Perspectives of patients and family members regarding psychological support using intensive care diaries: An exploratory mixed methods study
Aitken, L. M. 
ORCID: 0000-0001-5722-9090, Rattray, J., Kenardy, J. A. , Hull, A. M., Ullman, A. J., Le Brocque, R., Mitchell, M., Davis, C., Castillo, M. I. & Macfarlane, B. (2016).
Perspectives of patients and family members regarding psychological support using intensive care diaries: An exploratory mixed methods study.
Journal of Critical Care, 38,
pp. 263-268.
doi: 10.1016/j.jcrc.2016.12.003
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.
| Publication Type: | Article |
|---|---|
| Additional Information: | © 2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| Publisher Keywords: | Recovery, Posttraumatic stress, Anxiety, Depression, Intensive care, Intensive care diaries |
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry R Medicine > RT Nursing |
| Departments: | School of Health & Psychological Sciences |
| SWORD Depositor: |
Available under License Creative Commons Attribution Non-commercial No Derivatives.
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