TY - JOUR
T1 - Physical, social, mental and spiritual functioning of COVID-19 intensive care unit-survivors and their family members one year after intensive care unit-discharge
T2 - A prospective cohort study
AU - Onrust, Marisa
AU - Visser, Anja
AU - van Veenendaal, Nadine
AU - Dieperink, Willem
AU - Luttik, Marie Louise
AU - Derksen, Mechteld Hanna G.
AU - van der Voort, Peter H.J.
AU - van der Meulen, Ingeborg C.
N1 - Funding Information:
We gratefully acknowledge all the ICU-survivors and family members for participation in the COFICS. Additionally, we thank all (research) nurses who were involved with the study: Desirée Meertens-Demandt, Elza van den Berg, Hester Tamminga, Hetty Kranen, Janneke van der Veen, Marthe Flanderijn and Roos Mensink. Furthermore, we are grateful to Annette de Vries and Judith van ‘t Hof for their contribution to the qualitative data collection and -analysis of this study. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. The trial registration can be found on: ClinicalTrials.gov, NCT04460170.
Publisher Copyright:
© 2022 The Authors
PY - 2023/4
Y1 - 2023/4
N2 - Objective: To describe the long-term functioning of patients who survived a COVID-19-related admission to the intensive care unit and their family members, in the physical, social, mental and spiritual domain. Design: A single-centre, prospective cohort study with a mixed-methods design. Setting: The intensive care unit of the University Medical Center Groningen in the Netherlands. Main outcome measures: To study functioning 12 months after intensive care discharge several measurements were used, including a standardised list of physical problems, the Clinical Frailty Scale, the Medical Outcomes Study Short-Form General Health Survey, the McMaster Family Assessment Device, the Hospital Anxiety and Depression Scale, and the Spiritual Needs Questionnaire, as well as open questions and interviews with survivors and their family members. Results: A total of 56 survivors (77%) returned the 12-month questionnaire, whose median age was 62 (inter-quartile range [IQR]: 55.0–68.0). Moreover, 67 family members (66%) returned the 12-month questionnaire, whose median age was 58 (IQR: 43–66). At least one physical problem was reported by 93% of the survivors, with 22% reporting changes in their work-status. Both survivors (84%) and their family members (85%) reported at least one spiritual need. The need to feel connected with family was the strongest. The main theme was ‘returning to normal’ in the interviews with survivors and ‘if the patient is well, I am well’ in the interviews with family members. Conclusions: One year after discharge, both COVID-19 intensive care survivors and their family members positively evaluate their health-status. Survivors experience physical impairments, and their family members’ well-being is strongly impacted by the health of the survivor.
AB - Objective: To describe the long-term functioning of patients who survived a COVID-19-related admission to the intensive care unit and their family members, in the physical, social, mental and spiritual domain. Design: A single-centre, prospective cohort study with a mixed-methods design. Setting: The intensive care unit of the University Medical Center Groningen in the Netherlands. Main outcome measures: To study functioning 12 months after intensive care discharge several measurements were used, including a standardised list of physical problems, the Clinical Frailty Scale, the Medical Outcomes Study Short-Form General Health Survey, the McMaster Family Assessment Device, the Hospital Anxiety and Depression Scale, and the Spiritual Needs Questionnaire, as well as open questions and interviews with survivors and their family members. Results: A total of 56 survivors (77%) returned the 12-month questionnaire, whose median age was 62 (inter-quartile range [IQR]: 55.0–68.0). Moreover, 67 family members (66%) returned the 12-month questionnaire, whose median age was 58 (IQR: 43–66). At least one physical problem was reported by 93% of the survivors, with 22% reporting changes in their work-status. Both survivors (84%) and their family members (85%) reported at least one spiritual need. The need to feel connected with family was the strongest. The main theme was ‘returning to normal’ in the interviews with survivors and ‘if the patient is well, I am well’ in the interviews with family members. Conclusions: One year after discharge, both COVID-19 intensive care survivors and their family members positively evaluate their health-status. Survivors experience physical impairments, and their family members’ well-being is strongly impacted by the health of the survivor.
KW - Aftercare
KW - COVID-19
KW - Critical care
KW - Family
KW - Post intensive care syndrome
KW - Post intensive care syndrome-family
KW - Quality of life
KW - Spirituality
KW - Survivors
U2 - 10.1016/j.iccn.2022.103366
DO - 10.1016/j.iccn.2022.103366
M3 - Article
AN - SCOPUS:85144355135
SN - 0964-3397
VL - 75
JO - Intensive and Critical Care Nursing
JF - Intensive and Critical Care Nursing
M1 - 103366
ER -