Effects of a visit prior to hospital admission on anxiety, depression and satisfaction of patients in an intensive care unit

Intensive Crit Care Nurs. 2019 Oct;54:46-53. doi: 10.1016/j.iccn.2019.07.001. Epub 2019 Jul 26.

Abstract

Objectives: To assess the effects of a vists prior to hospital admission on anxiety, depression and satisfaction of patients admitted electively to an intensive care unit (ICU).

Design: A randomised clinical trial [NCT03605407].

Setting: A sample of 38 patients was recruited who were to be electively admiited to ICU divided into experimental (n = 19 patients receiving one visit prior to hospital ICU admission for surgery) and control (n = 19 patients not receiving a visit prior to hospital ICU admission for surgery) groups.

Main outcome measurements: Hospital Anxiety and Depression Scale (HADS) and Impact of Event Scale-Revised (IES-R) were self-reported by patients before ICU admission, at 3-days and 90-days after ICU discharge. Critical Care Family Needs Inventory (CCFNI) and Family Satisfaction with Care in the Intensive Care Unit (FS-ICU) were used to measure the users' satisfaction before ICU admission and 3-days after ICU discharge.

Results: There were statistically significant differences between experimental and control groups for FS-ICU, but not for HADS, IES-R and CCFNI. Indeed, control group patients were more satisfied with regard to emotional support, ease of getting information, control feeling, concerns and questions expression ability and overall score for decision-making satisfaction.

Conclusions: The visit prior to hospital admission did not seem to modify anxiety or depression, but may impair satisfaction of ICU patients.

Keywords: Anxiety; Depression; Early intervention (Education); Intensive care units; Patient satisfaction.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Anxiety / etiology*
  • Anxiety / psychology
  • Depression / etiology*
  • Depression / psychology
  • Female
  • Hospitalization*
  • Humans
  • Intensive Care Units / organization & administration
  • Male
  • Middle Aged
  • Patient Satisfaction*
  • Psychometrics / instrumentation
  • Psychometrics / methods
  • Spain
  • Time Factors

Associated data

  • ClinicalTrials.gov/NCT03605407