Τόμος 26 (2012) – Τεύχος 2 – Άρθρο 3 – Επιθεώρηση Κλινικής Φαρμακολογίας και Φαρμακοκινητικής-Διεθνής Έκδοση – Volume 26 (2012) – Issue 2 – Article 3 – Epitheorese Klinikes Farmakologias και Farmakokinetikes-International Edition

Title Short-term psychological effects in family members of ICU patients
Authors M. Kourti1,2, T. Katostaras2, G. Fildisis2 and G. Kallergis2

1. Intensive Care Unit, Laiko General Hospital of Athens and 2. Faculty of Nursing, University of Athens, Athens, Greece

Citation Kourti, M., Katostaras, T., Fildisis, G., Kallergis, G.: Short-term psychological effects in family members of ICU patients, Epitheorese Klin. Farmakol. Farmakokinet. 26(2): 93-97 (2012)
Publication Date Accepted for publication (Final Version): July 1, 2012
Full Text Language English
Order – Buy  Ηλεκτρονική Μορφή: pdf (10 €) – Digital Type: pdf (10 €)

pharmakonpress[at]pharmakonpress[.]gr

Keywords HADS, relatives, ICU patients, anxiety, depression, APACHE II score.
Other Terms review article
Summary This study was performed to retrace symptoms of anxiety and depression in relatives of patients admitted in the Intensive Care Unit, as well as to determine whether these symptoms are associated to the seriousness of the patients’ condition. A total of 102 patients’ relatives were enrolled in this study (62 females and 40 males). The symptoms of anxiety and depression were evaluated with the Hospital Anxiety and Depression Scale (HADS), and a HADS score over 21 (over 11 for the subscale of anxiety and over 11 for the subscale of depression) was considered as a “probable” case of these symptoms. The meaning of the word “probable” is something that can be proven or that appears to be true. Patient’s condition was evaluated with A.P.A.CH.E II (Acute Physiology And Chronic Health Evaluation II) score. The higher the score was getting, the more the patient’s condition was deteriorating. Two measurements took place, the first one after 7-10 days of patient’s admission in the ICU and the second one after 7-10 days from the first measurement (total stay in the ICU: 17-20 days). During the first measurement, 63 (61.8%) relatives were probable cases of anxiety and 50 (49.1%) were probable cases of depression. During the second measurement, 56 (61.5%) probable cases of anxiety and 49 (53.8%) probable cases of depression were identified. No relation was found between symptoms of anxiety and depression to the relatives of patients’ and patients’ condition of health. Symptoms of anxiety and depression were found to almost all patients’ relatives that participated in the study, regardless of the seriousness of ill’s condition. According to all these, the assessment of these patients is strongly recommended in order serious problems of anxiety and depressions be prevented.
References 1. Davidson J.E.: Family-Centered Care: Meeting the Needs of Patients’ Families and Helping Families to Adapt to Critical Illness. Crit. Care Nurse 29: 28-34 (2009)

2. Harvey M.A.: Evolving toward-but not to-meeting family needs. Crit. Care Med. 26: 206-207 (1998)

3. Azoulay E., Chevret S., Leleu G., Pochard F., Barboteu M., Adrie C., et al.: Half the families of intensive care unit patients experience inadequate communication with physicians. Crit. Care Med. 28: 3044-3049 (2000)

4. Ganzini L., Lee M.A., Heintz R.T., Bloom J.D., Fenn D.S.: The effect of depression treatment on elderly patients’ preferences for life-sustaining medical therapy. Am. J. Psychiatry 151: 1631-1636 (1994)

5. Peréz-San Gregorio M.A, Blanco-Picabia A., Murillo-Cabezas F, Dominguez-Roldan J.M, Sanchez B., Núñez-Roldán A.: Psychological problems in the family members of gravely traumatized patients into an intensive care unit. Intensive Care Med. 18(5): 278-281 (1992) 

6. Grisso T., Appelbaum P.S.: Comparison of standards for assessing patients’ capacities to make treatment decisions. Am. J. Psychiatry 152: 1033-1037 (1995)

7. Zigmond A.S., Snaith R.P.: The hospital anxiety and depression scale. Acta Psyciatr. Scand. 67: 361-370 (1983)

8. Maruiti MR, Galdenao LE & Dias Farah OG. Anxiety and depressions in relatives of patients admitted in intensive care units. Acta Paul Enferm, 2008; 21(4):636-42

9. Verslype C., Nevens F.: Evaluation of patients in the hepatobiliary unit. A summary of the most frequently used scoring systems. 2nd ed. [e-book], KU Leuven-Belgium, Department of Liver and Pancreatic Diseases, University Hospital Gasthuisberg, 1992 Available through: http://www.kuleuven.be/lvga/forumlG/two/scores/ApacheIIpdf

10. Pochard F., Azoulay E., Chevret S., Lemaire F., Hubert P., Canoui P., et al.: Symptoms of anxiety and depression in family members of intensive care unit patients: ethical hypothesis regarding decision-making capacity. Crit. Care Med. 29: 1893-1897 (2001)

11. Silberg J., Rutter M., Neale M., Eaves L.: Genetic moderation of environmental risk for depression and anxiety in adolescence girls. Br. J. Psychiatry 179: 116-121 (2001)

12. Silberg J., Pickles A., Rutter M., Hewitt J., Simonoff E., Maes H., et al.: The influence of genetic factors and life stress on depression among adolescent girls. Arch.  Gen. Psychiatry 56: 225-232 (1999)

13. Johnson D., Wilson M., Cavanaugh B., Bryden C., Gudmundson D., Moodley O.:  Measuring the ability to meet family needs in an ICU. Crit. Care Med. 26: 266-271 (1998)

14. Jones C., Griffiths D.: Social support and anxiety levels in relatives of critically ill patients. Br. J. Intensive Care: 44-47 (1995)

15. Perez-San Gregorio MA, Blanco-Picabia A., Murillo-Cabezas F., Dominguez-Roldan J.M., Sanchez B., Nuoez-Roldan A., et al.: Psychological problems in the family members of gravely traumatized patients into an intensive care unit. Intensive Care Med. 18: 278-281 (1992)

16. Pochard F., Azoulay E., Chevret S., Lemaire F., Hubert P., Canoui P., et al.: Symptoms of anxiety and depression in family members of intensive care unit patients: ethical hypothesis regarding decision-making capacity. Crit. Care Med. 29: 1893-1897 (2001)

17. Buknall T.: The clinical landscape of critical care: nurses’ decision – making. J. Adv. Nurs. 43: 310-319 (2003)

18. Soderstrom I.-M., Benzein E., Saveman B.-I.: Nurses’ experiences of interaction with family members in intensive care units. Scan. J. Caring Sci. 17: 185-192 (2003)

19. Leske J.S.: Interventions to decrease family anxiety. Crit. Care Nurs. 22(6): 61-65 (2002)

20. Holden J., Harrison I., Johnson M.: Families, nurses and intensive care patients: a review of the literature. J. Crit. Nurs. 11: 140-148 (2002)

21. Azoulay E., Pochard F., Kentish-Barnes N., Chevret S., Aboab J., Adric C., et al.: Risk of post-traumatic stress symptoms in family members of intensive care unit patients. Am. J. Respir. Crit. Care Med. 171: 987-994 (2005)

Relative Papers

Online ISSN 1011-6575

 

 

 

Bookmark the permalink.

Comments are closed.