Self-Care Mental Health App Intervention for Post-Intensive Care Syndrome-Family: A Randomized Pilot Study.

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE

American Journal of Critical Care Pub Date : 2023-11-01 DOI:10.4037/ajcc2023800

Amy B Petrinec, Cindy Wilk, Joel W Hughes, Melissa D Zullo, Richard L George

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引用次数: 0

Abstract

Background: Post-intensive care syndrome-family (PICS-F) is a constellation of adverse psychological symptoms experienced by family members of critically ill patients during and after acute illness. Cognitive behavioral therapy delivered using smartphone technology is a novel approach for PICS-F symptom self-management.

Objective: To determine the efficacy of smartphone delivery of cognitive behavioral therapy in reducing the prevalence and severity of PICS-F symptoms in family members of critically ill patients.

Methods: The study had a randomized controlled longitudinal design with control and intervention groups composed of family members of patients admitted to 2 adult intensive care units. The intervention consisted of a mental health app loaded on participants' personal smartphones. The study time points were upon enrollment (within 5 days of intensive care unit admission; time 1), 30 days after enrollment (time 2), and 60 days after enrollment (time 3). Study measures included demographic data, PICS-F symptoms, mental health self-efficacy, health-related quality of life, and app use.

Results: The study sample consisted of 60 predominantly White (72%) and female (78%) family members (30 intervention, 30 control). Anxiety and depression symptom severity decreased significantly over time in the intervention group but not in the control group. Family members logged in to the app a mean of 11.4 times (range, 1-53 times) and spent a mean of 50.16 minutes (range, 1.87-245.92 minutes) using the app.

Conclusions: Delivery of cognitive behavioral therapy to family members of critically ill patients via a smartphone app shows some efficacy in reducing PICS-F symptoms.

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重症监护后综合征家庭的自我护理心理健康应用干预：一项随机试点研究。

背景：重症监护后综合征家族（PICS-F）是危重患者家属在急性疾病期间和之后经历的一系列不良心理症状。使用智能手机技术提供的认知行为疗法是PICS-F症状自我管理的一种新方法。目的：确定智能手机提供认知行为疗法在降低危重患者家庭成员PICS-F疾病患病率和严重程度方面的疗效。方法：本研究采用随机对照纵向设计，对照组和干预组由入住2个成人重症监护室的患者家属组成。干预包括在参与者的个人智能手机上加载一个心理健康应用程序。研究时间点为入组时（重症监护室入院后5天内；时间1）、入组后30天（时间2）和入组后60天（时间3）。研究指标包括人口统计数据、PICS-F症状、心理健康自我效能感、健康相关生活质量和应用程序使用情况。结果：研究样本由60名主要为白人（72%）和女性（78%）的家庭成员组成（30名干预者，30名对照者）。随着时间的推移，干预组的焦虑和抑郁症状严重程度显著降低，但对照组没有。家庭成员平均登录该应用程序11.4次（范围1-53次），平均使用该应用程序50.16分钟（范围1.87-245.92分钟）。结论：通过智能手机应用程序向危重患者家属提供认知行为治疗在减轻PICS-F症状方面显示出一定的疗效。

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

American Journal of Critical Care 医学-护理

CiteScore

4.30

自引率

3.70%

发文量

103

审稿时长

6-12 weeks

期刊介绍： The editors of the American Journal of Critical Care (AJCC) invite authors to submit original manuscripts describing investigations, advances, or observations from all specialties related to the care of critically and acutely ill patients. Papers promoting collaborative practice and research are encouraged. Manuscripts will be considered on the understanding that they have not been published elsewhere and have been submitted solely to AJCC.