Psychological recovery after intensive care

Outcomes of a long-term quasi-experimental study of structured nurse-led follow-up | Intensive and Critical Care Nursing

B0009841 Counselling for social anxiety disorder, illustration

Image source: Jasmine Parker – Wellcome Images // CC BY-NC 4.0

Objectives: To compare psychological recovery of patients receiving structured nurse-led follow-up and patients receiving usual care after intensive care discharge.

Results: The experimental group had significantly more symptoms of post-traumatic stress and anxiety than the control group over the 12 months. Patients from both groups had severe symptoms of post-traumatic stress. Patients with post-traumatic stress at three months had disturbing memories and psychological reactions.

Conclusion: The structured nurse-led follow-up did not improve patients’ measured outcomes of psychological recovery after intensive care. Patients with severe symptoms of post-traumatic stress are of concern. Emphasis needs to be placed on disturbing memories of the intensive care stay and psychological reactions when constructing intensive care nurse-led follow-up.

Full reference: Jónasdóttir, R.J. et al. (2017) Psychological recovery after intensive care: Outcomes of a long-term quasi-experimental study of structured nurse-led follow-up. Intensive and Critical Care Nursing. Published online: 21 July 2017

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