Henderson, P. et al. (2021) Post intensive care syndrome following cardiothoracic critical care: feasibility of a complex intervention. Journal of Rehabilitation Medicine, 53(6), jrm00206. (doi: 10.2340/16501977-2825) (PMID:33856038)
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Abstract
Objectives: To describe the long-term outcomes of cardiac intensive care unit patients and their primary caregivers, and to explore the feasibility of implementing a complex intervention, designed to support problems associated with post-intensive care syndrome and post-intensive care syndrome–family, in the year following discharge from the cardiac intensive care unit. Design: A complex multidisciplinary rehabilitation programme, delivered as a quality improvement initiative, in a single centre in the West of Scotland. Participants: Patients and their caregivers were invited to participate 12 weeks after hospital discharge. Twenty-seven patients and 23 caregivers attended the programme. Results: Over 90% of patients had problems in at least one quality of life domain at baseline, 41% of patients had symptoms of anxiety and 22% had symptoms of depression. During the baseline visit, caregiver strain was present in 20% of caregivers, 57% had symptoms of anxiety, and 35% had symptoms of depression. Distinct improvements in outcomes were seen in both patients and caregivers at 1-year follow-up. The programme was implemented, and iterative learning obtained about the content and the operationalization of the service, in order to understand feasibility. Conclusion: This small-scale quality improvement project has demonstrated that this complex multidisciplinary rehabilitation programme is feasible and appears to have positive implications for patients following discharge from the cardiac intensive care unit, and their caregivers.
| Item Type: | Articles |
|---|---|
| Additional Information: | Joanne McPeake is in receipt of an THIS. Institute (University of Cambridge) Fellowship, PD2019-02-16. |
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Sharp, Dr John and Henderson, Dr Philip and Mactavish, Mrs Pamela and Quasim, Professor Tara and McPeake, Dr Jo and Shaw, Dr Martin and Daniel, Malcolm |
| Authors: | Henderson, P., Quasim, T., Asher, A., Campbell, L., Daniel, M., Davey, L., Devine, H., Gall, M., MacTavish, P., McGroarty, K., Nolan, F., Purdie, C., Quasim, I., Sharp, J., Shaw, M., Iwashyna, T. J., and McPeake, J. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care |
| Journal Name: | Journal of Rehabilitation Medicine |
| Publisher: | Foundation for Rehabilitation Information |
| ISSN: | 1650-1977 |
| ISSN (Online): | 1651-2081 |
| Published Online: | 15 April 2021 |
| Copyright Holders: | Copyright © 2021 The Authors |
| First Published: | First published in Journal of Rehabilitation Medicine 53(6): jrm00206 |
| Publisher Policy: | Reproduced under a Creative Commons License |
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