A Literature Review: Stress Management in The Family of Intensive Care Patients

Gusti Pandi Liputo, Zulfainda Eka PU, Nisa Aruming Sila, Zaenal Abidin, Alwan Revai, Ah Yusuf

= http://dx.doi.org/10.24990/injec.v3i1.175
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Abstract


ABSTRACT

 

Introduction: Intensive care unit is a unit with a complex case and a stressor strainer. When patients enter intensive care families have a variety of stressors such as rapid decision making and costs are not small. The role of nurse as educator is very important in reducing family anxiety with patients treated in intesive units. Mothers of intensive care babies feel a great deal of anxiety over their child's condition, so there needs to be a good system support for the healing of her and her baby. Various ways nurses do in reducing stress experienced by the patient's family such as good communication between nurses and families of patients with intensive care. This review aims to get a picture of stress management that can be done on the family of intensive care patients. Methods: A literature review was conducted in the fields of ebscho, sience direct, elseiver, sage journals, scopus, and proquest, limited the range of the last 10 years from 2007-2017. The final sample included 18 articles. Results: The literature found that the causes of family stressors include rapid decision-making, fear of family emergency conditions, maintenance costs and length of care. Good communication and good information and skill support can decrease the stress experienced by intensive care patients' families. Conclussions: Intensive care is a unit with high complexity, unstable conditions and sophisticated technology. Conditions that require rigorous monitoring not only cause stressors for the patient, but become a stressor for the patient's family.


Keywords


Intensive Care, Stress Management, Family Nursing

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References


Adams, J. A. et al. (2014) ‘Nursing strategies to support family members of ICU patients at high risk of dying’, Heart & Lung: The Journal of Acute and Critical Care. Elsevier Inc, 43(5), pp. 406–415. doi: 10.1016/j.hrtlng.2014.02.001.

Anderson, Arnold and Angus (2009) ‘Passive decision-making preference is associated with anxiety and depression in relatives of patients in the intensive care unit’, Journal of Critical Care, 24(2), pp. 249–254. doi: 10.1016/j.jcrc.2007.12.010.

Azoulay, E., Chaize, M. and Kentish-Barnes, N. (2014) ‘Involvement of ICU families in decisions: fine-tuning the partnership.’, Annals of intensive care, 4, p. 37. doi: 10.1186/s13613-014-0037-5.

Bailey, J. J. et al. (2010) ‘Supporting families in the ICU: A descriptive correlational study of informational support, anxiety, and satisfaction with care’, Intensive and Critical Care Nursing. Elsevier Ltd, 26(2), pp. 114–122. doi: 10.1016/j.iccn.2009.12.006.

Bloomer, M. J. et al. (2013) ‘Nursing care of the family before and after a death in the ICU-An exploratory pilot study’, Australian Critical Care. Australian College of Critical Care Nurses Ltd, 26(1), pp. 23–28. doi: 10.1016/j.aucc.2012.01.001.

Carlson, E. B. et al. (2015) ‘Care and caring in the intensive care unit: Family members’ distress and perceptions about staff skills, communication, and emotional support’, Journal of Critical Care. Elsevier B.V., 30(3), pp. 557–561. doi: 10.1016/j.jcrc.2015.01.012.

Cox, C. E. et al. (2015) ‘Development and usability testing of a Web-based decision aid for families of patients receiving prolonged mechanical ventilation’, Annals of Intensive Care. doi: 10.1186/s13613-015-0045-0.

Creutzfeldt, C. J. et al. (2017) ‘Palliative Care Needs Assessment in the Neuro-ICU: Effect on Family’, Neurocritical Care. Springer US, 27(2), pp. 163–172. doi: 10.1007/s12028-017-0426-3.

Edwards, J. D., Voigt, L. P. and Nelson, J. E. (2017) ‘Ten key points about ICU palliative care’, Intensive Care Medicine. Springer Berlin Heidelberg, 43(1), pp. 83–85. doi: 10.1007/s00134-016-4481-6.

Eggenberger, S. K. and Sanders, M. (2016) ‘A family nursing educational intervention supports nurses and families in an adult intensive care unit’, Australian Critical Care, 29(4), pp. 217–223. doi: 10.1016/j.aucc.2016.09.002.

Guo, P., East, L. and Arthur, A. (2012) ‘A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: A randomized controlled trial’, International Journal of Nursing Studies. Elsevier Ltd, 49(2), pp. 129–137. doi: 10.1016/j.ijnurstu.2011.08.008.

Jongerden, I. P. et al. (2013) ‘Effect of intensive care environment on family and patient satisfaction: A before-after study’, Intensive Care Medicine, 39(9), pp. 1626–1634. doi: 10.1007/s00134-013-2966-0.

McCairn, A. J. and Jones, C. (2014) ‘Does time of transfer from critical care to the general wards affect anxiety? A pragmatic prospective cohort study’, Intensive and Critical Care Nursing. Elsevier Ltd, 30(4), pp. 219–225. doi: 10.1016/j.iccn.2013.12.004.

Mitchell, M. L. et al. (2016) ‘Patient, family-centred care interventions within the adult ICU setting: An integrative review’, Australian Critical Care, 29(4), pp. 179–193. doi: 10.1016/j.aucc.2016.08.002.

Mitchell, M. L. et al. (2017) ‘A family intervention to reduce delirium in hospitalised ICU patients: A feasibility randomised controlled trial’, Intensive and Critical Care Nursing. Elsevier Ltd, 40, pp. 77–84. doi: 10.1016/j.iccn.2017.01.001.

Mitchell, M. L. and Courtney, M. (2004) ‘Reducing family members’ anxiety and uncertainty in illness around transfer from intensive care: An intervention study’, Intensive and Critical Care Nursing, 20(4), pp. 223–231. doi: 10.1016/j.iccn.2004.05.008.

Noome, M. et al. (2016) ‘Exploring family experiences of nursing aspects of end-of-life care in the ICU: A qualitative study’, Intensive and Critical Care Nursing. Elsevier Ltd, 33, pp. 56–64. doi: 10.1016/j.iccn.2015.12.004.

Pochard, F. et al. (2005) ‘Symptoms of Anxiety and Depression in family members of intensive care unit patients before discharge or death’, Journal of critical care medicine, 20(1), pp. 90–96.

Schubart, J. R. et al. (2015) ‘ICU family communication and health care professionals: A qualitative analysis of perspectives’, Intensive and Critical Care Nursing. Elsevier Ltd, 31(5), pp. 315–321. doi: 10.1016/j.iccn.2015.02.003.

Shelton, W. et al. (2010) ‘The effect of a family support intervention on family satisfaction, length-of-stay, and cost of care in the intensive care unit.’, Critical care medicine, 38(5), pp. 1315–1320. doi: 10.1097/CCM.0b013e3181d9d9fe.

Turner, M. et al. (2015) ‘The assessment of parental stress and support in the neonatal intensive care unit using the Parent Stress Scale - Neonatal Intensive Care Unit’, Women and Birth. Australian College of Midwives, 28(3), pp. 252–258. doi: 10.1016/j.wombi.2015.04.001.

Wetzig, K. and Mitchell, M. (2017) ‘The needs of families of ICU trauma patients: an integrative review’, Intensive and Critical Care Nursing. Elsevier Ltd, 41, pp. 63–70. doi: 10.1016/j.iccn.2017.02.006.

Wintermann, G.-B. et al. (2016) ‘Predictors of posttraumatic stress and quality of life in family members of chronically critically ill patients after intensive care’, Annals of Intensive Care. Springer Paris, 6(1), p. 69. doi: 10.1186/s13613-016-0174-0.

Yousefi, H. et al. (2012) ‘Effectiveness of nursing interventions based on family needs on family satisfaction in the neurosurgery intensive care unit.’, Iranian journal of nursing and midwifery research, pp. 296–300.


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