Jessy Cattelan1, Sara Castellano2,3, Hamid Merdji1,4, Jean Audusseau5, Baptiste Claude1, Léa Feuillassier1, Sibylle Cunat1, Marc Astrié1, Camille Aquin1, Guillaume Buis1, Edgar Gehant1, Amandine Granier1, Hassiba Kercha1, Camille Le Guillou1, Guillaume Martin1, Kevin Roulot1, Ferhat Meziani1,4, Olivier Putois2,6,7, Julie Helms8,9,10. 1. Service de Médecine Intensive-Réanimation, Nouvel Hôpital Civil, Hôpitaux universitaires de Strasbourg, Strasbourg, France. 2. SuLiSoM UR 3071, Faculté de Psychologie, Université de Strasbourg, Strasbourg, France. 3. Unité Médico-Judiciaire, Institut Médico-Légal, Hôpital Raymond-Poincaré, Garches, France. 4. INSERM, UMR 1260, Regenerative Nanomedicine, Fédération de Médecine Translationnelle de Strasbourg, Université de Strasbourg (UNISTRA), Strasbourg, France. 5. LPC UR 4440, Faculté de Psychologie, Université de Strasbourg, Strasbourg, France. 6. Département de Psychiatrie, Santé Mentale et Addictologie, Hôpitaux Universitaires de Strasbourg, Strasbourg, France. 7. Institut Thématique Interdisciplinaire TRANSPLANTEX NG, Université de Strasbourg, Institut d'Immunologie et d'Hématologie, Strasbourg, France. 8. Service de Médecine Intensive-Réanimation, Nouvel Hôpital Civil, Hôpitaux universitaires de Strasbourg, Strasbourg, France. Julie.helms@chru-strasbourg.fr. 9. Institut Thématique Interdisciplinaire TRANSPLANTEX NG, Université de Strasbourg, Institut d'Immunologie et d'Hématologie, Strasbourg, France. Julie.helms@chru-strasbourg.fr. 10. ImmunoRhumatologie Moléculaire, INSERM UMR_S1109, LabEx TRANSPLANTEX, Centre de Recherche d'Immunologie et d'Hématologie, Faculté de Médecine, Fédération Hospitalo-Universitaire OMICARE, Fédération de Médecine Translationnelle de Strasbourg, Université de Strasbourg (UNISTRA), Strasbourg, France. Julie.helms@chru-strasbourg.fr.
Abstract
BACKGROUND: During COVID-19 pandemic, visits have been prohibited in most French ICUs. Psychological effects, for reference persons (RPs), of remote-only communication have been assessed. METHODS: All RPs of patients referred to ICU for COVID-19 were included. HADS, IES-R, and satisfaction were evaluated at admission, discharge/death, and 3 months. At 3 months, a psychologist provided a qualitative description of RPs' psychological distress. RESULTS: Eighty-eight RPs were included. Prevalence of anxiety and depression was 83% and 73% respectively. At 3 months, lower HADS decrease was associated with patient death/continued hospitalization, and/or sleeping disorders in RPs (p < 0.01). Ninety-nine percent RPs felt the patient was safe (9 [7; 10]/10 points, Likert-type scale), confident with caregivers (10 [9; 10]/10 points), and satisfied with information provided (10 [9; 10]/10 points). All RPs stressed the specific-type of "responsibility" associated with being an RP in a remote-only context, leading RPs to develop narrow diffusion strategies (67%) and restrict the array of contacted relatives to a very few and/or only contacting them rarely. 10 RPs (30%) related the situation to a prior traumatic experience. CONCLUSION: RPs experienced psychological distress and reported that being an RP in a remote-only communication context was a specific responsibility and qualified it as an overall negative experience. TRIAL REGISTRATION: NCT04385121 . Registered 12 May 2020. https://clinicaltrials.gov/ .
BACKGROUND: During COVID-19 pandemic, visits have been prohibited in most French ICUs. Psychological effects, for reference persons (RPs), of remote-only communication have been assessed. METHODS: All RPs of patients referred to ICU for COVID-19 were included. HADS, IES-R, and satisfaction were evaluated at admission, discharge/death, and 3 months. At 3 months, a psychologist provided a qualitative description of RPs' psychological distress. RESULTS: Eighty-eight RPs were included. Prevalence of anxiety and depression was 83% and 73% respectively. At 3 months, lower HADS decrease was associated with patientdeath/continued hospitalization, and/or sleeping disorders in RPs (p < 0.01). Ninety-nine percent RPs felt the patient was safe (9 [7; 10]/10 points, Likert-type scale), confident with caregivers (10 [9; 10]/10 points), and satisfied with information provided (10 [9; 10]/10 points). All RPs stressed the specific-type of "responsibility" associated with being an RP in a remote-only context, leading RPs to develop narrow diffusion strategies (67%) and restrict the array of contacted relatives to a very few and/or only contacting them rarely. 10 RPs (30%) related the situation to a prior traumatic experience. CONCLUSION: RPs experienced psychological distress and reported that being an RP in a remote-only communication context was a specific responsibility and qualified it as an overall negative experience. TRIAL REGISTRATION: NCT04385121 . Registered 12 May 2020. https://clinicaltrials.gov/ .
Authors: Judy E Davidson; Rebecca A Aslakson; Ann C Long; Kathleen A Puntillo; Erin K Kross; Joanna Hart; Christopher E Cox; Hannah Wunsch; Mary A Wickline; Mark E Nunnally; Giora Netzer; Nancy Kentish-Barnes; Charles L Sprung; Christiane S Hartog; Maureen Coombs; Rik T Gerritsen; Ramona O Hopkins; Linda S Franck; Yoanna Skrobik; Alexander A Kon; Elizabeth A Scruth; Maurene A Harvey; Mithya Lewis-Newby; Douglas B White; Sandra M Swoboda; Colin R Cooke; Mitchell M Levy; Elie Azoulay; J Randall Curtis Journal: Crit Care Med Date: 2017-01 Impact factor: 7.598
Authors: Işıl Köse; Çiler Zincircioğlu; Yasemin Kılıç Öztürk; Meltem Çakmak; Evin Aydın Güldoğan; Hafize Fisun Demir; Nimet Şenoglu; Rıza Hakan Erbay; Mustafa Gonullu Journal: J Intensive Care Med Date: 2015-07-12 Impact factor: 3.510
Authors: Maité Garrouste-Orgeas; François Philippart; Jean François Timsit; Frédérique Diaw; Vincent Willems; Alexis Tabah; Ghylaine Bretteville; Aude Verdavainne; Benoit Misset; Jean Carlet Journal: Crit Care Med Date: 2008-01 Impact factor: 7.598
Authors: Jason Phua; Li Weng; Lowell Ling; Moritoki Egi; Chae-Man Lim; Jigeeshu Vasishtha Divatia; Babu Raja Shrestha; Yaseen M Arabi; Jensen Ng; Charles D Gomersall; Masaji Nishimura; Younsuck Koh; Bin Du Journal: Lancet Respir Med Date: 2020-04-06 Impact factor: 30.700
Authors: Audra N Iness; Jefferson O Abaricia; Wendemi Sawadogo; Caleb M Iness; Max Duesberg; John Cyrus; Vinay Prasad Journal: Am J Med Date: 2022-04-25 Impact factor: 5.928
Authors: Louise Rose; Tanya Graham; Andreas Xyrichis; Natalie Pattison; Victoria Metaxa; Sian Saha; Pam Ramsay; Joel Meyer Journal: Intensive Crit Care Nurs Date: 2022-05-18 Impact factor: 4.235