Abstract:
PURPOSE:Diaries summarizing intensive care are routine practice in some countries, although evidence to support diary use is limited. The purpose of this study was to identify whether distress post-intensive care influences patients' and relatives' choice as to whether they would like to receive a diary and what information delivery method is preferred. MATERIALS AND METHODS:Intensive care patients admitted for at least 3 days and their relatives participated in an exploratory mixed methods study. Interviews were conducted 3 to 5 months after discharge. Psychological distress was assessed using Kessler-10 and Posttraumatic Stress Disorder Symptom Checklist - 5. Perceptions of benefit of diaries were assessed using a 4-point Likert scale. Differences were examined using Fisher exact test (P<.05). RESULTS:Fifty-seven patients and 22 relatives consented to participation, with 22 patients and 22 relatives interviewed before data saturation. Psychological distress was evident in 25 (47%) patients and 5 (23%) relatives. Participants' psychological health was similar for those who perceived diaries as beneficial, and those who did not. Themes included memory, process, and impact, although opinions were diverse. CONCLUSIONS:Patient and relative preferences of receiving a diary are not related to psychological distress. Diverse opinions around common themes suggest the need for a range of interventions to aid psychological recovery.
journal_name
J Crit Carejournal_title
Journal of critical careauthors
Aitken LM,Rattray J,Kenardy J,Hull AM,Ullman AJ,Le Brocque R,Mitchell M,Davis C,Castillo MI,Macfarlane Bdoi
10.1016/j.jcrc.2016.12.003subject
Has Abstractpub_date
2017-04-01 00:00:00pages
263-268eissn
0883-9441issn
1557-8615pii
S0883-9441(16)30298-2journal_volume
38pub_type
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更新日期:2011-08-01 00:00:00
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