This article by Jonasdottir et al was published in the Journal of Advanced Nursing during October 2017.
Aims: To describe a structured three-month nurse-led follow-up of patients after discharge from intensive care and measure its effects on health status.
Background: Patients requiring intensive care stay frequently have lengthy and incomplete recovery suggesting need for additional support. The effects of intensive care nurse-led follow-up have not been sufficiently elucidated.
Design: A prospective, quasi-experimental study of patients who received structured nurse-led follow-up from intensive care nurses after discharge from intensive care until three months afterwards. The control group received usual care.
Methods: Of 574 patients assessed for eligibility, from November 2012 – May 2015, 168 were assigned to the experimental group (N=73) and the control group (N=75). Primary outcome was health status, measured with eight scales of Short Form-36v2, before the intensive care admission and at four time points until twelve months after intensive care. A mixed effect model tested differences between the groups over time. Criteria for Reporting Development and Evaluation of Complex Interventions 2 guideline, guided the reporting of the intervention.
Results: The structured nurse-led follow-up did not improve patients’ health status compared with usual care (mixed effect model, p = 0.078 – 0.937).
Conclusion: The structured nurse-led follow-up did not reveal an effect on the intensive care patients studied. Further examination of intensive care nurse-led follow-up is needed, taking into account the heterogeneity of the patient population, variations in length of ward stay, patients’ health care needs during the first week at home after discharge from general ward and health status before intensive care admission. This article is protected by copyright. All rights reserved.
The physical copy of available Journal of Advanced Nursing is available in the Healthcare Library on Level D of Rotherham Hospital. The full text of the article can be accessed by personal subscribers using this link.