Experience of Post-ICU Syndrome in Critical Disease Survivors

Ángela María Henao-Castaño; Nathaly  Rivera-Romero; Heidi Paola   Ospina Garzon

doi:10.5294/aqui.2022.22.1.6

Autores/as

Ángela María Henao-Castaño Autor/a Universidad Nacional de Colombia https://orcid.org/0000-0003-4203-0016
Nathaly Rivera-Romero Autor/a Universidad Nacional de Colombia https://orcid.org/0000-0002-3758-8798
Heidi Paola Ospina Garzon Autor/a Hospital FedericoLleras Acosta https://orcid.org/0000-0002-9802-7628

DOI:

https://doi.org/10.5294/aqui.2022.22.1.6

Palabras clave:

Enfermedad crítica, cuidados críticos, investigación cualitativa, paciente, sobrevivientes

Resumen

Introducción: sobrevivir a la Unidad de Cuidados Intensivos (UCI) trae sentimientos positivos y negativos, dependiendo de la experiencia de cada persona. Asimismo, algunos pacientes pueden presentar consecuencias físicas y mentales negativas tras el alta, lo que ocasiona una estadía en casa muy compleja.

Objetivo: comprender la experiencia de los sobrevivientes de enfermedades críticas después de tres meses del alta de la UCI.

Métodos: estudio fenomenológico hermenéutico mediante entrevistas a profundidad a 15 participantes adultos después de tres meses del alta de la UCI. El análisis de datos se realizó con base en los procedimientos de Cohen, Kahn y Steeves.

Resultados: el análisis fenomenológico reveló tres temas existenciales: Cambios en la memoria y el estado de ánimo, Cambios en la vida cotidiana y Mi cuerpo después de la UCI.

Conclusión: sobrevivir en la UCI trae consigo aspectos positivos como ganarle una batalla a la muerte; sin embargo, las consecuencias psicológicas, emocionales y físicas tras el alta convierten todo esto en una experiencia agotadora.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Bemis-Dougherty AR, Smith JM. What Follows Survival of Critical Illness? Physical Therapists’ Management of Patients With Post-Intensive Care Syndrome. Phys Ther. 2013 Feb;93(2):179–85. DOI: https://doi.org/10.2522/ptj.20110429

Kotfis K, Marra A, Ely EW. ICU delirium ― a diagnostic and therapeutic challenge in the intensive care unit. Anestezjol Intens Ter. 2018 Jun;50(2):160–7. DOI: https://doi.org/10.5603/AIT.a2018.0011

Inouye SK, Rushing JT, Foreman MD, Palmer RM, Pompei P. Does delirium contribute to poor hospital outcomes? J Gen Intern Med. 1998 Mar;13(4):234–42. DOI: https://doi.org/10.1046/j.1525-1497.1998.00073.x

Jackson JC, Girard TD, Gordon SM, Thompson JL, Shintani AK, Thomason JWW, et al. Long-term Cognitive and Psychological Outcomes in the Awakening and Breathing Controlled Trial. Am J Respir Crit Care Med. 2010 Jul;182(2):183–91. DOI: https://doi.org/10.1164/rccm.200903-0442OC

Ouimet S, Kavanagh BP, Gottfried SB, Skrobik Y. Incidence, risk factors and consequences of ICU delirium. Intensive Care Med. 2007;33(1):66–73. DOI: https://doi.org/10.1007/s00134-006-0399-8

Pisani MA, Kong SYJ, Kasl SV, Murphy TE, Araujo KLB, Van Ness PH. Days of Delirium Are Associated with 1-Year Mortality in an Older Intensive Care Unit Population. Am J Respir Crit Care Med. 2009 Dec;180(11):1092–7. DOI: https://doi.org/10.1164/rccm.200904-0537OC

Witlox J, Eurelings LSM, de Jonghe JFM, Kalisvaart KJ, Eikelenboom P, van Gool WA. Delirium in Elderly Patients and the Risk of Postdischarge Mortality, Institutionalization, and Dementia. JAMA. 2010 Jul;304(4):443. DOI: https://doi.org/10.1001/jama.2010.1013

Girard TD, Jackson JC, Pandharipande PP, Pun BT, Thompson JL, Shintani AK, et al. Delirium as a predictor of long-term cognitive impairment in survivors of critical illness. Crit Care Med. 2010 Jul;38(7):1513–20. DOI: https://doi.org/10.1097/CCM.0b013e3181e47be1

Brummel NE, Jackson JC, Pandharipande PP, Thompson JL, Shintani AK, Dittus RS, et al. Delirium in the ICU and Subsequent Long-Term Disability Among Survivors of Mechanical Ventilation. Crit Care Med. 2014 Feb;42(2):369–77. DOI: https://doi.org/10.1097/ccm.0b013e3182a645bd

Midega TD, Oliveira HSB de, Fumis RRL. Satisfaction of family members of critically ill patients admitted to a public hospital intensive care unit and correlated factors. Rev Bras Ter Intensiva. 2019;31(2).

Wang S, Allen D, Perkins A, Monahan P, Khan S, Lasiter S, et al. Validation of a new clinical tool for post-intensive care syndrome. Am J Crit CARE. 2019 Jan;28(1):10–8. DOI: https://doi.org/10.4037/ajcc2019639

Needham DM, Davidson J, Cohen H, Hopkins RO, Weinert C, Wunsch H, et al. Improving long-term outcomes after discharge from intensive care unit: Report from a stakeholders’ conference. Crit Care Med. 2012;40(2):502–9. DOI: https://doi.org/10.1097/CCM.0b013e318232da75

Ferrante LE, Pisani MA, Murphy TE, Gahbauer EA, Leo- Summers LS, Gill TM. Factors associated with functional recovery among older intensive care unit survivors. Am J Respir Crit Care Med. 2016;194(3):299–307. DOI: https://doi.org/10.1164/rccm.201506-1256OC

Henao Castaño ÁM, Gutiérrez SA, Trujillo JC. To be without sedation, is to know that one is alive. Invest educ enferm. 2010;28(1):23–31.

Chahraoui K, Laurent A, Bioy A, Quenot JP. Psychological experience of patients 3 months after a stay in the intensive care unit: A descriptive and qualitative study. J Crit Care [Internet]. 2015;30(3):599–605. DOI: https://doi.org/10.1016/j.jcrc.2015.02.016

Altman MT, Knauert MP, Pisani MA. Sleep disturbance after hospitalization and critical illness: A systematic review. Ann Am Thorac Soc. 2017;14(9):1457–68. DOI: https://doi.org/10.1513/AnnalsATS.201702-148SR

Sinuff T, Cook DJ, Giacomini M. How qualitative research can contribute to research in the intensive care unit. J Crit Care. 2007;22(2):104–11. DOI: https://doi.org/10.1016/j.jcrc.2007.03.001

Frechette J, Bitzas V, Aubry M, Kilpatrick K, Lavoie-Tremblay M. Capturing Lived Experience: Methodological Considerations for Interpretive Phenomenological Inquiry. Int J Qual Methods. 2020;19:1–12. DOI: https://doi.org/10.1177/1609406920907254

Van Manen M. Phenomenology of Practice. California: Left Coast Press I; 2014.

Declaracion-Helsinki [Internet]. 2013. Available from: https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/

Duarte PAD, Costa JB, Duarte ST, Taba S, Lordani CRF, Osaku EF, et al. Characteristics and outcomes of intensive care unit survivors: Experience of a multidisciplinary outpatient clinic in a teaching hospital. Clinics. 2017;72(12):764–72. DOI: https://doi.org/10.6061/clinics/2017(12)08

Cuthbertson BH, Roughton S, Jenkinson D, MacLennan G, Vale L. Quality of life in the five years after intensive care: A cohort study. Crit Care. 2010;14(1):1–12. DOI: https://doi.org/10.1186/cc8848

Gerth AMJ, Hatch RA, Young JD, Watkinson PJ. Changes in health-related quality of life after discharge from an intensive care unit: a systematic review. Anaesthesia. 2019;74(1):100–8. DOI: https://doi.org/10.1111/anae.14444

Ranzani OT, Zampieri FG, Park M, Salluh JIF. Long-term mortality after critical care: What is the starting point? Crit Care. 2013;17(5):1. DOI: https://doi.org/10.1186/cc13024

Tripathy S, Acharya SP, Singh S, Patra S, Mishra BR, Kar N. Post traumatic stress symptoms, anxiety, and depression in patients after intensive care unit discharge- A longitudinal cohort study from a LMIC tertiary care centre. BMC Psychiatry. 2020;20(1):1–11. DOI: https://doi.org/10.1186/s12888-020-02632-x

Elías MN, Munro CL, Liang Z. Sleep Quality Associated With Motor Function Among Older Adult Survivors of Critical Illness. Nurs Res. 2020;69(4):322–8. DOI: https://doi.org/10.1097/NNR.0000000000000418

El-Khatib MF, Esquinas AM. Sleep quality in survivors of critical illness: practical shortcomings unresolved. Sleep Breath. 2019;23(2):583–4. DOI: https://doi.org/10.1007/s11325-018-1719-2

Pintado MC, Villa P, Luján J, Trascasa M, Molina R, González-García N, et al. Mortality and functional status at one-year of follow-up in elderly patients with prolonged ICU stay. Med Intensiva. 2016;40(5):289–97. DOI: https://doi.org/10.1016/j.medine.2015.08.006

Heydon E, Wibrow B, Jacques A, Sonawane R, Anstey M. The needs of patients with post-intensive care syndrome: A prospective, observational study. Aust Crit Care. 2020;33(2):116–22. DOI: https://doi.org/10.1016/j.aucc.2019.04.002

Scheunemann LP, White JS, Prinjha S, Hamm ME, Girard TD, Skidmore ER, et al. Post-intensive care unit care: A qualitative analysis of patient priorities and implications for redesign. Ann Am Thorac Soc. 2020;17(2):221–8. DOI: https://doi.org/10.1513/AnnalsATS.201904-332OC