Intensive Care Diaries Reduce New Onset Post Traumatic Stress Disorder Following Critical Illness: a Randomised, Controlled Trial

 

Christina Jones, Carl Bäckman, Maurizia Capuzzo, Ingrid Egerod, Hans Flaatten, Cristina Granja, Christian Rylander, Richard D Griffiths, the RACHEL group

 

 

Critical Care 2010, 14:R168 

 

 

Introduction: patients recovering from critical illness have been shown to be at risk of developing Post Traumatic Stress disorder (PTSD). This study was to evaluate whether a prospectively collected diary of a patient’s intensive care unit (ICU) stay when used during convalescence following critical illness will reduce the development of new onset PTSD.

Methods: intensive care patients with an ICU stay of more than 72 hours were recruited to a randomized controlled trial examining the effect of a diary outlining the details of the patients ICU stay on the development of acute PTSD. The intervention patients received their ICU diary at 1 month following critical care discharge and the final assessment of the development of acute PTSD was made at 3 months.

Results: 352 patients were randomised to the study at 1 month. The incidence of new cases of PTSD was reduced in the intervention group compared to the control patients (5% versus 13%, P = 0.02).

Conclusions: the provision of an ICU diary is effective in aiding psychological recovery and reducing the incidence of new PTSD.

 

fulltext

Stiamo assistendo in Terapia Intensiva ad una profonda sfida culturale: pazienti svegli, parenti presenti, staff consapevole dei limiti e delle possibilità. Non è facile "cambiare testa", ma è il primo passo per stare meglio. Tutti.

Link veloci

Gestire il dolore

ico-flowchartdoloreFlowchart dolore
ico-vnrVNR
ico-bpsBPS

Gestire la sedazione

ico-flowchart-sedaz-agitFlowchart sedaz/agitaz
ico-rassRASS

Gestire il delirium

ico-flowchart-deliriumFlowchart Delirium
ico-manuale-cam-icuManuale CAM-ICU
ico-schedalavoro-cam-icuScheda di lavoro CAM-ICU
ico-icdscICDSC

 

Questo sito è stato realizzato grazie al contributo di:

regionelombardia

Finanziamento per la Ricerca Indipendente
(Decreto DGS 13456 del 22 dicembre 2010)


Design by Pixelsparadise