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Psychological effects of remote-only communication among reference persons of ICU patients during COVID-19 pandemic

BACKGROUND: During COVID-19 pandemic, visits have been prohibited in most French ICUs. Psychological effects, for reference persons (RPs), of remote-only communication have been assessed. METHODS: All RPs of patients referred to ICU for COVID-19 were included. HADS, IES-R, and satisfaction were eval...

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Detalles Bibliográficos
Autores principales: Cattelan, Jessy, Castellano, Sara, Merdji, Hamid, Audusseau, Jean, Claude, Baptiste, Feuillassier, Léa, Cunat, Sibylle, Astrié, Marc, Aquin, Camille, Buis, Guillaume, Gehant, Edgar, Granier, Amandine, Kercha, Hassiba, Le Guillou, Camille, Martin, Guillaume, Roulot, Kevin, Meziani, Ferhat, Putois, Olivier, Helms, Julie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7794617/
https://www.ncbi.nlm.nih.gov/pubmed/33422153
http://dx.doi.org/10.1186/s40560-020-00520-w
Descripción
Sumario:BACKGROUND: During COVID-19 pandemic, visits have been prohibited in most French ICUs. Psychological effects, for reference persons (RPs), of remote-only communication have been assessed. METHODS: All RPs of patients referred to ICU for COVID-19 were included. HADS, IES-R, and satisfaction were evaluated at admission, discharge/death, and 3 months. At 3 months, a psychologist provided a qualitative description of RPs’ psychological distress. RESULTS: Eighty-eight RPs were included. Prevalence of anxiety and depression was 83% and 73% respectively. At 3 months, lower HADS decrease was associated with patient death/continued hospitalization, and/or sleeping disorders in RPs (p < 0.01). Ninety-nine percent RPs felt the patient was safe (9 [7; 10]/10 points, Likert-type scale), confident with caregivers (10 [9; 10]/10 points), and satisfied with information provided (10 [9; 10]/10 points). All RPs stressed the specific-type of “responsibility” associated with being an RP in a remote-only context, leading RPs to develop narrow diffusion strategies (67%) and restrict the array of contacted relatives to a very few and/or only contacting them rarely. 10 RPs (30%) related the situation to a prior traumatic experience. CONCLUSION: RPs experienced psychological distress and reported that being an RP in a remote-only communication context was a specific responsibility and qualified it as an overall negative experience. TRIAL REGISTRATION: NCT04385121. Registered 12 May 2020. https://clinicaltrials.gov/. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40560-020-00520-w.