After critical care: Patient support after critical care. A mixed method longitudinal study using email interviews and questionnaires. Issue 4 (August 2015)

• Record Type: Journal Article
• Authors: Pattison, Natalie; O'Gara, Geraldine; Rattray, Janice
• Is Part Of: Intensive and critical care nursing. Volume 31:Issue 4(2015:Aug.)
• Page Start: 213
• Page End: 222
• Publication Date: 2015-08
• Subjects: Intensive care nursing -- Periodicals; Critical Illness -- nursing -- Periodicals; Intensive Care -- Periodicals; Nursing Care -- Periodicals; Intensive care nursing; Periodicals; Electronic journals; 616.028
• DOI: 10.1016/j.iccn.2014.12.002
• Languages: English
• ISSNs: 0964-3397

Abstract

<abstract abstract-type="author" id="abs0005"> <title id="sect0005">Summary</title> <sec> <title id="sect0010">Purpose</title> <p id="spar0005">To explore experiences and needs over time, of patients discharged from ICU using the Intensive Care Experience (ICE-q) questionnaire, Hospital Anxiety and Depression Scale (HADS) and EuroQoL (EQ-5D), associated clinical predictors (APACHE II, TISS, Length of stay, RIKER scores) and in-depth email interviewing.</p> </sec> <sec> <title id="sect0015">Methods</title> <p id="spar0010">A mixed-method, longitudinal study of patients with >48 hour ICU stays at 2 weeks, 6 months, 12 months using the ICE-q, HADS, EQ-5D triangulated with clinical predictors, including age, gender, length of stay (ICU and hospital), APACHE II and TISS. In-depth qualitative email interviews were completed at 1 month and 6 months. Grounded Theory analysis was applied to interview data and data were triangulated with questionnaire and clinical data.</p> </sec> <sec> <title id="sect0020">Results</title> <p id="spar0015">Data was collected from January 2010 to March 2012 from 77 participants. Both mean EQ-5D visual analogue scale, utility scores and HADS scores improved from 2 weeks to 6 months, (<italic>p</italic> = <0.001; <italic>p</italic> = <0.001), but between 6 and 12 months, no change was found in data from either questionnaire, suggesting improvements level off. These variations were reflected in qualitative data themes: rehabilitation/recovery in the context of chronic illness; impact of critical care; emotional and psychological needs (including sub-themes of: information needs and relocation anxiety). The overarching, core theme related to adjustment of normality.</p> </sec> <sec> <title id="sect0025">Conclusions</title> <p id="spar0020">Patient recovery in this population appears to be shaped by ongoing illness and treatment. Email interviews offer a convenient method of gaining in-depth interview data and could be used as part of ICU follow-up.</p> </sec> </abstract>