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Concept Analysis of Post Intensive Care Syndrome  

Kang, Ji yeon (Department of Nursing, Dong-A University)
Won, Youn Hui (Dong-A University Medical Center)
Publication Information
Journal of Korean Critical Care Nursing / v.8, no.2, 2015 , pp. 55-65 More about this Journal
Abstract
Purpose: The purpose of this study was to identify the attributes, antecedents, and consequences of post-intensive care syndrome. Methods: The study was conducted in accordance with Walker and Avant's conceptual analysis process. We searched the Medline, ProQuest, Google scholar, NANET (Korean National Assembly Library), and RISS (Korean Education and Research Information Service) databases resulting in 29 studies for in-depth review. Results: The attributes of post-intensive care syndrome include (1) new or worsening impairment persisting after discharge, (2) physical impairment, (3) psychological impairment, (4) cognitive impairment, and (5) symptom experience. The antecedents of the concept include a critical condition that requires intensive care, stressful events, immobility, sedation, delirium, insomnia, frailty, and invasive procedures. The consequences of post-intensive care syndrome are increased dependency in activities of daily life, decreased social interaction, delayed return to previous occupation, decreased quality of life, familial post-intensive care syndrome, and readmission/death. Conclusion: The concept of post-intensive care syndrome has multifaceted and integrative features. Further research needs to be conducted to develop a measurement tool that reflects the attributes of the concept and to develop multidisciplinary interventions to prevent post-intensive care syndrome.
Keywords
Intensive Care; Syndrome; Concept analysis;
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1 Agard, A. S., Egerod, I., Tonnesen, E., & Lomborg, K. (2012). Struggling for independence: a grounded theory study on convalescence of ICU survivors 12 months post ICU discharge. Intensive & Critical Care Nursing, 28(2), 105-113. doi: 10.1016/j.iccn.2012.01.008   DOI
2 Bagshaw, S. M., Stelfox, H. M., McDermid, R. C., Rolfson, D. B., Tsuyuki, R. T., Baig, N., et al. (2014). Association between frailty and short- and long-term outcomes among critically ill patients: a multicentre prospective cohort study. Canadian Medical Association, 186(2), 95-102. doi: 10.1503/cmaj.130639.   DOI
3 Balas, M., Buckingham, R., Braley, T., Saldi, S., & Vasilevikis, E. E. (2013). Extending the ABCDE bundle to the post-intensive care unit setting. The Journals of Gerontology, 39(8), 39-51. doi: 10.3928/00989134-20130530-06   DOI
4 Bemis-Dougherty, A., & Smith, J. M. (2013). What follows survival of critical illness? physical therapists' management of patients with post-intensive care syndrome. Physical Therapy, 93(2), 179-85. doi: 10.2522/ptj.20110429.   DOI
5 Charaoui, K., Laurent, A., Bioy, A., & Quenot, J. P. (2015). Psychological experience of patients 3 months after a stay in the intensive care unit: A descriptive and qualitative study. Journal of Critical Care, 30(3), 599-605. doi: 10.1016/j.jcrc.2015.02.016.   DOI
6 Connolly, B., Salisbury, L., O'Neill, B., Green, L., Douiri, A., Grocott, M. P., et al. (2015). Exercise rehabilitation following intensive care unit discharge for recovery from critical illness. Cochrane Database Systematic Review, 22 : 6. doi: 10.1002/14651858.CD008632.   DOI
7 Corrigan, I., Samuelson, K. A., Fridlund, B., & Thome, B. (2007). The meaning of posttraumatic stress-reactions following critical illness or injury and intensive care treatment. Intensive Critical Care Nursing, 23(4), 206-215.   DOI
8 Davidson, J. E., Harvey, M. A., Bemis-Dougherty, A., Smith, J. M., & Hopkins, R. O. (2013). Implementation of the pain, agitation, and delirium clinical practice guidelines and promoting patient mobility to prevent post-intensive care syndrome. Critical Care Medicine, 41(9 Suppl 1), S136-145. doi: 10.1097/CCM.0b013e3182a24105   DOI
9 Davydow, D. S., Gifford, J. M., Desai, S. V., Needham, D. M., & Bienvenu, O. J. (2008). Posttraumatic stress disorder in general intensive care unit survivors: a systematic review. General Hospital Psychiatry, 30(5), 421-434. doi: 10.1016/j.genhosppsych.2008.05.006   DOI
10 Davydow, D. S., Zatzick, D., Hough, C. L., & Katon, W. J. (2013). A longitudinal investigation of posttraumatic stress and depressive symptoms over the course of the year following medical-surgical intensive care unit admission. General Hospital Psychiatry, 35(3), 226-232. doi: 10.1016/j.genhosppsych.   DOI
11 Deacon, K. S. (2012). Re-building life after ICU: a qualitative study of the patients' perspective. Intensive Critical Care Nursing, 28(2), 144-122. doi: 10.1016/j.iccn.2011.11.008.   DOI
12 Elliott, D., Davidson, J. E., Harvey, M. A., Bemis-Dougherty, A., Hopkins, R. O., Iwashyna, T. J., et al. (2014). Exploring the scope of post-intensive care syndrome therapy and care: engagement of non-critical care providers and survivors in a second stakeholders meeting. Critical Care Medicine, 42(12), 2518-2526. doi: 10.1097/Ccm.0000000000000525.   DOI
13 Khan, B. A., Lasiter, S., & Boustani, M. A. (2015). CE: critical care recovery center: an innovative collaborative care model for ICU survivors. The American Journal of Nursing, 115(3), 24-31. doi: 10.1097/01.NAJ.0000461807.42226.3e.   DOI
14 Ewens, B. A., Hendricks, J. M., & Sundin, D. (2015). The use, prevalence and potential benefits of a diary as a therapeutic intervention/tool to aid recovery following critical illness in intensive care: a literature review. Journal of Clinical Nurse, 24(9-10), 1406-1425. doi: 10.1111/jocn.12736.   DOI
15 Hoffman, L. A., & Guttendorf, J. (2015). Post intensive care syndrome: risk factors and prevention strategies. Critical Care Alert Single Article, 1.
16 Jackson, J. C., Ely, E. W., Morey, M. C., Anderson, V. M., Denne, L. B., Clune, J., et al. (2012). Cognitive and physical rehabilitation of intensive care unit survivors: result of the Return randomized controlled pilot investigation. Critical Care Medicine, 40(4), 1088-1097. doi: 10.1097/CCM.0b013e3182373115.   DOI
17 McKinley, S., Fien, M., Elliott, R., & Elliott, D. (2013). Sleep and psychological health during early recovery from critical illness: an observational study. [Observational Study]. Journal of Psychosomatic Research, 75 (6), 539-545. doi: 10.1016/j.jpsychores.2013.09.007.   DOI
18 Mehlhorn, J., Freytag, A., Schmidt, K., Brunkhorst, F. M., Graf, J., & Troitzsch, U. (2014). Rehabilitation interventions for postintensive care syndrome: a systematic review. Critical Care Medicine, 42(5), 1263-1271, doi: 10.1097/CCM.0000000000000148.   DOI
19 Mikkelsen, S., Kruger, A. J., Zwisler, S. T., & Brochner, A.C. (2015). Outcome following physician supervised prehospital resuscitation: a retrospective study. British Medical Journal, 5(1), 1-8. doi: 10.1136/bmjopen-2014-006167.   DOI
20 Myhren, H., Ekeberg, O., Toien, K., Karlsson, S., & Stokland, O. (2010). Posttraumatic stress, anxiety and depression symptoms in patients during the first year post intensive care unit discharge. Critical Care, 14(1), 14. doi: 10.1186/cc8870.   DOI
21 Needham, D. M., Davidson, J., Cohen, H., Hopkins, R. O., Weinert, C., Wunsch, H., et al. (2012). Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders' conference. Critical Care Medicine, 40(2), 502-509. doi: 10.1097/CCM.0b013e318232da75   DOI
22 Nordon-Craft, A., Schenkman, M., Edbrooke, L., Malone, D. J., Moss, M., & Denehy, L. (2014). The physical function intensive care test: implementation in survivors of critical illness. Physical Therapy, 94(10), 1499-1507. doi: 10.2522/ptj.20130451   DOI
23 Oxford English Dictionary (2015). Syndrome. Retrieved December 1, 2015, from http://www.oed.com/
24 Pandharipande, P. P., Girard, T. D., Jackson, J. C., Morandi, A., Thompson, J. L,. Pun, B. T., et al. (2013). BRAIN-ICU Study Investigators. Long-term cognitive impairment after critical illness. The New England Journal of Medicine. 3(14), 1306-1316. doi: 10.1056/NEJMoa1301372.   DOI
25 Paparrigopoulos, T., Melissaki, A., Efthymiou, A., Tsekou, H., Vadala, C., Kribeni, G., et al. (2006). Short-term psychological impact on family members of intensive care unit patients. Journal of Psychosomatic Research, 61(5), 719-722. doi: 10.1016/j.jpsychores.2006.05.013   DOI
26 Rothenhausler, H. B., Ehrentraut, S., Stoll, C., Schelling, G., & Kapfhammer, H. P. (2001). The relationship between cognitive performance and employment and health status in long-term survivors of the acute respiratory distress syndrome: results of an exploratory study. General Hospital Psychiatry, 23(2), 90-96.   DOI
27 Vest, M. T., Murphy, T. E., Araujo, K. L., & Pisani, M. A. (2011). Disability in activities of daily living, depression, and quality of life among older medical ICU survivors: a prospective cohort study. Health Quality of Life Outcomes, 5(9), 1-10. doi: 10.1186/1477-7525-9-9.   DOI
28 Svenningsen, H., Langhorn, L., Agard, A. S., & Dreyer, P. (2015). Post-ICU symptoms, consequences, and follow-up: an integrative review. Nursing in Critical Care, 17, 1-9. doi: 10.1111/nicc.12165.   DOI
29 The National Institute of the Korean Language (2015). Intensive care, Syndrome. Retrieved September 26, 2015, from http//www.korean.go.kr
30 Ullman, A. J., Aitken, L. M., Rattray, J., Kenardy, J., Le Brocque, R., & MacGillivray, S. (2014). Intensive care diaries to promote recovery for patients and families after critical illness: A Cochrane Systematic Review. International Journal of Nursing Studies, 52(7), 1243-1253. doi: 10.1016/j.ijnurstu.2015.03.020.   DOI
31 Walker, L. O., & Avant, K. C. (2010). Strategies for theory construction in nursing (5th ed.). Upper Saddle River, NJ: Prentice Hall.