Hye Young Woo, Seung-Young Oh, Leerang Lim, Hyunjae Im, Hannah Lee, Eun Jin Ha, Ho Geol Ryu
{"title":"在 COVID-19 大流行期间对重症监护室进行虚拟探视的效果：重症监护室探视随机对照试验》。","authors":"Hye Young Woo, Seung-Young Oh, Leerang Lim, Hyunjae Im, Hannah Lee, Eun Jin Ha, Ho Geol Ryu","doi":"10.1097/CCM.0000000000006429","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to demonstrate the impact of virtual visits on the satisfaction of family members and the anxiety and depression of patients in the ICU during the COVID-19 pandemic.</p><p><strong>Design: </strong>A single-center, randomized controlled trial.</p><p><strong>Setting: </strong>This study was conducted from July 2021 to May 2022, in the Seoul National University Hospital.</p><p><strong>Patients: </strong>A total of 40 patients eligible for virtual visitation whose Richmond Agitation-Sedation Scale score was -2 or above were recruited and randomized into virtual visitation and usual care groups.</p><p><strong>Interventions: </strong>Virtual visitation began on the first day after ICU admission and continued until ICU discharge, lasting for a maximum of 7 days.</p><p><strong>Measurements and main results: </strong>The primary outcome was the satisfaction level of the family members with care and decision-making in the ICU, assessed using the Family Satisfaction-ICU (FS-ICU) 24-survey questionnaire. Secondary outcomes included patient anxiety and depression levels assessed using the Hospital Anxiety and Depression Scale (HADS), at the study enrollment after ICU admission and at the end of the study. After two patients were excluded due to clinical deterioration, 38 patients were ultimately analyzed, including 18 patients in the virtual visitation group and 20 patients in the usual care group. The FS-ICU 24 survey score was significantly higher in the virtual visitation group (89.1 ± 13.0 vs. 75.1 ± 17.7; p = 0.030). The reduction in HADS-Anxiety (59.4% vs. 15.39; p < 0.001) and HADS-Depression (64.5% vs. 24.2%; p < 0.001) scores between the two time points, from study enrollment after ICU admission to the end of the study was significantly larger in the virtual visitation group.</p><p><strong>Conclusions: </strong>In the COVID-19 pandemic era, virtual visits to ICU patients helped reduce depression and anxiety levels of patients and increase the satisfaction of their family members. Enhancing access to virtual visits for family members and developing a consistent approach may improve the quality of care during another pandemic.</p>","PeriodicalId":10765,"journal":{"name":"Critical Care Medicine","volume":" ","pages":""},"PeriodicalIF":7.7000,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Efficacy of Virtual Visitation in ICU During COVID-19 Pandemic: The ICU Visits Randomized Controlled Trial.\",\"authors\":\"Hye Young Woo, Seung-Young Oh, Leerang Lim, Hyunjae Im, Hannah Lee, Eun Jin Ha, Ho Geol Ryu\",\"doi\":\"10.1097/CCM.0000000000006429\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>This study aimed to demonstrate the impact of virtual visits on the satisfaction of family members and the anxiety and depression of patients in the ICU during the COVID-19 pandemic.</p><p><strong>Design: </strong>A single-center, randomized controlled trial.</p><p><strong>Setting: </strong>This study was conducted from July 2021 to May 2022, in the Seoul National University Hospital.</p><p><strong>Patients: </strong>A total of 40 patients eligible for virtual visitation whose Richmond Agitation-Sedation Scale score was -2 or above were recruited and randomized into virtual visitation and usual care groups.</p><p><strong>Interventions: </strong>Virtual visitation began on the first day after ICU admission and continued until ICU discharge, lasting for a maximum of 7 days.</p><p><strong>Measurements and main results: </strong>The primary outcome was the satisfaction level of the family members with care and decision-making in the ICU, assessed using the Family Satisfaction-ICU (FS-ICU) 24-survey questionnaire. Secondary outcomes included patient anxiety and depression levels assessed using the Hospital Anxiety and Depression Scale (HADS), at the study enrollment after ICU admission and at the end of the study. After two patients were excluded due to clinical deterioration, 38 patients were ultimately analyzed, including 18 patients in the virtual visitation group and 20 patients in the usual care group. The FS-ICU 24 survey score was significantly higher in the virtual visitation group (89.1 ± 13.0 vs. 75.1 ± 17.7; p = 0.030). 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引用次数: 0
摘要
研究目的本研究旨在证明在 COVID-19 大流行期间，虚拟探视对重症监护室患者家属的满意度以及焦虑和抑郁情绪的影响：设计：单中心随机对照试验：研究于2021年7月至2022年5月在首尔大学医院进行：共招募了40名符合虚拟探视条件且里士满躁动-镇静量表评分为-2分或以上的患者，并将其随机分为虚拟探视组和常规护理组：干预措施：虚拟探视从重症监护室入院后第一天开始，一直持续到重症监护室出院，最长持续7天：主要结果是家庭成员对重症监护室护理和决策的满意度，采用家庭满意度-重症监护室（FS-ICU）24-调查问卷进行评估。次要结果包括使用医院焦虑抑郁量表（HADS）评估患者入院时和研究结束时的焦虑和抑郁水平。由于临床病情恶化，两名患者被排除在外，最终对 38 名患者进行了分析，其中包括虚拟探视组的 18 名患者和常规护理组的 20 名患者。虚拟探视组的 FS-ICU 24 调查得分明显更高（89.1 ± 13.0 vs. 75.1 ± 17.7; p = 0.030）。虚拟探视组的 HADS-焦虑（59.4% vs. 15.39；p < 0.001）和 HADS-抑郁（64.5% vs. 24.2%；p < 0.001）得分在两个时间点之间（从入院后进入 ICU 到研究结束）的下降幅度明显更大：结论：在 COVID-19 大流行时期，对重症监护室患者进行虚拟探视有助于降低患者的抑郁和焦虑水平，并提高其家属的满意度。增加家属虚拟探视的机会并制定一致的方法，可能会在另一次大流行中提高护理质量。
Efficacy of Virtual Visitation in ICU During COVID-19 Pandemic: The ICU Visits Randomized Controlled Trial.
Objectives: This study aimed to demonstrate the impact of virtual visits on the satisfaction of family members and the anxiety and depression of patients in the ICU during the COVID-19 pandemic.
Design: A single-center, randomized controlled trial.
Setting: This study was conducted from July 2021 to May 2022, in the Seoul National University Hospital.
Patients: A total of 40 patients eligible for virtual visitation whose Richmond Agitation-Sedation Scale score was -2 or above were recruited and randomized into virtual visitation and usual care groups.
Interventions: Virtual visitation began on the first day after ICU admission and continued until ICU discharge, lasting for a maximum of 7 days.
Measurements and main results: The primary outcome was the satisfaction level of the family members with care and decision-making in the ICU, assessed using the Family Satisfaction-ICU (FS-ICU) 24-survey questionnaire. Secondary outcomes included patient anxiety and depression levels assessed using the Hospital Anxiety and Depression Scale (HADS), at the study enrollment after ICU admission and at the end of the study. After two patients were excluded due to clinical deterioration, 38 patients were ultimately analyzed, including 18 patients in the virtual visitation group and 20 patients in the usual care group. The FS-ICU 24 survey score was significantly higher in the virtual visitation group (89.1 ± 13.0 vs. 75.1 ± 17.7; p = 0.030). The reduction in HADS-Anxiety (59.4% vs. 15.39; p < 0.001) and HADS-Depression (64.5% vs. 24.2%; p < 0.001) scores between the two time points, from study enrollment after ICU admission to the end of the study was significantly larger in the virtual visitation group.
Conclusions: In the COVID-19 pandemic era, virtual visits to ICU patients helped reduce depression and anxiety levels of patients and increase the satisfaction of their family members. Enhancing access to virtual visits for family members and developing a consistent approach may improve the quality of care during another pandemic.
期刊介绍：
Critical Care Medicine is the premier peer-reviewed, scientific publication in critical care medicine. Directed to those specialists who treat patients in the ICU and CCU, including chest physicians, surgeons, pediatricians, pharmacists/pharmacologists, anesthesiologists, critical care nurses, and other healthcare professionals, Critical Care Medicine covers all aspects of acute and emergency care for the critically ill or injured patient.
Each issue presents critical care practitioners with clinical breakthroughs that lead to better patient care, the latest news on promising research, and advances in equipment and techniques.
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