- Titel
- Predictors of posttraumatic stress and quality of life in family members of chronically critically ill patients after intensive care
- Zitierfähige Url:
- https://nbn-resolving.org/urn:nbn:de:bsz:14-qucosa-215881
- Quellenangabe
- Annals of intensive care (2016), 6(1). S. 69. ISSN: 2110-5820. DOI: 10.1186/s13613-016-0174-0
- Erstveröffentlichung
- 2016
- Abstract (EN)
- BACKGROUND: Prolonged mechanical ventilation for acute medical conditions increases the risk of chronic critical illness (CCI). Close family members are confronted with the life-threatening condition of the CCI patients and are prone to develop posttraumatic stress disorder affecting their health-related quality of life (HRQL). Main aim of the present study was to investigate patient- and family-related risk factors for posttraumatic stress and decreased HRQL in family members of CCI patients. METHODS: In a cross-sectional design nested within a prospective longitudinal cohort study, posttraumatic stress symptoms and quality of life were assessed in family members of CCI patients (n = 83, aged between 18 and 72 years) up to 6 months after transfer from ICU at acute care hospital to post-acute rehabilitation. Patients admitted a large rehabilitation hospital for ventilator weaning. The Posttraumatic Stress Scale-10 and the Euro-Quality of life-5D-3L were applied in both patients and their family members via telephone interview. RESULTS: A significant proportion of CCI patients and their family members (14.5 and 15.7 %, respectively) showed clinically relevant scores of posttraumatic stress. Both CCI patients and family members reported poorer HRQL than a normative sample. Factors independently associated with posttraumatic stress in family members were the time following ICU discharge (β = .256, 95 % confidence interval .053-.470) and the patients\' diagnosis of PTSD (β = .264, 95 % confidence interval .045-.453). Perceived satisfaction with the relationship turned out to be a protective factor for posttraumatic stress in family members of CCI patients (β = -.231, 95 % confidence interval -.423 to -.015). Regarding HRQL in family members, patients\' acute posttraumatic stress at ICU (β = -.290, 95 % confidence interval -.360 to -.088) and their own posttraumatic stress 3 to 6 months post-transfer (β = -.622, 95 % confidence interval -.640 to -.358) turned out to be significant predictors. CONCLUSIONS: Posttraumatic stress and HRQL should be routinely assessed in family members of CCI patients at regular intervals starting early at ICU. Preventive family-centered interventions are needed to improve posttraumatic stress and HRQL in both patients and their family members.
- Andere Ausgabe
- DOI: 10.1186/s13613-016-0174-0
- Link zum Artikel, der zuerst in der Zeitschrift ' Annals of intensive care' erschienen ist.
Link: http://dx.doi.org/10.1186/s13613-016-0174-0 - Freie Schlagwörter (DE)
- Chronisch kritische Erkrankungen (CCI), Familienmitglieder, Gesundheitsbezogene Lebensqualität (HRQL), Intensivmedizin, Post-Intensivstationssyndrom (PICS), Posttraumatische Stresssymptome, Sepsis, TU Dresden, Publikationsfond
- Freie Schlagwörter (EN)
- Chronic critical illness (CCI), Family members, Health-related quality of life (HRQL), Intensive care, Post-intensive care syndrome (PICS) family, Posttraumatic stress symptoms, Sepsis, TU Dresden, Publishing Fund
- Klassifikation (DDC)
- 610
- Klassifikation (RVK)
- XA 10000
- Verlag
- Springer, Heidelberg
- URN Qucosa
- urn:nbn:de:bsz:14-qucosa-215881
- Veröffentlichungsdatum Qucosa
- 16.01.2017
- Dokumenttyp
- Artikel
- Sprache des Dokumentes
- Englisch
- Lizenz / Rechtehinweis
CC BY 4.0