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Post-intensive care syndrome symptoms and health-related quality of life in family decision-makers of critically ill patients

Published online by Cambridge University Press:  26 December 2017

Amy B. Petrinec  and
Bradley R. Martin
Amy B. Petrinec*
Affiliation:
Case Western Reserve University Frances Payne Bolton School of Nursing, Cleveland, Ohio Kent State University College of Nursing, Kent, Ohio
Bradley R. Martin
Affiliation:
Summa Health System Department of Internal Medicine, Division of Critical Care Medicine, Akron, Ohio
*
Author for correspondence: Amy Petrinec, Case Western Reserve University Frances Payne Bolton School of Nursing and Kent State University College of Nursing, 2760 Hawkesbury Blvd., Hudson, OH 44236. E-mail: [email protected]
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Abstract

Objective

Family members of critically ill patients can suffer symptoms of post-intensive care syndrome-family (PICS-F), including anxiety, depression, and posttraumatic stress disorder (PTSD) with a diminished quality of life. Our aim was to examine the relationship between coping strategies used by family decision-makers (FDMs) of critically ill patients and the severity of PICS-F symptoms and to examine the relationship between FDM PICS-F symptoms and health-related quality of life (HRQOL).

Method

A single-center, prospective, longitudinal descriptive study was undertaken of FDMs of intensive care unit (ICU) patients admitted to a large tertiary care hospital. PICS-F symptoms and coping strategy use were measured upon ICU admission (T1), 30 days (T2) after ICU admission, and 60 days (T3) after ICU admission. HRQOL was measured by the Short Form-36 version 2 at T1 and T3.

Results

We found a significant prevalence of anxiety (45.8%), depression (25%), and PTSD (11.1%) symptoms among FDMs over the course of the study. The patient mortality rate in our sample was 50%. The HRQOL mental summary score in FDMs was low at T1 and decreased to M = 41.72 (standard deviation = 12.47) by T3. Avoidant coping demonstrated moderate relationships with PTSD symptoms and anxiety at T3. A previous history of anxiety, depression, or PTSD was a significant predictor of PICS-F symptom severity and prevalence. PICS symptom severity at T3 explained 75% of the variance in HRQOL mental summary score.

Significance of results

This study describes a significant prevalence of PICS-F symptoms in FDMs with a diminished mental HRQOL.

Keywords

Anxietydepressionpost-intensive care syndrome-familyPTSDquality of life
Type
Original Article
Information
Palliative & Supportive Care , Volume 16 , Issue 6 , December 2018 , pp. 719 - 724
Copyright
Copyright © Cambridge University Press 2017 

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