Leonard Kiara, Turner Emma, Douglas Megan E, Patel Sarita, Bennett Monica M, Curcio Nicholas, Adams Maris, Pogue Jamie, McMinn Kenleigh, Petrey Laura, Reynolds Megan, Powers Mark B, Warren Ann Marie
Division of Trauma, Critical Care, and Acute Care Surgery, Baylor University Medical Center, Dallas, Texas, USA.
Baylor Scott & White Research Institute, Dallas, Texas, USA.
Proc (Bayl Univ Med Cent). 2024 Jul 16;37(5):717-724. doi: 10.1080/08998280.2024.2374126. eCollection 2024.
Caregivers to intensive care unit survivors are vulnerable to caregiver burden, which has been demonstrated to have consequences to patients' and caregivers' mental and physical health. Potentially modifiable factors should be explored so that interventions may be developed.
Ninety-one anticipated caregivers were prospectively assessed both at a southwestern trauma intensive care unit during their patient's admission and at home via remote interview 3 months after intensive care unit admission. Caregiver depression, posttraumatic stress symptoms, experiences, and perceived burden were assessed.
At follow up, there was a significant negative correlation between caregiver burden and understanding of their patient's condition ( < 0.001) and intensive care unit events ( = 0.008). Caregivers with lower understanding of their patient's injury/illness had significantly greater depressive symptoms ( = 0.04).
Education and knowledge of intensive care unit events regarding their patient may influence perceived burden among caregivers. Interventions to orient caregivers to intensive care unit events are suggested to reduce caregiver and healthcare system burden.
重症监护病房幸存者的照料者易承受照料负担，事实证明，这种负担会对患者和照料者的身心健康产生影响。应探索潜在的可改变因素，以便制定干预措施。
前瞻性评估了91名预期照料者，在西南部一家创伤重症监护病房，于其患者入院期间进行评估，并在重症监护病房入院3个月后通过远程访谈在其家中进行评估。评估了照料者的抑郁、创伤后应激症状、经历和感知负担。
在随访时，照料负担与对患者病情的了解（<0.001）和重症监护病房事件（=0.008）之间存在显著负相关。对患者损伤/疾病了解较少的照料者有明显更严重的抑郁症状（=0.04）。
关于其患者的重症监护病房事件的教育和知识可能会影响照料者的感知负担。建议采取干预措施，使照料者了解重症监护病房事件，以减轻照料者和医疗系统的负担。
