Perspectives of patients and family members regarding psychological support using intensive care diaries: An exploratory mixed methods study

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Author(s)
Aitken, Leanne M
Rattray, Janice
Kenardy, Justin
Hull, Alastair M
Ullman, Amanda J
Le Brocque, Robyne
Mitchell, Marion
Davis, Chelsea
Castillo, Maria I
Macfarlane, Bonnie
Griffith University Author(s)
Year published
2017
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Show full item recordAbstract
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 ...
View more >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 b .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.
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View more >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 b .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.
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Journal Title
Journal of Critical Care
Volume
38
Copyright Statement
© 2017 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (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.
Subject
Clinical sciences
Nursing
Nursing not elsewhere classified