Effect of an ICU diary on psychiatric disorders, quality of life, and sleep quality among adult cardiac surgical ICU survivors: a randomized controlled trial

Critical Care : the Official Journal of the Critical Care Forum
Shuo WangRong-Fang Hu

Abstract

Although studies on the effectiveness of the use of ICU diaries on psychiatric disorders and quality of life have been published, the results still seem to be controversial. The study aimed to determine the effects of using an ICU diary on psychiatric disorders, sleep quality, and quality of life (QoL) in adult ICU survivors in China. One hundred and twenty-six patients who underwent a scheduled cardiac surgery and were expected to stay ≥ 24 h in ICU were randomized to two groups (63 in each group). The patients in the intervention group received the use of ICU diaries during the period of post-ICU follow-up, while the patients in the control group received usual care without ICU diaries. The primary outcome was significant PTSD symptoms (Chinese version of Impact of Event Scale-Revised, IES-R; total score ≥ 35 was defined as significant PTSD symptoms) and its severity in patients 3 months post-ICU. The secondary outcomes included memories of the ICU at 1 month, QoL (Medical Outcomes Study 36-item Short-Form, SF-36), sleep quality (Pittsburgh Sleep Quality Index Questionnaire, PSQI), anxiety, and depression symptoms (Hospital Anxiety and Depression Scale, HADS) at 3 months. Eighty-five and 83 patients completed the follow-up in...Continue Reading

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Citations

Apr 28, 2021·International Journal of Nursing Studies·Rachel SchofieldChristina J Jones
May 31, 2021·Nursing in Critical Care·Alessandra NegroDuilio F Manara
May 24, 2021·Critical Care Nursing Clinics of North America·Glenn Carlson, Alyssa Curtis
May 24, 2021·Critical Care Nursing Clinics of North America·Karen Bergman Schieman

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

ICU Memory ( ICUM )
ICUM
mITT
CONSORT

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