Anxiety, Depression, Diary (Blank Journal), Family, Intensive Care Unit, Patient, PICS, Quality of Life, Stress
Conditions
Brief summary
Randomized clinical trial that aims to evaluate the impact of the use of a diary in patients and relatives of patients admitted to an ICU in relation to usual practice in terms of health-related quality of life, the post-traumatic stress and anxiety/depression at 2, 6 and 12 months after ICU discharge.
Detailed description
Randomized, parallel, open, non-blinded, multicenter clinical trial, with an experimental group (diary) and a control group (usual practice), to compare the effect produced on quality of life by post-traumatic stress and anxiety/depression of patients and relatives, whether or not they have access to a diary during the stay in the unit. Three validated scales will be used at three different times. 120 cases per group, carrying out a preliminary pilot test. Data analysis according to IBM SPSS v.24 to describe and compare both groups.
Interventions
a diary is made for the experimental group where the events and events during the period of sedation and intubation are explained
Sponsors
Study design
Intervention model description
A control group and an experimental group
Eligibility
Inclusion criteria
* admitted intensive care unit * sedated and mechanically ventilated for 24hours * signed consent * not language barrier * willingness to attend follow-up visits
Exclusion criteria
* verbal manifestation of psychiatric, mental or cognitive antecedents * who do not coluntarily agree to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospital Anxiety and Depression Scale (HADS) | 2 months | questionnaries, range of 0-21 for either anxiety and depression subscores. Higher scores corresponding to worse outcomes. 0-7 normal; 8-10 borderline abnormal; 11-21 sever symptoms of anxiety or depressin. |
| SF-36 Health Survey | 2 months | questionnaries to measure quality of life. 36 items. from 0 to 100, with 100 being the best health |
| Revised Impact of Event Scales (IES-R) | 2 months | questionnaries; measuring areas of hyperarousal, avoidance, and intrusion as subscales. Total score ranges from 0-88, higher score associated with worse PTSD symptoms. 1-22 mild PTSD,;22 signal clinically significant PTSD symptoms. |
Countries
Spain