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dc.contributor.authorMcKinley, Sharonen_US
dc.contributor.authorAitken, Leanneen_US
dc.contributor.authorA. Alison, Jenniferen_US
dc.contributor.authorKing, Madeleineen_US
dc.contributor.authorLeslie, Gavinen_US
dc.contributor.authorBurmeister, Elizabethen_US
dc.contributor.authorElliott, Dougen_US
dc.date.accessioned2017-05-03T13:22:45Z
dc.date.available2017-05-03T13:22:45Z
dc.date.issued2012en_US
dc.date.modified2013-06-26T02:33:21Z
dc.identifier.issn03424642en_US
dc.identifier.doi10.1007/s00134-012-2477-4en_US
dc.identifier.urihttp://hdl.handle.net/10072/47218
dc.description.abstractPurpose: Some patients who survive intensive care unit (ICU) treatment report psychological sequelae during recovery. This study examined factors associated with psychological outcomes of former ICU patients up to 6 months after hospital discharge. Methods: Participants (n = 195) were adult survivors of ICU enrolled in a multicenter trial of physical rehabilitation after hospital discharge. The 36-Item Short-Form Health Survey (SF-36), the Impact of Events Scale (IES) and the Depression, Anxiety and Stress Scales were completed, and sleep rated on a five-point scale at weeks 1, 8 and 26; clinical and demographic data were obtained from patient records. Results: Participants were 41% females with mean ᠳtandard deviation (SD) age of 57 ᠱ6 years and Acute Physiology and Chronic Health Evaluation II (APACHE II) scores of 19 ᠷ; median lengths of mechanical ventilation and ICU stay were 89 h and 6 days, respectively. Impaired mental health, depression, anxiety, stress and psychological distress significantly improved after week 1. Female gender, younger age and sleeping problems were associated with impaired psychological outcomes on bivariate analyses. Age; gender; week 1 anxiety, depression and stress; week 26 sleeping; and rehabilitation study group were entered into multiple linear regression analyses for week 26 IES and SF-36 Mental Component Summary (MCS) outcomes. IES scores were associated (p/0.05) with gender, week 1 stress and week 26 sleep but not study group; MCS scores were associated (p/0.05) with week 1 stress and week 26 sleep but not study group. Conclusion: Female gender, early levels of increased stress and problems sleeping are associated with worse psychological recovery for survivors of critical illness.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_US
dc.format.extent205993 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglishen_US
dc.language.isoen_US
dc.publisherSpringeren_US
dc.publisher.placeGermanyen_US
dc.relation.ispartofstudentpublicationNen_US
dc.relation.ispartofpagefrom627en_US
dc.relation.ispartofpageto633en_US
dc.relation.ispartofissue4en_US
dc.relation.ispartofjournalIntensive Care Medicineen_US
dc.relation.ispartofvolume38en_US
dc.rights.retentionYen_US
dc.subject.fieldofresearchClinical Nursing: Secondary (Acute Care)en_US
dc.subject.fieldofresearchIntensive Careen_US
dc.subject.fieldofresearchcode111003en_US
dc.subject.fieldofresearchcode110310en_US
dc.titleSleep and other factors associated with mental health and psychological distress after intensive care for critical illnessen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.rights.copyrightCopyright 2012 Springer Berlin / Heidelberg. This is an electronic version of an article published in Intensive Care Medicine, April 2012, Volume 38, Issue 4, pp 627-633. Intensive Care Medicine is available online at: http://link.springer.com// with the open URL of your article.en_US
gro.date.issued2012
gro.hasfulltextFull Text


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