onr:"swepub:oai:DiVA.org:liu-70483"
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- Bäckman, Carl GLinköpings universitet,Institutionen för klinisk och experimentell medicin,Hälsouniversitetet (author)
A case-control study of the influence of the ICU-diary concept on mastery and hopelessness six months after critical illness
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- LIBRIS-ID:oai:DiVA.org:liu-70483
- https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-70483URI
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- Language:English
- Summary in:English
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- The ICU-diary concept is associated with less post-traumatic stress syndrome and improved perceived health-related quality-of-life (HRQoL) after critical illness, but little is known about its effect on the coping- mastery process, or whether it reduces hopelessness. Objective: To see if the ICU-diary concept improves the patient’s ability to master his/her situation after critical illness, and if it reduces the feeling of hopelessness. Design: Case control study (subgroup analysis of a multi-centre study on health-related quality-of-life (HRQoL). Setting: Non-academic 8-bed general ICU. Patients: Adults admitted between March 2002 and June 2004. Measurements: Mastery and hopelessness were determined using validated questionnaires (the Mastery-Coping scale and a consolidated 2–item hopelessness questionnaire) which were sent home to patients 6 months after critical illness. Responses were compared between patients that received (Cases: n=38) or did not receive an ICU-diary (Controls: n=76) . Diaries were used when a long and complicated stay on the ICU was expected. Controls were matched with diary patients by gender and age. The effect of the ICU-diary was also examined using a multiple regression model. Results: The ICU-diary concept group scored significantly higher than the No-diary group in mastery (22.1 vs. 20.4, P<0.05) and lower in hopelessness scores (1.3 vs. 1.6, P<0.05). The positive influence of the ICU-diary disappeared after adjustment for confounding factors in a multiple regression model. Conclusion: We were unable to verify any positive influence of the ICU-diary concept on mastery and hopelessness 6 months after critical illness.
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- MEDICINE
- MEDICIN
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- Orwelius, LottiLinköpings universitet,Institutionen för medicin och hälsa,Hälsouniversitetet (author)
- Sjöberg, FolkeÖstergötlands Läns Landsting,Linköpings universitet,Brännskadevård,Hälsouniversitetet,Hand- och plastikkirurgiska kliniken US(Swepub:liu)folsj94 (author)
- Fredrikson, MatsLinköpings universitet,Yrkes- och miljömedicin,Hälsouniversitetet(Swepub:liu)matfr43 (author)
- Walther, Sten MÖstergötlands Läns Landsting,Linköpings universitet,Fysiologi,Hälsouniversitetet,Thorax-kärlkliniken i Östergötland(Swepub:liu)stewa50 (author)
- Linköpings universitetInstitutionen för klinisk och experimentell medicin (creator_code:org_t)
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