence Of Psychological Dysfunction In Pocs-fmentioning

confidence: 99%

The incidence and risk factors of syndromic psychological dysfunction in family members after ICU: A System review and meta-analysis.

cheng

zhang

xia

et al. 2022

Preprint

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Objective To summarize the risk factors of Post Intensive Care unit-family (PICS-F) mental dysfunction in family members, and to provide evidence for clinical medical staff to identify the risk factors of PICS-F mental dysfunction in advance. Methods Embase, PubMed, Cochrane Library, EBSCO, Web of Science, China Biomedical Database (CBM), CNKI, WanFang Database and VIP database were systematically searched from database establishment to May 2022. Literature on the risk factors of PICS-F mental dysfunction was included. After screening, extraction and quality evaluation, stata17.0 and RveMan5.4 were used to conduct meta-analysis on the incidence and risk factors of PICS-F. Results a total of 10692 subjects were included in 15 literatures. The incidence of pics-f mental dysfunction was 28% (95%CI 0.22 to 0.35). Subgroup analysis showed a 30% incidence in the United States and 27% in other countries. The incidence was 26% in cohort studies, and 43% in case-control and cross-sectional studies. The incidence was 26% at 3 months and 13% at 6 months. Meta-analysis results showed patient age (OR=1.06,95%CI 1.01 to 1.10), gender of family members (OR=4.07,95%CI 2.52 to 6.60) and relationship between family members and patients (OR=2.24,95%CI 1.00 to 4.99), family history of mental illness (OR=3.77,95%CI 1.58 to 8.97), length of ICU stay (OR=4.72,95%CI 2.10 to 10.64), and severity of disease (OR=5.95,95%CI 2.09 to 16.94), death (OR=1.90,95%CI 1.31 to 2.77), family education level (OR=1.07,95%CI 1.02 to 1.12) were the influencing factors of PICS-F psychological dysfunction. It is not clear whether the mode of admission and attendance at family meetings have an effect on PICS-F mental dysfunction. Conclusion The risk factors for PICS-F mental dysfunction are young age, female family member, spouse, history of mental illness, long ICU stay, severity of illness, death and low education level of family members. Clinical medical staff should pay attention to the above risk factors and take corresponding measures to reduce the incidence of PICS-F psychological dysfunction. Relevance to clinical practiceThe results of our meta-analysis have important consequences for ICU nurse managers. Our finding of high rate of PICS-F Psychological dysfunction among ICU patients. That more attention should be devoted to develop and apply prevention programs for ICU nurses to manage this global issue.

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Section: The Incidence Of Psychological Dysfunction In Pocs-fmentioning

confidence: 99%

The incidence and risk factors of syndromic psychological dysfunction in family members after ICU: A System review and meta-analysis.

cheng

zhang

xia

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Studies [26][27][28][29] show that the of PICS-F psychological dysfunction is 21-54%. The incidence of PICS-F psychological dysfunction in this study is 28%, which is similar to the results of previous studies.…”

Section: The Incidence Of Psychological Dysfunctionmentioning

confidence: 99%

The incidence and risk factors of syndromic psychological dysfunction in family members after ICU: A meta-analysis

zhang

cheng

xia

et al. 2022

Preprint

View full text Add to dashboard Cite

Objective To summarize the risk factors of Post Intensive Care unit-family (PICS-F) mental dysfunction in family members, and to provide evidence for clinical medical staff to identify the risk factors of PICS-F mental dysfunction in advance.Methods Embase, PubMed, Cochrane Library, EBSCO, Web of Science, China Biomedical Database (CBM), CNKI, WanFang Database and VIP database were systematically searched from database establishment to May 2022. Literature on the risk factors of PICS-F mental dysfunction was included. After screening, extraction and quality evaluation, stata17.0 and RveMan5.4 were used to conduct meta-analysis on the incidence and risk factors of PICS-F.Results a total of 10692 subjects were included in 15 literatures. The incidence of pics-f mental dysfunction was 28% (95%CI 0.22 to 0.35). Subgroup analysis showed a 30% incidence in the United States and 27% in other countries. The incidence was 26% in cohort studies, and 43% in case-control and cross-sectional studies. The incidence was 26% at 3 months and 13% at 6 months. Meta-analysis results showed patient age (OR=1.06,95%CI 1.01 to 1.10), gender of family members (OR=4.07,95%CI 2.52 to 6.60) and relationship between family members and patients (OR=2.24,95%CI 1.00 to 4.99), family history of mental illness (OR=3.77,95%CI 1.58 to 8.97), length of ICU stay (OR=4.72,95%CI 2.10 to 10.64), and severity of disease (OR=5.95,95%CI 2.09 to 16.94), death (OR=1.90,95%CI 1.31 to 2.77), family education level (OR=1.07,95%CI 1.02 to 1.12) were the influencing factors of PICS-F psychological dysfunction. It is not clear whether the mode of admission and attendance at family meetings have an effect on PICS-F mental dysfunction.Conclusion The risk factors for PICS-F mental dysfunction are young age, female family member, spouse, history of mental illness, long ICU stay, severity of illness, death and low education level of family members. Clinical medical staff should pay attention to the above risk factors and take corresponding measures to reduce the incidence of PICS-F psychological dysfunction. Relevance to clinical practiceThe results of our meta-analysis have important consequences for ICU nurse managers. Our finding of high rate of PICS-F Psychological dysfunction among ICU patients. That more attention should be devoted to develop and apply prevention programs for ICU nurses to manage this global issue.

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“… 1 , 2 High levels of stress and feelings of uncertainty associated with the patient’s prognosis, treatment, and goals of care 3 can lead to poor outcomes for family members, including symptoms of anxiety and depression 4 , 5 , 6 , 7 during the ICU stay and after discharge. 1 , 8 , 9 Long-term psychological distress may be particularly prevalent in family members of patients with severe acute brain injury (SABI). 10 …”

Section: Introductionmentioning

confidence: 99%

“…1,2 High levels of stress and feelings of uncertainty associated with the patient's prognosis, treatment, and goals of care 3 can lead to poor outcomes for family members, including symptoms of anxiety and depression [4][5][6][7] during the ICU stay and after discharge. 1,8,9 Longterm psychological distress may be particularly prevalent in family members of patients with severe acute brain injury (SABI). 10 Palliative care offers a strategy to identify and address the needs of critically ill patients and their family members.…”

Section: Introductionmentioning

confidence: 99%

Identification of Palliative Care Needs and Mental Health Outcomes Among Family Members of Patients With Severe Acute Brain Injury

et al. 2023

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ImportanceFamily members of patients with severe acute brain injury (SABI) are at risk for poor psychological outcomes.ObjectiveTo explore the utility of the early use of a palliative care needs checklist in identifying care needs of patients with SABI and family members who are at risk of poor psychological outcomes.Design, Setting, and ParticipantsThis prospective cohort study included patients with SABI in an intensive care unit (ICU) for 2 days or more and a Glasgow Coma Scale score of 12 or lower and their family members. This single-center study was conducted at an academic hospital in Seattle, Washington, from January 2018 to June 2021. Data were analyzed from July 2021 to July 2022.ExposureAt enrollment, a 4-item palliative care needs checklist was completed separately by clinicians and family members.Main Outcomes and MeasuresA single family member for each enrolled patient completed questionnaires assessing symptoms of depression and anxiety, perception of goal-concordant care, and satisfaction in the ICU. Six months later, family members assessed their psychological symptoms, decisional regret, patient functional outcome, and patient quality of life (QOL).ResultsA total of 209 patient–family member pairs (family member mean [SD] age, 51 [16] years; 133 women [64%]; 18 Asian [9%], 21 Black [10%], 20 [10%] Hispanic, and 153 White [73%] participants) were included. Patients had experienced stroke (126 [60%]), traumatic brain injury (62 [30%]), and hypoxic-ischemic encephalopathy (21 [10%]). At least 1 need was identified for 185 patients or their families (88%) by family members and 110 (53%) by clinicians (κ = −0.007; 52% agreement). Symptoms of at least moderate anxiety or depression were present in 50% of family members at enrollment (87 with anxiety and 94 with depression) and 20% at follow-up (33 with anxiety and 29 with depression). After adjustment for patient age, diagnosis, and disease severity and family race and ethnicity, clinician identification of any need was associated with greater goal discordance (203 participants; relative risk = 1.7 [95% CI, 1.2 to 2.5]) and family decisional regret (144 participants; difference in means, 17 [95% CI, 5 to 29] points). Family member identification of any need was associated with greater symptoms of depression at follow-up (150 participants; difference in means of Patient Health Questionnaire–2, 0.8 [95% CI, 0.2 to 1.3] points) and worse perceived patient QOL (78 participants; difference in means, −17.1 [95% CI, −33.6 to −0.5] points).Conclusions and RelevanceIn this prospective cohort study of patients with SABI and their families, palliative care needs were common, although agreement on needs was poor between clinicians and family members. A palliative care needs checklist completed by clinicians and family members may improve communication and promote timely, targeted management of needs.

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Stress, anxiety, depression and basic hope in family members of patients hospitalised in intensive care units – preliminary report

Cited by 14 publications

References 26 publications

The incidence and risk factors of syndromic psychological dysfunction in family members after ICU: A System review and meta-analysis.

The incidence and risk factors of syndromic psychological dysfunction in family members after ICU: A System review and meta-analysis.

The incidence and risk factors of syndromic psychological dysfunction in family members after ICU: A meta-analysis

Identification of Palliative Care Needs and Mental Health Outcomes Among Family Members of Patients With Severe Acute Brain Injury

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