Optimizing Recovery Following Critical Illness: A Systematic Review of Home-Based Interventions

IF 0.8 Q4 NURSING
Alicia F. Holod, Jiyeon Choi, J. Tate
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引用次数: 0

Abstract

Around 5 million Americans are treated in an intensive care unit (ICU) annually. Upon discharge, it is not uncommon for ICU survivors to experience psychological, physical, or cognitive symptoms related to their ICU stay. Home-based interventions have been touted as a potential treatment modality for post-ICU sequelae. However, limited evidence exists regarding the effectiveness of home-based interventions for patients in the post-ICU recovery period. As such, the purpose of this review was to aggregate and summarize the findings of studies focused on post-ICU rehabilitation, following critical illness, delivered in the home setting. A literature search was performed in MEDLINE, CINAHL, EMBASE, APA PsycINFO, and Google Scholar. Studies were included if they: used a RCT or quasi-experimental study design; included participants aged ≥18 years discharged home from an ICU; examined the effectiveness of a home-based, post-ICU intervention; were published in English after the year 2010; and were peer-reviewed. Nine studies met inclusion criteria. Sample sizes ranged from 21 to 386, with most participants receiving mechanical ventilation. Target outcomes included: physical function, psychological well-being, cognitive function, quality of life, and healthcare utilization. Interventions included face-to-face, web-based, telephone, or self-directed activities. Findings of included studies were mixed or inconclusive. Limitations of this review include: inclusion of only adult ICU survivors, exclusion of Post-Intensive Care Syndrome as a search term, and search restricted to pre-pandemic studies. Findings suggest a need for more rigorous research to develop and test home-based interventions.
优化危重疾病后的康复:以家庭为基础的干预措施的系统回顾
每年约有500万美国人在重症监护病房(ICU)接受治疗。出院后,ICU幸存者经历与ICU住院相关的心理、身体或认知症状并不罕见。以家庭为基础的干预措施已被吹捧为icu后后遗症的潜在治疗方式。然而,关于家庭干预对icu后恢复期患者的有效性的证据有限。因此,本综述的目的是汇总和总结重症监护后康复的研究结果,在家庭环境中进行。在MEDLINE、CINAHL、EMBASE、APA PsycINFO和谷歌Scholar中进行文献检索。纳入以下研究:采用随机对照试验或准实验研究设计;受试者年龄≥18岁,从ICU出院;检查了以家庭为基础的icu后干预的有效性;于2010年以后以英文出版;并经过同行评审。9项研究符合纳入标准。样本量从21人到386人不等,大多数参与者接受机械通气。目标结果包括:身体功能、心理健康、认知功能、生活质量和医疗保健利用。干预措施包括面对面、网络、电话或自我指导的活动。纳入的研究结果是混合的或不确定的。本综述的局限性包括:仅纳入ICU成年幸存者,排除重症监护后综合征作为搜索词,并且搜索仅限于大流行前的研究。研究结果表明,需要进行更严格的研究,以开发和测试基于家庭的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.30
自引率
18.20%
发文量
29
期刊介绍: Home Health Care Management & Practice is a comprehensive resource for clinicians, case managers, and administrators providing home and community based health care. Articles address diverse issues, ranging from individual patient care and case management to the human resource management and organizational operations management and administration of organizations and agencies. Regular columns focus on research, legal issues, psychosocial perspectives, accreditation and licensing, compliance, management, and cultural diversity. Specific topics include treatment, care and therapeutic techniques, cultural competence, family caregivers, equipment management, human resources, home health center.
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