Effectiveness of interventions to prevent or treat prolonged grief symptoms among families of patients who die in intensive care units: a systematic review protocol.
Ana Rosinhas, Aramid Gomes, Rosa Silva, Lino Ramos, Elisabete Alves, Francisco Sampaio
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引用次数: 0
Abstract
Objective: The objective of this review is to evaluate the effectiveness of interventions to prevent or treat prolonged grief symptoms among families of patients who die in the intensive care unit (ICU).
Introduction: Up to 52% of families of patients who die in an ICU may be at risk of experiencing prolonged grief symptoms. This psychological morbidity should be addressed as early as possible through effective interventions.
Inclusion criteria: Studies of adult family members (≥18 years) of adult patients (≥18 years) who died in the ICU after a treatment withdrawal or withholding decision will be considered for inclusion. Family members must be exposed to tailored interventions to prevent or treat prolonged grief symptoms before, during, and/or after the patient's death. Randomized and non-randomized controlled trials; before and after studies; and interrupted time-series, cohort, and case-control studies will be considered.
Methods: The JBI methodology for systematic reviews of effectiveness will be followed. Databases to be searched include CINAHL, Academic Search Complete, Psychology and Behavioral Sciences Collection, Cochrane Central Register of Controlled Trials, and APA PsycINFO (all via EBSCOhost), as well as PubMed, Web of Science Core Collection, and Scopus. Two independent reviewers will perform the study selection, critical appraisal, and data extraction. Studies will be pooled in meta-analysis, if possible. Heterogeneity will be assessed using the standard χ 2 and I 2 tests. Statistical analyses will be performed using the random-effects model. The fixed-effects model will be used if fewer than 5 studies are included. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach will be used to grade the certainty of evidence, and a Summary of Findings will be presented.
目的：本综述的目的是评估干预措施的有效性，以预防或治疗在重症监护病房（ICU）死亡的患者家属中延长的悲伤症状。在ICU中死亡的患者中，高达52%的家庭可能面临长期悲伤症状的风险。应该通过有效的干预措施尽早解决这种心理疾病。纳入标准：纳入成人患者（≥18岁）在停药或停药决定后在ICU死亡的成年家庭成员（≥18岁）的研究。在病人死亡之前、期间和/或之后，家庭成员必须接受量身定制的干预措施，以预防或治疗长期的悲伤症状。随机和非随机对照试验；学习前后；中断的时间序列、队列和病例对照研究也将被考虑。方法：采用JBI方法对疗效进行系统评价。要检索的数据库包括CINAHL、Academic Search Complete、Psychology and Behavioral Sciences Collection、Cochrane Central Register of Controlled Trials和APA PsycINFO（全部通过EBSCOhost），以及PubMed、Web of Science Core Collection和Scopus。两名独立审稿人将进行研究选择、批判性评估和数据提取。如果可能的话，研究将汇总在荟萃分析中。异质性将使用标准χ 2和i2检验进行评估。统计分析将使用随机效应模型进行。如果纳入的研究少于5项，则采用固定效应模型。建议、评估、发展和评价的分级（GRADE）方法将用于对证据的确定性进行分级，并提出一份调查结果摘要。评审注册：PROSPERO CRD42024528308。
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