The Effect of Intensive Care Unit Diaries on Posttraumatic Stress Disorder, Anxiety, and Depression: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

IF 1.4 Q3 NURSING

Dimensions of Critical Care Nursing Pub Date : 2022-09-01 DOI:10.1097/DCC.0000000000000539

Arianna Gazzato, Tommaso Scquizzato, Guglielmo Imbriaco, Alessandra Negro, Maria Cristina Caballo Garrido, Giovanni Landoni, Alberto Zangrillo, Giovanni Borghi

{"title":"The Effect of Intensive Care Unit Diaries on Posttraumatic Stress Disorder, Anxiety, and Depression: A Systematic Review and Meta-analysis of Randomized Controlled Trials.","authors":"Arianna Gazzato, Tommaso Scquizzato, Guglielmo Imbriaco, Alessandra Negro, Maria Cristina Caballo Garrido, Giovanni Landoni, Alberto Zangrillo, Giovanni Borghi","doi":"10.1097/DCC.0000000000000539","DOIUrl":null,"url":null,"abstract":"Introduction: Patients discharged from the intensive care unit (ICU) suffer from long-term symptoms affecting the physical, psychological, and cognitive well-being and cannot understand memories and dreams. Intensive care unit diaries describe daily events about the patient and may allow them to reconstruct their experience.Objective: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) to investigate the effects of ICU diaries on posttraumatic stress disorder (PTSD), depression, and anxiety.Methods: Five electronic databases were searched up to May 6, 2022. We included RCTs comparing patients admitted to the ICU who received a diary to those who did not receive a diary. The primary outcome was the rate of PTSD. Secondary outcomes were rates of depression and anxiety.Results: We included 7 RCTs. Patients who received a diary during the ICU admission had reduced rate of PTSD (78/432 [18%] vs 106/422 [25%]; risk ratio [RR], 0.73; 95% confidence interval [CI], 0.57-0.94; P = .02; I2 = 0%; trial sequential analysis-adjusted CI, 0.55-0.97) when compared with patients who did not receive a diary. We found a non-statistically significant difference toward a reduction in the rate of depression (38/232 [16%] vs 54/224 [24%]; RR, 0.70; 95% CI, 0.49-1.01; P = .06; I2 = 0%) and anxiety (63/232 [27%] vs 70/224 [31%]; RR, 0.64; 95% CI, 0.29-1.40; P = .26; I2 = 67%).Conclusions: Providing an ICU diary to patients admitted to the ICU reduced the rate of PTSD symptoms compared with usual care.","PeriodicalId":46646,"journal":{"name":"Dimensions of Critical Care Nursing","volume":"41 5","pages":"256-263"},"PeriodicalIF":1.4000,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Dimensions of Critical Care Nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/DCC.0000000000000539","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 2

Abstract

Introduction: Patients discharged from the intensive care unit (ICU) suffer from long-term symptoms affecting the physical, psychological, and cognitive well-being and cannot understand memories and dreams. Intensive care unit diaries describe daily events about the patient and may allow them to reconstruct their experience.

Objective: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) to investigate the effects of ICU diaries on posttraumatic stress disorder (PTSD), depression, and anxiety.

Methods: Five electronic databases were searched up to May 6, 2022. We included RCTs comparing patients admitted to the ICU who received a diary to those who did not receive a diary. The primary outcome was the rate of PTSD. Secondary outcomes were rates of depression and anxiety.

Results: We included 7 RCTs. Patients who received a diary during the ICU admission had reduced rate of PTSD (78/432 [18%] vs 106/422 [25%]; risk ratio [RR], 0.73; 95% confidence interval [CI], 0.57-0.94; P = .02; I2 = 0%; trial sequential analysis-adjusted CI, 0.55-0.97) when compared with patients who did not receive a diary. We found a non-statistically significant difference toward a reduction in the rate of depression (38/232 [16%] vs 54/224 [24%]; RR, 0.70; 95% CI, 0.49-1.01; P = .06; I2 = 0%) and anxiety (63/232 [27%] vs 70/224 [31%]; RR, 0.64; 95% CI, 0.29-1.40; P = .26; I2 = 67%).

Conclusions: Providing an ICU diary to patients admitted to the ICU reduced the rate of PTSD symptoms compared with usual care.

查看原文本刊更多论文

重症监护病房日记对创伤后应激障碍、焦虑和抑郁的影响:随机对照试验的系统回顾和荟萃分析。

从重症监护病房(ICU)出院的患者会遭受影响身体、心理和认知健康的长期症状，并且无法理解记忆和梦想。重症监护室日记描述了病人的日常事件，并可能使他们重建他们的经历。目的:我们对随机对照试验(RCTs)进行系统回顾和荟萃分析，探讨ICU日记对创伤后应激障碍(PTSD)、抑郁和焦虑的影响。方法:检索截至2022年5月6日的5个电子数据库。我们纳入了比较ICU住院患者接受日记与未接受日记患者的随机对照试验。主要结果是PTSD的发病率。次要结果是抑郁和焦虑的发生率。结果:我们纳入了7项随机对照试验。在ICU住院期间接受日记的患者PTSD发生率降低(78/432 [18%]vs 106/422 [25%]);风险比[RR]， 0.73;95%置信区间[CI]， 0.57-0.94;P = .02;I2 = 0%;试验序贯分析校正CI, 0.55-0.97)，与未接受日记的患者相比。我们发现在降低抑郁率方面存在无统计学意义的差异(38/232 [16%]vs 54/224 [24%];RR 0.70;95% ci, 0.49-1.01;P = .06;I2 = 0%)和焦虑(63/232 [27%]vs 70/224 [31%];RR 0.64;95% ci, 0.29-1.40;P = .26;I2 = 67%)。结论:与常规护理相比，向ICU患者提供ICU日记可降低PTSD症状的发生率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Dimensions of Critical Care Nursing NURSING-

CiteScore

2.40

自引率

5.90%

发文量

102

期刊介绍： The primary purpose of Dimensions of Critical Care Nursing™ is to provide nurses with accurate, current, and relevant information and services to excel in critical care practice.