Abstract:
PURPOSE/OBJECTIVE:Intensive care unit (ICU) survivors frequently experience long-lasting mental health, cognitive, and physiologic challenges. Psychologists have a role in providing interventions to reduce patient distress during critical illness and improve outcomes. There is limited data regarding psychology consultations in the ICU. This brief report characterizes psychology consultations in a medical intensive care unit (MICU) in an academic medical center. METHOD:Psychology consultations were prospectively tracked, with patient-related data retrospectively collected and analyzed. RESULTS:A total of 79 consecutive psychology consultations occurred at mean of 8 ± 6 days after MICU admission. Reasons for consultation were patient emotional distress (56%), rehabilitation therapy engagement (24%), family engagement (13%), cognitive disturbance (4%), and pain (4%). Patient characteristics were: mean age 56 ± 15 years, 54% women, 53% White, and 34% with psychiatric comorbidity at MICU admission. Patients referred for consultation had a longer MICU length of stay than the total MICU population (12 ± 9 days vs. 4 ± 6 days, p < .01). For consultations for emotional distress compared with limited rehabilitation therapy engagement, patient demographic characteristics were similar, with the exception of women (vs. men) being more commonly consulted for emotional distress (64 vs. 26%, p = .01). CONCLUSIONS:Patients with a longer MICU stay more commonly had a rehabilitation psychology consultation request, typically to provide support for emotional distress or engagement in rehabilitation therapy. Future research should evaluate the effectiveness of psychology interventions in the ICU. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
journal_name
Rehabil Psycholjournal_title
Rehabilitation psychologyauthors
Hosey MM,Ali MK,Mantheiy EC,Albert K,Wegener ST,Needham DMdoi
10.1037/rep0000264subject
Has Abstractpub_date
2019-08-01 00:00:00pages
360-365issue
3eissn
0090-5550issn
1939-1544pii
2019-09256-001journal_volume
64pub_type
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journal_title:Rehabilitation psychology
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pub_type: 杂志文章,随机对照试验
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更新日期:2016-11-01 00:00:00
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更新日期:2019-05-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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