Department of Anesthesiology, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, 2730 Herlev, Denmark.
Health & Medical Sciences, University of Copenhagen, and Intensive Care Unit 4131, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark.
Intensive Crit Care Nurs. 2018 Aug;47:39-45. doi: 10.1016/j.iccn.2018.03.002. Epub 2018 Mar 30.
Relatives of intensive care patients are at risk of developing symptoms of anxiety, depression and posttraumatic stress resulting in reduced health-related quality of life. Recovery programmes for patients have been implemented, but their effect on relatives is uncertain.
To determine whether relatives benefit from a recovery programme intended for intensive care survivors.
A randomised controlled trial of 181 adult relatives: intervention group (n = 87), control group (n = 94).
Ten intensive care units in Denmark.
Primary outcome: health-related quality of life (HRQOL).
Sense of coherence (SOC), and symptoms of anxiety, depression and posttraumatic stress, compared to standard care at 12 months after intensive care discharge.
No difference in HRQOL between groups was observed at 12 months (mean difference in mental component summary score, 1.35 [CI 95%: -3.13; 5.82], p = 0.55; and physical component summery score, 1.86 [CI 95%: -1.88; 5.59], p = 0.33). No differences were found in secondary outcomes.
The recovery programme intended for intensive care survivors did not have an effect on the relatives. Future recovery programmes should be targeted to help both patient and family, and future research should be conducted on a larger scale to make conclusions with higher probability.
重症监护患者的亲属有出现焦虑、抑郁和创伤后应激症状的风险，从而导致健康相关生活质量下降。已经为患者实施了康复计划，但这些计划对亲属的效果尚不确定。
确定重症监护幸存者的康复计划是否使亲属受益。
一项针对 181 名成年亲属的随机对照试验：干预组（n=87），对照组（n=94）。
丹麦的 10 个重症监护病房。
主要结局：健康相关生活质量（HRQOL）。
在重症监护出院后 12 个月时，与标准护理相比，感知凝聚力（SOC）以及焦虑、抑郁和创伤后应激症状。
在 12 个月时，两组之间的 HRQOL 无差异（心理成分综合评分的平均差异，1.35 [95%CI：-3.13；5.82]，p=0.55；以及生理成分综合评分的平均差异，1.86 [95%CI：-1.88；5.59]，p=0.33）。次要结局也没有差异。
针对重症监护幸存者的康复计划对亲属没有影响。未来的康复计划应针对帮助患者和家庭，未来的研究应在更大规模上进行，以提高结论的可能性。
