The effect of family-authored diaries on posttraumatic stress disorder in intensive care unit patients and their relatives: A randomised controlled trial (DRIP-study).

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
Anne H NielsenTorben Bæk Hansen

Abstract

Critical illness and mechanical ventilation may cause patients and their relatives to experience symptoms of posttraumatic stress, anxiety, and depression due to fragmentation of memories of their intensive care unit (ICU) stay. Intensive care diaries authored by nurses may help patients and relatives process the experience and reduce psychological problems after hospital discharge; however, as patients particularly appreciate diary entries made by their relatives, involving relatives in authoring the diary could prove beneficial. The objective of this study was to explore the effect of a diary authored by a close relative for a critically ill patient. The study was a multicenter, block-randomised, single-blinded, controlled trial conducted at four medical-surgical ICUs at two university hospitals and two regional hospitals. Eligible for the study were patients ≥18 years of age, undergoing mechanical ventilation for ≥24 h, staying in the ICU ≥48 h, with a close relative ≥18 years of age. A total of 116 relatives and 75 patients consented to participate. Outcome measures were scores of posttraumatic stress symptoms, anxiety, depression, and health-related quality of life three months after ICU discharge. Relatives had 26.3% lowe...Continue Reading

Citations

Aug 20, 2019·The Cochrane Database of Systematic Reviews·Neil P RobertsJonathan I Bisson
Dec 18, 2019·Critical Care : the Official Journal of the Critical Care Forum·Bruna Brandao BarretoDimitri Gusmao-Flores
Jun 27, 2020·Critical Care Medicine·Bjoern ZanteJoerg C Schefold
Nov 25, 2021·Critical Care Nursing Quarterly·Shu-Heng WangElizabeth A Duffy

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