Use of a personal diary written on the ICU during critical illness

Bäckman, Carl; Walther, Sten

doi:10.1007/s001340000692

Cited by 159 publications

(163 citation statements)

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“…Of the 1439 titles screened, 1427 were excluded. Twelve full text articles were screened for potential inclusion, of which nine were excluded due to study design [1,22,[37][38][39][40][41][42][43]. This was because they did not use an RCT or CCT design.…”

Section: Search Resultsmentioning

confidence: 99%

“…This was because they did not use an RCT or CCT design. These included observational studies [22,38,[40][41][42][43], a prospective cohort study with retrospective reference group [39], time-series design [1] and a commentary paper [37]. Figure 1> Included studies Three studies were eligible to be included in the review.…”

Section: Search Resultsmentioning

confidence: 99%

“…Observational [22,38,[40][41][42][43], prospective cohort with a retrospective reference group [39] , timeseries [1] and qualitative [52,[54][55][56][57] studies have reported the success and importance of patient diaries in the clinical setting. Our review has demonstrated the paucity of randomized controlled trials evaluating patient diaries.…”

Section: Discussionmentioning

confidence: 99%

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Intensive care diaries to promote recovery for patients and families after critical illness: A Cochrane Systematic Review

Ullman

Aitken

Rattray

et al. 2015

International Journal of Nursing Studies

110

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This is the accepted version of the paper.This version of the publication may differ from the final published version. Review methods: Studies evaluated the effectiveness of patient diaries, when compared to no ICU diary, for patients or family members to promote recovery after admission to ICU were included. Outcome measures for describing recovery from ICU included the risk of post-traumatic stress disorder (PTSD), anxiety, depression and post-traumatic stress symptomatology, health-related quality of life and costs. We used standard methodological approaches as expected by The Cochrane Collaboration. Two review authors independently reviewed titles for inclusion, extracted data and undertook risk of bias according to pre-specified criteria. Permanent repository link Results:We identified three eligible studies; two describing ICU patients (N = 358), and one describing relatives of ICU patients (N = 30). No study adequately reported on risk of PTSD as described using a clinical interview, family or caregiver anxiety or depression, health-related quality of life or costs. Within a single study there was no clear evidence of a difference in risk for developing anxiety (RR 0.29, 95% CI 0.07 to 1.19) or depression (RR 0.38, 95% CI 0.12 to 1.19) in participants who received ICU diaries, in comparison to those that did not receive a patient diary. Within a single study there was no evidence of difference in median post-traumatic stress symptomatology scores (diaries 24, SD 11.6; no diary 24, SD 11.6) and delusional ICU memory recall (RR 1.04, 95% CI 0.84 to 1.28) between the patients recovering from ICU admission who received patient diaries, and those who did not. One study reported reduced post-traumatic stress symptomatology in family members of patients recovering from admission to ICU who received patient diaries (median 19; range 14 to 28), in comparison to no diary (median 28; range 14 to 38). Conclusions:Currently there is minimal evidence from RCTs of the benefits or harms of patient diaries for patients and their caregivers or family members. A small study has described their potential to reduce post-traumatic stress symptomatology in family members. However, there is currently inadequate evidence to support their effectiveness in improving psychological recovery after critical illness for patients and their family members.

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Section: Search Resultsmentioning

confidence: 99%

Section: Search Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Intensive care diaries to promote recovery for patients and families after critical illness: A Cochrane Systematic Review

Ullman

Aitken

Rattray

et al. 2015

International Journal of Nursing Studies

110

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“…The patient diaries show what occurred to the patient, and may be a way in which to fill memory gaps, to explain certain memories (Engström et al, 2008), and can offer the ICU staff a new insight as to how future care should be designed (Egerod and Christensen, 2009). Photographs are also taken (with the permission of the patient or next of kin), and put in to the diary Backman and Walther, 2001;Jones et al, 2010). Backman and Walther (2001) have shown that the use of photographs is appreciated by many patients.…”

Section: Introductionmentioning

confidence: 99%

“…Photographs are also taken (with the permission of the patient or next of kin), and put in to the diary Backman and Walther, 2001;Jones et al, 2010). Backman and Walther (2001) have shown that the use of photographs is appreciated by many patients. Patients who have been cared for in an ICU also expressed that a diary helped them gain an insight into the experience.…”

Section: Introductionmentioning

confidence: 99%

The experiences of ICU patients during follow-up sessions – A qualitative study

Haraldsson

Christensson

Conlon

et al. 2015

Intensive and Critical Care Nursing

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The manuscript has a total of 5174 words Key Words: content analysis, follow-up, intensive care, memories Conflict of interestThe authors have no conflict of interest. Funding/SponsorshipThis research was supported by grants from the Local Research and Development Council, Jönköping County, Sweden. AbstractObjective: Evidence supports the recommendation for follow-up session(s) for patients after discharge from an intensive care unit (ICU). The aim of these follow-up sessions is to allow patients to express and discuss their experiences and problems following their time in an ICU.To optimize the knowledge gained from the follow-up session experience, it is necessary to describe how patients experience these sessions. The aim of this study was to describe how ICU-patients, experience a follow-up session.Design/setting: This study adopted a qualitative design utilizing semi-structured interviews, and which examined the experiences of seven men and five women. Qualitative content analysis was utilized.Findings: The participants stated that the information gained from these sessions, which had previously seemed unclear to some of them, was, on the whole, now clarified and confirmed.A discernible difference was found between participants who were cared for at general ward and those who were cared for at a rehabilitation ward and also were offered a meeting with a counselor, following discharge their from the ICU. The findings also indicated that participants who were not offered psychosocial support showed a greater need for a follow-up session.Conclusion: This study has highlighted the need for increasing collaboration between intensive care staff and staff in other units to provide support to this patient group in order to reduce their suffering post intensive care experience.

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Diaries for recovery from critical illness

Ullman

Aitken

Rattray

et al. 2014

Cochrane Database of Systematic Reviews

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Knowles 2009 {published and unpublished data} Knowles R, Tarrier N. Evaluation of the effect of prospective patient diaries on emotional well-being in intensive care unit survivors: A randomized controlled trial. Critical Care Medicine 2009;37(1):184-91. [PUBMED: 19050634] References to studies excluded from this review AACN 2012 {published data only} Unknown. ICU diaries may reduce PTSD effect for families, patients.

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Use of a personal diary written on the ICU during critical illness

Abstract: A detailed narrative of the patient's stay is a useful tool in the debriefing process following intensive care.

Cited by 159 publications

References 6 publications

Intensive care diaries to promote recovery for patients and families after critical illness: A Cochrane Systematic Review

Intensive care diaries to promote recovery for patients and families after critical illness: A Cochrane Systematic Review

The experiences of ICU patients during follow-up sessions – A qualitative study

Diaries for recovery from critical illness

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