Saeid Yaser, Salaree Mohammad Mahdi, Ebadi Abbas, Moradian Seyed Tayeb
Students Research Committee and Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Health Research Center. Life style institute, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Iran J Nurs Midwifery Res. 2020 Sep 1;25(5):361-368. doi: 10.4103/ijnmr.IJNMR_243_19. eCollection 2020 Sep-Oct.
Hospitalization in the Intensive Care Unit (ICU) brings about psychological and physical symptoms in patients' family members. Family Intensive Care Unit Syndrome (FICUS) is a term used to explain the psychological symptoms of the family of a patient in response to the patient's admission to the ICU. The purpose of this study was to define FICUS along with its symptoms and predictors.
The Web of Science, PubMed, Scopus, Google Scholar, and SID databases were searched for literature published in 2005-2018 with the keywords "FICUS," "intensive care unit," "family," "caregivers," "anxiety," "depression," and "post-traumatic stress disorder" in their title and abstract. The strategy for conducting an integrative review provided by Whittemore and Knafl (2005) was used in this study.
Twenty articles were included in the final data analysis. Following the patient's admission to the ICU, family members experience multiple psychological symptoms such as FICUS. The most commonly reported symptoms were anxiety, depression, post-traumatic stress disorder (PTSD), complicated grief, sleep disorder, stress, and fatigue. The low education level, having a critically-ill spouse, adequate support, financial stability, preference for decision-making, understanding of the disease process, anxiety, depression, or previous acute stress were predictors of FICUS.
On the basis of the results, families also experience physical symptoms, so the FICUS is not limited to the occurrence of psychological symptoms. This study found that there is no universal definition for the term "FICUS" in the research literature. Thus, further research is needed to explore FICUS in the health field.
入住重症监护病房（ICU）会给患者家属带来心理和身体症状。家庭重症监护病房综合征（FICUS）是一个用于解释患者家属因患者入住ICU而产生的心理症状的术语。本研究的目的是明确FICUS及其症状和预测因素。
在科学网、PubMed、Scopus、谷歌学术和SID数据库中检索2005 - 2018年发表的文献，其标题和摘要中包含关键词“FICUS”、“重症监护病房”、“家庭”、“照顾者”、“焦虑”、“抑郁”和“创伤后应激障碍”。本研究采用了Whittemore和Knafl（2005）提供的综合综述方法。
最终数据分析纳入了20篇文章。患者入住ICU后，家属会出现多种心理症状，如FICUS。最常报告的症状是焦虑、抑郁、创伤后应激障碍（PTSD）、复杂性悲伤、睡眠障碍、压力和疲劳。低教育水平、有重症配偶、充足的支持、经济稳定、决策偏好、对疾病过程的理解、焦虑、抑郁或既往急性应激是FICUS的预测因素。
基于研究结果，家属也会出现身体症状，因此FICUS并不局限于心理症状的发生。本研究发现，研究文献中对“FICUS”一词没有统一的定义。因此，需要进一步研究以探索健康领域中的FICUS。
