dc.contributor.author | Ullman, Amanda J | |
dc.contributor.author | Aitken, Leanne M | |
dc.contributor.author | Rattray, Janice | |
dc.contributor.author | Kenardy, Justin | |
dc.contributor.author | Le Brocque, Robyne | |
dc.contributor.author | MacGillivray, Stephen | |
dc.contributor.author | Hull, Alastair M | |
dc.date.accessioned | 2018-06-18T04:41:07Z | |
dc.date.available | 2018-06-18T04:41:07Z | |
dc.date.issued | 2015 | |
dc.identifier.issn | 0020-7489 | |
dc.identifier.doi | 10.1016/j.ijnurstu.2015.03.020 | |
dc.identifier.uri | http://hdl.handle.net/10072/125174 | |
dc.description.abstract | Objectives: To assess the effect of an intensive care unit (ICU) diary versus no ICU diary on
patients, and their caregivers or families, during the patient’s recovery from admission to
an ICU.
Design: Systematic review of randomized controlled trials (RCTs) and clinical controlled
trials.
Data sources: CENTRAL, MEDLINE, CINAHL, EMBASE, PsycINFO, PILOT; Web of Science
Conference Proceedings, clinical trial registries and reference lists of identified trials.
Review methods: Studies evaluated the effectiveness of patient diaries, when compared to
no ICU diary, for patients or family members to promote recovery after admission to ICU
were included. Outcome measures for describing recovery from ICU included the risk of
post-traumatic stress disorder (PTSD), anxiety, depression and post-traumatic stress
symptomatology, health-related quality of life and costs. We used standard methodological
approaches as expected by The Cochrane Collaboration. Two review authors
independently reviewed titles for inclusion, extracted data and undertook risk of bias
according to pre-specified criteria.
Results: We identified three eligible studies; two describing ICU patients (N = 358), and one
describing relatives of ICU patients (N = 30). No study adequately reported on risk of PTSD
as described using a clinical interview, family or caregiver anxiety or depression, healthrelated
quality of life or costs. Within a single study there was no clear evidence of a
difference in risk for developing anxiety (RR 0.29, 95% CI 0.07–1.19) or depression (RR 0.38,
95% CI 0.12–1.19) in participants who received ICU diaries, in comparison to those that did not receive a patient diary. Within a single study there was no evidence of difference in
median post-traumatic stress symptomatology scores (diaries 24, SD 11.6; no diary 24, SD
11.6) and delusional ICU memory recall (RR 1.04, 95% CI 0.84–1.28) between the patients
recovering from ICU admission who received patient diaries, and those who did not. One
study reported reduced post-traumatic stress symptomatology in family members of
patients recovering from admission to ICU who received patient diaries (median 19; range
14–28), in comparison to no diary (median 28; range 14–38).
Conclusions: Currently there is minimal evidence from RCTs of the benefits or harms of
patient diaries for patients and their caregivers or family members. A small study has
described their potential to reduce post-traumatic stress symptomatology in family
members. However, there is currently inadequate evidence to support their effectiveness
in improving psychological recovery after critical illness for patients and their family
members. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartofpagefrom | 1243 | |
dc.relation.ispartofpageto | 1253 | |
dc.relation.ispartofissue | 7 | |
dc.relation.ispartofjournal | International Journal of Nursing Studies | |
dc.relation.ispartofvolume | 52 | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearch | Nursing not elsewhere classified | |
dc.subject.fieldofresearchcode | 4205 | |
dc.subject.fieldofresearchcode | 420599 | |
dc.title | Intensive care diaries to promote recovery for patients and families after critical illness: A Cochrane Systematic Review | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
dcterms.license | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.description.version | Accepted Manuscript (AM) | |
gro.faculty | Griffith Health, School of Nursing and Midwifery | |
gro.rights.copyright | © 2015 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited. | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Aitken, Leanne M. | |
gro.griffith.author | Ullman, Amanda J. | |