Post-intensive Care Syndrome-Family (PICS-F)
Conditions
Interventions
Participants: Surrogate decision-makers (family members, etc.) of patients admitted to the ICU in a critical care setting. Intervention: In addition to standard nursing support for surrogate decision
s ICU discharge. Duration: Within the scope of usual care.
Sponsors
Social Medical Corporation Foundation Chiyukai Shin Yukuhashi Hospital Department of Nursing Fumiya Kanaya
Japanese Red Cross Wakayama Medical Center Matsuyama Municipal Hospital, Eiraikai General Incorporated Association Maizuru Kyosai Hospital, Federation of National Public Service Personnel Mutual Aid Associations
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Provided written informed consent to participate in the study. Family members who have made surrogate decisions regarding treatment (including choices about life-sustaining treatment) for patients admitted to an E-ICU or general ICU with an expected ICU stay of 48 hours or more. Able to communicate in Japanese. Aged 18 to 85 years.
Exclusion criteria
Exclusion criteria: Known history of psychiatric illness in the surrogate decision-maker. Expected ICU stay for the patient is less than 24 hours. Surrogate decision-maker has had ICU experience (as a surrogate) within the past 6 months. Already enrolled as an intervention subject in this study (to prevent duplication). Attending physician judges the surrogate decision-maker not to be in a suitable physical or mental state to participate in the study. Otherwise deemed unsuitable for participation by the principal investigator (or co-investigator).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Presence of psychological distress in surrogate decision-makers at 3 months after ICU discharge (defined as IES-R score >=25, HADS-Anxiety subscale score >=8, or HADS-Depression subscale score >=8). | — |
Secondary
| Measure | Time frame |
|---|---|
| Anxiety symptoms (HADS-Anxiety) in surrogate decision-makers at 1 week after ICU discharge. Depressive symptoms (HADS-Depression) in surrogate decision-makers at 1 week after ICU discharge. Anxiety symptoms (HADS-Anxiety) in surrogate decision-makers at 3 months after ICU discharge. Depressive symptoms (HADS-Depression) in surrogate decision-makers at 3 months after ICU discharge. PTSD symptoms (IES-R) in surrogate decision-makers at 3 months after ICU discharge. Frequency of pamphlet use, time spent using pamphlet, sections used, understanding of each section, usefulness in specific situations, and specific situations of use (pamphlet group only, at 3 months after ICU discharge). Patient data (diagnosis, emergency admission, APACHE II score on ICU admission, length of ICU stay, surgery, mechanical ventilation, patient outcome, content of surrogate decision). | — |
Countries
Japan
Contacts
Public ContactFumiya Kanaya
Social Medical Corporation Foundation Chiyukai Shin Yukuhashi Hospital Department of Nursing
Outcome results
None listed