Journal article
STRESS MANAGEMENT INTERVENTION TO PREVENT POST-INTENSIVE CARE SYNDROME-FAMILY IN PATIENTS' SPOUSES
American journal of critical care, Vol.28(6), pp.471-476
11/01/2019
DOI: 10.4037/ajcc2019668
PMID: 31676522
Abstract
Background Post-intensive care syndrome-family (PICS-F) refers to acute and chronic psychological effects of critical care on family members of patients in intensive care units (ICUs). Evidence suggests that increased distress during the ICU stay increases risk of PICS-F. Sensation Awareness Focused-Training (SAF-T) is a new, promising stress management intervention, but the feasibility of such training during the ICU stay for family caregivers who are acting as the surrogate decision-maker for patients who are undergoing mechanical ventilation is unknown.
Objectives To assess feasibility and acceptability of SAF-T to inform a future larger randomized controlled trial.
Methods This randomized controlled trial of SAF-T (n= 5) versus a control (n=5) group was conducted at a level 1 trauma center. Participants assigned to SAF-T completed 1 session daily for 3 days. Measures included enrollment rate, data completion rate, acceptability of SAF-T, and symptoms of PICS-F. Scales used included Perceived Stress, Hospital Anxiety and Depression, Impact of Event, and National Institutes of Health Toolbox Emotion Battery.
Results Mean age was 58 (SD, 12) years; 70% of participants were female. Predetermined feasibility criteria were met in enrollment rate (67%), outcome measures completion rate (>90%), and SAF-T acceptability (100% of doses completed during the ICU stay) without adverse events. Stress scores after SAF-T were significantly lower than scores before SAF-T (z=-3.5, P=.01).
Conclusions SAF-T intervention during the ICU stay is feasible, acceptable, and may improve family caregivers' post-ICU outcomes. Larger clinical trial to assess the effectiveness of SAF-T in preventing PICS-F seem warranted.
Details
- Title: Subtitle
- STRESS MANAGEMENT INTERVENTION TO PREVENT POST-INTENSIVE CARE SYNDROME-FAMILY IN PATIENTS' SPOUSES
- Creators
- Paula L. Cairns - University of South FloridaHarleah G. Buck - University of South FloridaKevin E. Kip - University of South FloridaCarmen S. Rodriguez - University of South FloridaZhan Liang - University of South FloridaCindy L. Munro - University of South Florida
- Resource Type
- Journal article
- Publication Details
- American journal of critical care, Vol.28(6), pp.471-476
- Publisher
- Amer Assoc Critical Care Nurses
- DOI
- 10.4037/ajcc2019668
- PMID
- 31676522
- ISSN
- 1062-3264
- eISSN
- 1937-710X
- Number of pages
- 6
- Grant note
- Sigma Theta Tau International Honor Society of Nursing-Delta Beta Chapter-at-Large and Jonas Nurse Leader Scholarship
- Language
- English
- Date published
- 11/01/2019
- Academic Unit
- Nursing
- Record Identifier
- 9984370644002771
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