T Deffner1,2, D Schwarzkopf3, C Waydhas4,5. 1. Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Jena, Jena, Deutschland. teresa.deffner@med.uni-jena.de. 2. Kinderklinik, Sektion Neonatologie und Pädiatrische Intensivmedizin, Universitätsklinikum Jena, Jena, Deutschland. teresa.deffner@med.uni-jena.de. 3. Center for Sepsis Control and Care, Universitätsklinikum Jena, Jena, Deutschland. 4. Chirurgische Universitätsklinik und Poliklinik, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Bochum, Deutschland. 5. Medizinische Fakultät, Universität Duisburg-Essen, Duisburg, Deutschland.
Abstract
BACKGROUND: Psychological care should be provided in intensive care units (ICUs) because of the proven mental symptoms of patients and relatives. Even physicians and nurses can benefit from a corresponding care structure. Knowledge is lacking whether and how psychological care for patients and relatives as well as support for staff in German ICUs is implemented. For this reason, a survey was conducted among the members of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) to gain an overview of the current structures and the need for psychological support. METHODS: The members of DIVI were invited to participate in a web-based survey. A total of 226 physicians and nurses took part in the survey. Analysis included statistics and group comparisons with Χ2 methods. RESULTS: In all care areas, psychological care of patients, relatives, and support for staff, respondents indicated a significant undersupply and expressed the need for improved care. A model which provides consular or team-integrated support based on the level of care is conceivable. DISCUSSION: The current state of psychological care in German ICUs does not cover the existing need. Consequently the development of concepts and the beginning of discussions on how appropriate psychological care can be implemented in the future is necessary.
BACKGROUND: Psychological care should be provided in intensive care units (ICUs) because of the proven mental symptoms of patients and relatives. Even physicians and nurses can benefit from a corresponding care structure. Knowledge is lacking whether and how psychological care for patients and relatives as well as support for staff in German ICUs is implemented. For this reason, a survey was conducted among the members of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) to gain an overview of the current structures and the need for psychological support. METHODS: The members of DIVI were invited to participate in a web-based survey. A total of 226 physicians and nurses took part in the survey. Analysis included statistics and group comparisons with Χ2 methods. RESULTS: In all care areas, psychological care of patients, relatives, and support for staff, respondents indicated a significant undersupply and expressed the need for improved care. A model which provides consular or team-integrated support based on the level of care is conceivable. DISCUSSION: The current state of psychological care in German ICUs does not cover the existing need. Consequently the development of concepts and the beginning of discussions on how appropriate psychological care can be implemented in the future is necessary.
Entities:
Keywords:
Intensive care medicine; Mental disorder; Psychological need of care; Relatives; Team
Authors: R Gawlytta; G-B Wintermann; M Böttche; H Niemeyer; C Knaevelsrud; J Rosendahl Journal: Med Klin Intensivmed Notfmed Date: 2017-03-03 Impact factor: 0.840
Authors: T Deffner; G Michels; A Nojack; I Rößler; D Stierle; M Sydlik; S Teufert; U Ullmann; V von Bassewitz; K Wicklein Journal: Med Klin Intensivmed Notfmed Date: 2018-10-26 Impact factor: 0.840
Authors: Bastian Matt; Daniel Schwarzkopf; Konrad Reinhart; Christian König; Christiane S Hartog Journal: J Crit Care Date: 2017-02-27 Impact factor: 3.425
Authors: Candice C Johnson; Mary R Suchyta; Emily S Darowski; Erin M Collar; Amy L Kiehl; Julie Van; James C Jackson; Ramona O Hopkins Journal: Ann Am Thorac Soc Date: 2019-07
Authors: Dorothy M Wade; David C Howell; John A Weinman; Rebecca J Hardy; Michael G Mythen; Chris R Brewin; Susana Borja-Boluda; Claire F Matejowsky; Rosalind A Raine Journal: Crit Care Date: 2012-10-15 Impact factor: 9.097