The impact of visiting the Intensive Care Unit (ICU) on children’s and adolescents’ psychological well-being: A systematic review

Financial hardship is a phenomenon which mediates many other factors in life regardless of age group one of many is well-being. Well-being is a multi-disciplinary term. This paper will investigate existing literature on the effect of financial hardship on well-being using systematic review to minimize the biases. The data will be systematically searched with following databases: Wiley-online library, Google scholar, JSTOR, Tandfonline and Emerald. The present study is a systematic review of English language research of 2010 to 2020 research papers on financial hardship and well-being. The databases used in the research are Wiley Online Library, Google Scholar with keywords financial hardship, financial pressure, financial challenges, stress, wellbeing, anxiety, psychological well-being. 81 studies were excluded and 12 studies were selected after reviewing the title and abstract of 93 studies based on the PRISMA. The inclusion and exclusion criteria allow studies of 2010 to 2021 to be considered. Fewer data was present in the subject of wellbeing and financial stress. However, the results show impact of both variables. Financial pressure leads to poor wellbeing and other factors such as lack of social support, unhealthy family environment and dept can robust the impact. The research makes a unique new contribution in research, lending support for policy, academic theory, new contributions to current literature not found elsewhere, especially mental health management policy.

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Protocol for a systematic review and meta-analysis of respiratory rehabilitation following intensive care unit discharge for COVID-19 survivors

BMJ Open ◽

10.1136/bmjopen-2020-041184 ◽

2020 ◽

Vol 10 (12) ◽

pp. e041184

Author(s):

Dan Wang ◽

Jin Li ◽

Feilong Zhu ◽

Qianqin Hong ◽

Ming Zhang ◽

...

Keyword(s):

Systematic Review ◽

Intensive Care Unit ◽

Intensive Care ◽

Meta Analysis ◽

Biomedical Literature ◽

Controlled Trials ◽

Cochrane Central Register ◽

The Impact ◽

Respiratory Rehabilitation

IntroductionBoth physical and mental disorders may be exacerbated in patients with COVID-19 due to the experience of receiving intensive care; undergoing prolonged mechanical ventilation, sedation, proning and paralysis. Pulmonary rehabilitation is aimed to improve dyspnoea, relieve anxiety and depression, reduce the incidence of related complications, as well as prevent and improve dysfunction. However, the impact of respiratory rehabilitation on discharged patients with COVID-19 is currently unclear, especially on patients who have been mechanically ventilated over 24 hours. Therefore, we aim to investigate the efficacy of respiratory rehabilitation programmes, initiated after discharge from the intensive care unit, on the physical and mental health and health-related quality of life in critical patients with COVID-19.Methods and analysisWe have registered the protocol on PROSPERO and in the process of drafting it, we strictly followed the checklist of Preferred Reporting Items for Systematic Review and Meta-Analysis Potocols. We will search the PubMed, EMBASE, Web of Science, the Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, WanFang, VIP information databases and Chinese Biomedical Literature Database. Additionally, ongoing trials in the WHO International Clinical Trials Registry Platform, ClinicalTrials.gov and ISRCTN registry will be searched as well. Studies in English or Chinese and from any country will be accepted regardless of study design. Two review authors will independently extract data and assess the quality of included studies. Continuous data are described as standard mean differences (SMDs) with 95% CIs. Dichotomous data from randomised controlled trials are described as risk ratio(RR) with 95% CIs; otherwise, it is described as odds ratio(OR) with 95% CIs. I2 and the Cochrane’s Q statistic will be used to conduct heterogeneity assessment. The quality of evidence of main outcomes will be evaluated according to the Grading of Recommendations, Assessment, Development and Evaluation(GRADE) criteria. When included studies are sufficient, we will conduct subgroup analysis and sensitivity analysis; the publication bias will be statistically analysed using a funnel plot analysis and Egger’s test.Ethics and disseminationOur review, planning to include published studies, does not need the request to the ethical committee. The final results of this review will be published in a peer-reviewed journal after completion.Patient and public involvementNo patient involved.PROSPERO registration numberCRD42020186791.

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The Impact of Infertility on the Psychological Well-Being, Marital Relationships, Sexual Relationships, and Quality of Life of Couples: A Systematic Review

Journal of Sex & Marital Therapy ◽

10.1080/0092623x.2014.958789 ◽

2014 ◽

Vol 41 (6) ◽

pp. 610-625 ◽

Cited By ~ 84

Author(s):

Bronya Hi-Kwan Luk ◽

Alice Yuen Loke

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Well Being ◽

Marital Relationships ◽

Sexual Relationships ◽

Psychological Well Being ◽

The Impact

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Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs

BMJ Quality & Safety ◽

10.1136/bmjqs-2020-012474 ◽

2021 ◽

pp. bmjqs-2020-012474

Author(s):

Joanna Abraham ◽

Alicia Meng ◽

Sanjna Tripathy ◽

Michael S Avidan ◽

Thomas Kannampallil

Keyword(s):

Systematic Review ◽

Intensive Care Unit ◽

Intensive Care ◽

Operating Room ◽

Meta Analysis ◽

Intervention Group ◽

Future Research ◽

Original Research ◽

Cochrane Central Register ◽

The Impact

ObjectiveTo conduct a systematic review and meta-analysis to ascertain the impact of operating room (OR) to intensive care unit (ICU) handoff interventions on process-based and clinical outcomes.MethodWe included all English language, prospective evaluation studies of OR to ICU handoff interventions published as original research articles in peer-reviewed journals. The search was conducted on 11 November 2019 on MEDLINE, CINAHL, EMBASE, Scopus and the Cochrane Central Register of Controlled Trials databases, with no prespecified criteria for the type of comparison or outcome. A meta-analysis of similar outcomes was conducted using a random effects model. Quality was assessed using a modified Downs and Black (D&B) checklist.Results32 studies were included for review. 31 studies were conducted at a single site and 28 studies used an observational study design with a control. Most studies (n=28) evaluated bundled interventions which comprised information transfer/communication checklists and protocols. Meta-analysis showed that the handoff intervention group had statistically significant improvements in time to analgesia dosing (mean difference (MD)=−42.51 min, 95% CI −60.39 to −24.64), fewer information omissions (MD=−2.22, 95% CI −3.68 to –0.77), fewer technical errors (MD=−2.38, 95% CI −4.10 to –0.66) and greater information sharing scores (MD=30.03%, 95% CI 19.67% to 40.40%). Only 15 of the 32 studies scored above 9 points on the modified D&B checklist, indicating a lack of high-quality studies.DiscussionBundled interventions were commonly used to support OR to ICU handoff standardisation. Although the meta-analysis showed significant improvements for a number of clinical and process outcomes, the statistical and clinical heterogeneity must be accounted for when interpreting these findings. Implications for OR to ICU handoff practice and future research are discussed.

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Clinical and Economic Outcomes of Telemedicine Programs in the Intensive Care Unit: A Systematic Review and Meta-Analysis

Journal of Intensive Care Medicine ◽

10.1177/0885066617726942 ◽

2017 ◽

Vol 33 (7) ◽

pp. 383-393 ◽

Cited By ~ 33

Author(s):

Jing Chen ◽

Dalong Sun ◽

Weiming Yang ◽

Mingli Liu ◽

Shufan Zhang ◽

...

Keyword(s):

Systematic Review ◽

Intensive Care Unit ◽

Intensive Care ◽

Length Of Stay ◽

Hospital Mortality ◽

Meta Analysis ◽

Hospital Length ◽

Hospital Length Of Stay ◽

Icu Length Of Stay ◽

The Impact

Objective: To evaluate the impact of telemedicine programs in intensive care unit (Tele-ICU) on ICU or hospital mortality or ICU or hospital length of stay and to summarize available data on implementation cost of Tele-ICU. Methods: Controlled trails or observational studies assessing outcomes of interest were identified by searching 7 electronic databases from inception to July 2016 and related journals and conference literatures between 2000 and 2016. Two reviewers independently screened searched records, extracted data, and assessed the quality of included studies. Random-effect models were applied to meta-analyses and sensitivity analysis. Results: Nineteen of 1035 records fulfilled the inclusion criteria. The pooled effects demonstrated that Tele-ICU programs were associated with reductions in ICU mortality (15 studies; risk ratio [RR], 0.83; 95% confidence interval [CI], 0.72 to 0.96; P = .01), hospital mortality (13 studies; RR, 0.74; 95% CIs, 0.58 to 0.96; P = .02), and ICU length of stay (9 studies; mean difference [MD], −0.63; 95% CI, −0.28 to 0.17; P = .007). However, there is no significant association between the reduction in hospital length of stay and Tele-ICU programs. Summary data concerning costs suggested approximately US$50 000 to US$100 000 per Tele-ICU bed was required to implement Tele-ICU programs for the first year. Hospital costs of US$2600 reduction to US$5600 increase per patient were estimated using Tele-ICU programs. Conclusions: This systematic review and meta-analysis provided limited evidence that Tele-ICU approaches may reduce the ICU and hospital mortality, shorten the ICU length of stay, but have no significant effect in hospital length of stay. Implementation of Tele-ICU programs substantially costs and its long-term cost-effectiveness is still unclear.

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Do Genital Cosmetic Procedures Improve Women’s Self-Esteem? A Systematic Review and Meta-Analysis

Aesthetic Surgery Journal ◽

10.1093/asj/sjaa038 ◽

2020 ◽

Vol 40 (10) ◽

pp. 1143-1151

Author(s):

Gemma Sharp ◽

Pascale Maynard ◽

Abdul-Rahman Hudaib ◽

Christine A Hamori ◽

Jayson Oates ◽

...

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Empirical Support ◽

Well Being ◽

Self Esteem ◽

Psychological Well Being ◽

Cosmetic Procedure ◽

Labia Minora ◽

The Impact ◽

Positive Effect

Abstract Background The popularity of genital cosmetic procedures in women is increasing. These procedures are often assumed and promoted as having a positive effect on women’s psychological well-being, particularly their self-esteem. Empirical support for these claims is lacking. Objectives The aim of this study was to conduct a systematic review and meta-analysis of the impact of genital cosmetic procedures on self-esteem in women. Methods The authors performed a systematic literature review of MEDLINE, PreMEDLINE, Ebase, EMBASE, OVID, CINAHL, Cochrane, PsycINFO, and PubMed to identify articles that measured self-esteem in women after a genital cosmetic procedure. A meta-analysis was conducted to assess the pooled effect of these procedures on self-esteem. Results The authors identified 5 eligible studies for the meta-analysis, comprising 2 prospective and 3 retrospective studies. Labia minora reduction was the most commonly studied procedure. All 5 studies used different measures of self-esteem, with only 1 study employing a validated psychometric measure at both preoperative and postoperative time points. The meta-analysis results showed a pooled logit rate estimate of 1.230, indicating a positive effect of surgery on self-esteem. However, there was substantial heterogeneity across studies. Conclusions Female genital cosmetic procedures, particularly labiaplasty, appear to have a positive effect on women’s self-esteem. However, inconsistencies in study measures and methods limit our conclusions. Future research should involve the development of standardized outcome measures to more accurately assess the impact of these procedures on self-esteem, and on psychological well-being more generally. Level of Evidence: 3

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The impact of FFP3 respirators on the blood saturation of intensive care unit medical staff.

10.21203/rs.3.rs-812029/v1 ◽

2021 ◽

Author(s):

Izabela Wojtasz ◽

Krystyna Jaracz ◽

Pawel Sobczynski ◽

Artur Druzdz ◽

Danuta Dyk ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Mixed Model ◽

Controlled Trial ◽

Well Being ◽

Normal Ranges ◽

Care Workers ◽

Reliable Solution ◽

And Control ◽

The Impact

Abstract BackgroundRecent studies support the effectiveness of filtering facepiece class 3 respirators (FFP3) during the COVID-19 pandemic in terms of protecting both health care workers (HCWs) and patients. However, wearing FFP3 respirators together with personal protective equipment (FFP3/PPE) could increase the feeling of discomfort or could even cause hypoxia. This study aims to investigate whether wearing an FPP3/PPE during work in the intensive care unit (ICU) affects the blood saturation (SpO2), the heart rate (HR), and the well-being of HCWs, as depicted by a score scale.MethodsThe study included a group of 21 volunteers, staff nurses, students and consultants (including 16 females (76%), with a median age of 23 years (interquartile range 21-27), range 20-59 years).We applied a counterbalanced crossover design—a self-controlled trial. Each subject served as his own control and performed the test two times: they wore the FFP3/PPE for a three-hour shift in the ICU and then did not wear the FFP3/PPE for 3 hours. To record the SpO2 and HR in real time, we used a Nellcor PM10N (Coviden, USA) portable monitoring system. Additionally, every 30 minutes during the shift and control run, each subject completed a questionnaire concerning their well-being, with a score scale to evaluate for headaches, shortness of breath, perspiration, fatigue, and thirst.ResultsThe mixed model demonstrated that working with an FFP3/PPE compared to not working with an FFP3/PPE caused a significant, but still within normal ranges, influence on the level of SpO2, with a mean decrease of -1.43%. The highest reduction in the SpO2 was 2.29%, and occurred after 150 minutes of work. We also found a significant increase in the HR at 60, 90, and 120 minutes after starting work. All of the score scales of the well-being markers increased consecutively but were moderate during the shift while wearing the FFP3/PPE; the side effects were mainly fatigue, thirst, and sweating.ConclusionWe assume that a 3 hour shift rhythm –, i.e., three hours of working in the FFP3/PPE in the ICU, followed by rest or working without an FFP3/PPE is a safe and reliable solution.

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