Soothing music improves the sleep quality of critically ill patients in intensive care

2013 ◽  
Vol 27 (39) ◽  
pp. 14-14
Keyword(s):  
Intensive Care ◽  
Sleep Quality ◽  
Critically Ill ◽  
Critically Ill Patients

Post-intensive care syndrome symptoms and health-related quality of life in family decision-makers of critically ill patients

2017 ◽  
Vol 16 (6) ◽  
pp. 719-724 ◽  
Author(s):  
Amy B. Petrinec ◽  
Bradley R. Martin
Keyword(s):  
Quality Of Life ◽  
Intensive Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Summary Score ◽  
Icu Admission ◽  
Related Quality ◽  
Health Related ◽  
Anxiety Depression

AbstractObjectiveFamily members of critically ill patients can suffer symptoms of post-intensive care syndrome-family (PICS-F), including anxiety, depression, and posttraumatic stress disorder (PTSD) with a diminished quality of life. Our aim was to examine the relationship between coping strategies used by family decision-makers (FDMs) of critically ill patients and the severity of PICS-F symptoms and to examine the relationship between FDM PICS-F symptoms and health-related quality of life (HRQOL).MethodA single-center, prospective, longitudinal descriptive study was undertaken of FDMs of intensive care unit (ICU) patients admitted to a large tertiary care hospital. PICS-F symptoms and coping strategy use were measured upon ICU admission (T1), 30 days (T2) after ICU admission, and 60 days (T3) after ICU admission. HRQOL was measured by the Short Form-36 version 2 at T1 and T3.ResultsWe found a significant prevalence of anxiety (45.8%), depression (25%), and PTSD (11.1%) symptoms among FDMs over the course of the study. The patient mortality rate in our sample was 50%. The HRQOL mental summary score in FDMs was low at T1 and decreased to M = 41.72 (standard deviation = 12.47) by T3. Avoidant coping demonstrated moderate relationships with PTSD symptoms and anxiety at T3. A previous history of anxiety, depression, or PTSD was a significant predictor of PICS-F symptom severity and prevalence. PICS symptom severity at T3 explained 75% of the variance in HRQOL mental summary score.Significance of resultsThis study describes a significant prevalence of PICS-F symptoms in FDMs with a diminished mental HRQOL.

scholarly journals Post-Intensive Care Syndrome in Survivors from Critical Illness including COVID-19 Patients: A Narrative Review

Life ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 107
Author(s):  
Charikleia S. Vrettou ◽  
Vassiliki Mantziou ◽  
Alice G. Vassiliou ◽  
Stylianos E. Orfanos ◽  
Anastasia Kotanidou ◽  
...  
Keyword(s):  
Intensive Care ◽  
Critical Illness ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Relevant Literature ◽  
Medical Science ◽  
Care Community ◽  
Physical Problems ◽  
Post Intensive Care Syndrome

Current achievements in medical science and technological advancements in intensive care medicine have allowed better support of critically ill patients in intensive care units (ICUs) and have increased survival probability. Post-intensive care syndrome (PICS) is a relatively new term introduced almost 10 years ago, defined as “new or worsening impairments in physical, cognitive, or mental health status arising after critical illness and persisting beyond acute care hospitalization”. A significant percentage of critically ill patients suffer from PICS for a prolonged period of time, with physical problems being the most common. The exact prevalence of PICS is unknown, and many risk factors have been described well. Coronavirus disease 2019 (COVID-19) survivors seem to be at especially high risk for developing PICS. The families of ICU survivors can also be affected as a response to the stress suffered during the critical illness of their kin. This separate entity is described as PICS family (PICS-F). A multidisciplinary approach is warranted for the treatment of PICS, involving healthcare professionals, clinicians, and scientists from different areas. Improving outcomes is both challenging and imperative for the critical care community. The review of the relevant literature and the study of the physical, cognitive, and mental sequelae could lead to the prevention and timely management of PICS and the subsequent improvement of the quality of life for ICU survivors.

scholarly journals Improving Sleep in Intensive Care Unit: An Overview of Diagnostic and Therapeutic Options

2019 ◽  
Vol 7 (5) ◽  
pp. 697-702
Author(s):  
Ravindranath Tiruvoipati ◽  
Juan Mulder ◽  
Kavi Haji
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Sleep Quality ◽  
Critically Ill ◽  
Poor Quality ◽  
Quality Of Sleep ◽  
Pharmacological Agents ◽  
Quality Sleep ◽  
Assess Quality

Good quality sleep is considered to be essential for healthy living and recovering from illness. It would be logical to think that good quality sleep is most required when a patient is critically ill in an intensive care unit (ICU). Several studies have demonstrated poor quality of sleep while the patients are in ICU. Subjective tools such as questionnaires while simple are unreliable to accurately assess sleep quality. Relatively few studies have used standardized polysomnography. The use of novel biological markers of sleep such as serum brain-derived neurotrophic factor concentrations may help in conjunction with polysomnography to assess sleep quality in critically ill patients. Attempts to improve sleep included nonpharmacological interventions including the use of earplugs, eye sleep masks, and pharmacological agents including ketamine, propofol, dexmedetomidine, and benzodiazepines. The evidence for these interventions remains unclear. Further research is needed to assess quality of sleep and improve the sleep quality in intensive care settings.

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