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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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- Bäckman, Carl G (författare)
- Linköpings universitet,Institutionen för klinisk och experimentell medicin,Hälsouniversitetet
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- Orwelius, Lotti (författare)
- Linköpings universitet,Institutionen för medicin och hälsa,Hälsouniversitetet
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- Sjöberg, Folke (författare)
- Östergötlands Läns Landsting,Linköpings universitet,Brännskadevård,Hälsouniversitetet,Hand- och plastikkirurgiska kliniken US
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- Engelska.
- Annan publikation (övrigt vetenskapligt/konstnärligt)
Abstract
Ämnesord
Stäng
- 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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- Bäckman, Carl G
- Orwelius, Lotti
- Sjöberg, Folke
- Fredrikson, Mats
- Walther, Sten M
- Av lärosätet
- Linköpings universitet
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