Family-authored ICU diaries to reduce fear in patients experiencing a cardiac arrest (FAID fear): A pilot randomized controlled trial.
Family-authored ICU diaries to reduce fear in patients experiencing a cardiac arrest (FAID fear): A pilot randomized controlled trial.
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DOI：
10.1371/journal.pone.0288436
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
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心脏骤停 (CA) 的幸存者及其家人经常会经历严重的基于恐惧的痛苦（心脏恐惧；即对 CA 幸存者心脏的恐惧）。 CA 后基于恐惧的痛苦与 CA 幸存者心脏事件复发率和死亡率较高相关。正如二元破坏理论 (DDT) 所假设的，家庭成员的心脏恐惧可能通过基于社会的机制导致 CA 幸存者的痛苦。因此，减少家庭痛苦的干预措施可能会改善 CA 幸存者的结局。 ICU 日记易于实施且可扩展，有望减少 CA 后的痛苦，但主要针对幸存者。家庭撰写的 ICU 日记旨在减少经历 CA 的患者的恐惧 (FAID Fear) 试点随机对照试验的主要目的是测试仅针对家庭成员痛苦的 ICU 日记干预的可行性。 CA 后住院患者的家属 (N = 16) 以 2:1 的比例随机分配接受 FAID 恐惧干预或常规护理。干预参与者获得了简短的指示，并被要求每周写两次日记，直到医院护理结束。评估在基线入组、医院护理结束以及 30 天后进行。参与者的平均年龄为 50.73 岁（SD = 13.41；80% 顺性别女性；60% 白人）。招募（16/25 转介；64.0%）、保留（14/16 注册；87.5%）和干预依从性（7/10 完成；70%）都是有希望的。大多数人认为 ICU 日记干预是适当的（7/10 完成；70.0%）、可行（9/10 完成；90.0%]）和可接受的（8/10 完成；80.0%）。在医院护理结束时和 30 天后，干预参与者（与对照组相比）的恐惧程度没有显着降低。 FAID Fear 代表了建立基于理论的二元干预措施的第一步，该干预措施可用于支持 ICU 中 CA 幸存者的家庭成员，并有可能改善 CA 幸存者的预后。
Survivors of cardiac arrest (CA) and their family members often experience significant fear-based distress (cardiac fear; i.e., fear about the CA survivor’s heart). Fear-based distress after CA is associated with higher rates of cardiac event recurrence and mortality in CA survivors. As posited in Dyadic Disruption Theory (DDT), cardiac fear in family members may contribute to the development of distress in CA survivors via socially-based mechanisms. Thus, interventions to reduce family distress may improve CA survivors’ outcomes. ICU diaries are easy to implement and scalable and show promise for reducing distress after CA but are primarily targeted towards survivors. The primary aim of the Family-Authored ICU Diaries to reduce Fear in Patients Experiencing a CA (FAID Fear) pilot randomized controlled trial was to test feasibility of an ICU diary intervention targeted towards family member distress alone. Family members of patients hospitalized after CA (N = 16) were randomized 2:1 to receive the FAID Fear intervention or usual care. Intervention participants were provided brief instructions and were asked to write in the diary twice per week until the end of hospital care. Assessments occurred at baseline enrollment, end of hospital care, and 30 days later. Participants’ mean age was 50.73 years (SD = 13.41; 80% cis-gender female; 60% White). Recruitment (16/25 referred; 64.0%), retention (14/16 enrolled; 87.5%), and intervention adherence (7/10 completed; 70%) were promising. Most agreed that the ICU diary intervention was appropriate (7/10 completed; 70.0%), feasible (9/10 completed; 90.0%]), and acceptable (8/10 completed; 80.0%). Fear was nonsignificantly lower in intervention participants (v. control) at end of hospital care and 30 days later. FAID Fear represents a first step in building theory-based dyadic interventions that can be implemented to support family members of CA survivors in the ICU, with potential to improve outcomes in CA survivors.
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DOI：
10.1146/annurev-clinpsy-032816-045111
发表时间：
2017-01-01
期刊：
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, VOL 13
影响因子：
--
作者：
Kiecolt-Glaser, Janice K.;Wilson, Stephanie J.
通讯作者：
Wilson, Stephanie J.
影响因子：
2.7
作者：
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通讯作者：
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影响因子：
5.4
作者：
Butler, Emily A.
通讯作者：
Butler, Emily A.
影响因子：
3.3
作者：
Cornelius, Talea;Derby, Lilly;Edmondson, Donald
通讯作者：
Edmondson, Donald
影响因子：
7
作者：
Fait, Keren;Vilchinsky, Noa;Matetzky, Shlomi
通讯作者：
Matetzky, Shlomi