Repetto Paula, Ruiz Carolina, Rojas Verónica, Olivares Patricia, Bakker Jan, Alegria Leyla
Escuela de Psicología, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Centro para la Prevención y Control del Cáncer (CECAN), Santiago, Chile.
BMJ Open. 2025 Apr 3;15(4):e084914. doi: 10.1136/bmjopen-2024-084914.
A significant number of critically ill patients who survive their illness will experience new sequelae or a worsening of their baseline health status following their discharge from the hospital. These consequences may be physical, cognitive and/or psychological and have been labelled postintensive care syndrome (PICS). Prior research has demonstrated that spiritual care aligned with a specific creed during hospitalisation in the intensive care unit (ICU), as part of a comprehensive care plan, may be an effective strategy for preventing psychological sequelae in surviving critically ill patients. However, there is a gap in clinical literature regarding the effectiveness of generalist spiritual care in preventing psychological sequelae associated with PICS. This pilot study aims to explore the feasibility of implementing a generalist spiritual care strategy in the ICU and to evaluate its preliminary effectiveness in preventing anxiety and depression symptoms and post-traumatic stress disorder in critically ill patients.
This is a single-site, feasibility randomised controlled pilot trial of a generalist spiritual care intervention compared with the current standard of care. A total of 30 adults who are critically ill and have undergone invasive mechanical ventilation for a minimum of 72 hours without alterations in consciousness will be randomly assigned to either the spiritual care group or the usual care group at a ratio of 1:1. The primary outcome will be the feasibility and acceptability of the spiritual care strategy in critically ill patients. Secondary aims include evaluating the differences in anxiety and depression symptoms and post-traumatic stress disorder between the spiritual care group and the usual care control group at 3 months after ICU discharge. Subjects will be followed up until 3 months post-ICU discharge.
The Ethics Committee for Medical Sciences of Pontificia Universidad Católica de Chile (#220111005) and the Ethics Committee of Servicio de Salud Metropolitano Sur Oriente approved the study. Pontificia Universidad Católica de Chile funded the study (project number 105699/DPCC2021). The findings will be widely disseminated through peer-reviewed publications, academic conferences, local community-based presentations, partner organisations and the Chilean Intensive Care Society.
NCT06048783.
相当数量从重病中存活下来的重症患者在出院后会出现新的后遗症或基线健康状况恶化。这些后果可能是身体、认知和/或心理方面的，被称为重症监护后综合征（PICS）。先前的研究表明，在重症监护病房（ICU）住院期间，作为综合护理计划的一部分，与特定信仰相一致的精神护理可能是预防重症幸存患者心理后遗症的有效策略。然而，关于通科精神护理在预防与PICS相关的心理后遗症方面的有效性，临床文献存在空白。这项试点研究旨在探讨在ICU实施通科精神护理策略的可行性，并评估其在预防重症患者焦虑和抑郁症状以及创伤后应激障碍方面的初步效果。
这是一项单中心、可行性随机对照试点试验，将通科精神护理干预与当前护理标准进行比较。共有30名成年重症患者，他们接受有创机械通气至少72小时且意识无改变，将按1:1的比例随机分配到精神护理组或常规护理组。主要结局将是精神护理策略在重症患者中的可行性和可接受性。次要目标包括评估精神护理组与常规护理对照组在ICU出院后3个月时焦虑和抑郁症状以及创伤后应激障碍的差异。将对受试者进行随访，直至ICU出院后3个月。
智利天主教大学医学科学伦理委员会（#220111005）和南东方大都会卫生服务伦理委员会批准了该研究。智利天主教大学资助了该研究（项目编号105699/DPCC2021）。研究结果将通过同行评审出版物、学术会议、当地社区报告、合作组织和智利重症监护协会广泛传播。
NCT06048783。
