Khadija Chahraoui1, Alexandra Laurent2, Antoine Bioy3, Jean-Pierre Quenot4. 1. Laboratoire de Psychopathologie et de Psychologie Médicale, Université de Bourgogne, 21000 Dijon, France. Electronic address: Khadija.Chahraoui@u-bourgogne.fr. 2. Université de Franche-Comté, Laboratoire de Psychologie, 25000 Besançon, France. Electronic address: alexandra.laurent@univ-fcomte.fr. 3. Laboratoire de Psychopathologie et de Psychologie Médicale, Université de Bourgogne, 21000 Dijon, France. Electronic address: antoine.bioy@u-bourgogne.fr. 4. Service de Réanimation Médicale, University Hospital Le Bocage, 14 rue Paul Gaffarel, 21079 Dijon, France. Electronic address: jean-pierre.quenot@chu-dijon.fr.
Abstract
PURPOSE: The purpose was to describe psychological experiences of patients 3 months after a stay in the intensive care unit (ICU) using qualitative methods. METHODS: Twenty patients underwent clinical interview lasting 1 hour and completed the Impact of Event Scale-Revised and Hospital Anxiety and Depression questionnaires. All interviews were recorded and coded using thematic analysis. RESULTS: All patients (100%) reported that they could not remember their ICU stay; half reported confused memories (50%) or disorientation (50%). Negatives memories were also reported (20%-45%), namely, pain, distress, sleep difficulties, noise, fear, feeling of abandonment; 20% reported positive memories. At 3 months, for 10 (50%) of 20 patients, their ICU experience was characterized by anxiety; 3 (15%) of 20 presented posttraumatic stress disorder; 7 (35%) of 20 reported a feeling of well-being with positive life changes. Well-being seems to be associated with use of coping strategies, such as active coping, positive reframing, optimism, humor, acceptance, leisure activities, and family support. CONCLUSION: Our study highlights the need to investigate patients' memories of ICU and the coping strategies used by patients to improve their ICU experience. Our findings suggest that a systematic follow-up consultation after ICU discharge would be useful for monitoring of post-ICU psychological outcomes.
PURPOSE: The purpose was to describe psychological experiences of patients 3 months after a stay in the intensive care unit (ICU) using qualitative methods. METHODS: Twenty patients underwent clinical interview lasting 1 hour and completed the Impact of Event Scale-Revised and Hospital Anxiety and Depression questionnaires. All interviews were recorded and coded using thematic analysis. RESULTS: All patients (100%) reported that they could not remember their ICU stay; half reported confused memories (50%) or disorientation (50%). Negatives memories were also reported (20%-45%), namely, pain, distress, sleep difficulties, noise, fear, feeling of abandonment; 20% reported positive memories. At 3 months, for 10 (50%) of 20 patients, their ICU experience was characterized by anxiety; 3 (15%) of 20 presented posttraumatic stress disorder; 7 (35%) of 20 reported a feeling of well-being with positive life changes. Well-being seems to be associated with use of coping strategies, such as active coping, positive reframing, optimism, humor, acceptance, leisure activities, and family support. CONCLUSION: Our study highlights the need to investigate patients' memories of ICU and the coping strategies used by patients to improve their ICU experience. Our findings suggest that a systematic follow-up consultation after ICU discharge would be useful for monitoring of post-ICU psychological outcomes.
Authors: Mohamed D Hashem; Aparna Nallagangula; Swaroopa Nalamalapu; Krishidhar Nunna; Utkarsh Nausran; Karen A Robinson; Victor D Dinglas; Dale M Needham; Michelle N Eakin Journal: Crit Care Date: 2016-10-26 Impact factor: 9.097