Krishnamoorthy Dinesh, Venkataraman Ramesh, Ramakrishnan Nagarajan, Vignesh C
Department of Critical Care Medicine, Apollo Hospitals, Chennai, Tamil Nadu, India.
Indian J Crit Care Med. 2025 Feb;29(2):155-163. doi: 10.5005/jp-journals-10071-24894. Epub 2025 Jan 31.
We aimed to study decision-making preferences and levels of anxiety and depression in family members of patients admitted to the intensive care unit (ICU).
This was a prospective observational study done in the mixed medical-surgical ICU. About 127 patients were recruited in first analysis and 100 patients were recruited in second analysis. Decision-making preferences were obtained only during first analysis. Hospital anxiety and depression scale (HADS) scores were calculated during both times. Hospital anxiety and depression scale scores more than or equal to 11 were found to have anxiety and depression. We also aimed to study the association between decision-making preferences and levels of anxiety and depression.
Around 27 relatives did not give consent during second time analysis. About 61% preferred shared decision-making and 27 and 12% preferred active and passive decision-making respectively. About 63% of the relatives had anxiety during first analysis and 54% had anxiety during second analysis. 66.9% had symptoms of depression during first analysis and 62% had depression during second analysis. There was a significant association between decision-making preferences and level of anxiety and depression.
In our study, the majority of the relatives preferred shared decision-making, and the incidence of anxiety and depression seems to be high in the Indian population. A significant association was found between decision-making preferences and level of anxiety and depression, with passive decision-making being associated with a higher risk of anxiety and depression.
Krishnamoorthy D, Senthilkumar, Venkataraman R, Ramakrishnan N, Vignesh C. Decision-making Preferences and Levels of Anxiety and Depression in Family Members of Patients Admitted to the ICU. Indian J Crit Care Med 2025;29(2):155-163.
我们旨在研究重症监护病房（ICU）收治患者家属的决策偏好以及焦虑和抑郁水平。
这是一项在综合内科 - 外科ICU进行的前瞻性观察性研究。首次分析招募了约127名患者，第二次分析招募了100名患者。仅在首次分析时获取决策偏好。两次分析均计算医院焦虑抑郁量表（HADS）得分。医院焦虑抑郁量表得分大于或等于11分被认为存在焦虑和抑郁。我们还旨在研究决策偏好与焦虑和抑郁水平之间的关联。
约27名亲属在第二次分析时未给予同意。约61%的人倾向于共同决策，分别有27%和12%的人倾向于主动和被动决策。约63%的亲属在首次分析时有焦虑，54%在第二次分析时有焦虑。66.9%在首次分析时有抑郁症状，62%在第二次分析时有抑郁。决策偏好与焦虑和抑郁水平之间存在显著关联。
在我们的研究中，大多数亲属倾向于共同决策，并且印度人群中焦虑和抑郁的发生率似乎较高。决策偏好与焦虑和抑郁水平之间存在显著关联，被动决策与更高的焦虑和抑郁风险相关。
Krishnamoorthy D, Senthilkumar, Venkataraman R, Ramakrishnan N, Vignesh C. 重症监护病房收治患者家属的决策偏好及焦虑和抑郁水平. 《印度重症监护医学杂志》2025;29(2):155 - 163.
