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dc.contributor.authorBackman, Carl Gostaen
dc.date.accessioned2014-11-17T13:50:54Z
dc.date.available2014-11-17T13:50:54Z
dc.date.issued2014-11-17
dc.identifierINRC14H11
dc.identifier.urihttp://hdl.handle.net/10755/335374
dc.description<p>International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong</p>en
dc.description.abstract<p>Session presented on Saturday, July 26, 2014:</p> <p><strong>Purpose:</strong> Delusional memories from the period of critical illness have been shown to be a major contributor to the later occurrence of post traumatic stress disorder (PTSD). The experience of watching the patient being critically ill is also traumatic to families, making them at risk of PTSD. It was hypothesised that an ICU diary could help patients and their families come to terms with their differing memories and so reduce the incidence of PTSD.</p> <p><strong>Methods:</strong> A prospective randomised, controlled study was performed in 12 ICUs across 6 European countries. 1 week after ICU discharge the ICU Memory Tool was used to identify recall for delusional memories. 1 month post ICU discharge PTSD related symptoms was assessed using the PTSS-14 and the patients were randomised to receive their diary at this point or after the next interview 3 months post ICU discharge. At 3 months a diagnosis of PTSD was made using the PDS. After the final interview, the control patients also received their diaries. In 2 of the study ICUs relatives were asked to complete the PTSS-14 at 1 month and 3 months post ICU discharge.</p> <p><strong>Results:</strong> 352 patients were randomised, 322 (91.5%) completing the 3 month follow-up. 11 patients with undiagnosed, pre-existing PTSD were excluded from the final analysis. The incidence of new PTSD in the intervention group was 5% (8/154), and 13.4% (21/157) in the control group; this was statistically significant (p = 0.013). 30 relatives (15 in the intervention group and 15 in the control group) completed questionnaires at 1 and 3 months. Relatives in the intervention group had reduced PTSD symptom (P = .03).</p> <p><strong>Conclusion:</strong> This randomised, controlled trial confirms that an ICU Diary helps patients come to terms with critical illness and reduces PTSD incidence. In addition the diary helps reduce symptoms of PTSD in relatives.</p>en
dc.formatText-based Documenten
dc.language.isoenen
dc.subjectAnxietyen
dc.subjectICU Diaryen
dc.subjectPostTraumatic Stress Disorderen
dc.titleICU diaries: The journey to psychological recovery for critically ill patient's family membersen
dc.title.alternativeSymposium: ICU diary: Supporting the intensive care patients transition from the ICUen
dc.typePresentationen
dc.rights.holder<p> All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. </p><p> All permission requests should be directed accordingly and not to the Sigma Repository. </p><p> All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary. </p>en
dc.description.note<p>Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.</p>
dc.type.categoryFull-texten
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.contributor.departmentNon-memberen
dc.author.detailsCarl Gosta Backman, PhD, BSc, RNen
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationHong Kongen
dc.date.conferenceyear2014
dc.description.reviewtypeAbstract Review Only: Reviewed by Event Hosten
dc.description.acquisitionProxy-submissionen


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