Cargando…

Patients’ and Relatives’ Experiences of Delirium in the Intensive Care Unit—A Qualitative Study

(1) Introduction: Delirium is a cognitive disorder that affects up to 80% of ICU patients and has many negative consequences. The occurrence of delirium in an ICU patient also negatively affects the relatives caring for these patients. The aim of this study was to explore patients’ and their familie...

Descripción completa

Detalles Bibliográficos
Autores principales: Lange, Sandra, Mędrzycka-Dąbrowska, Wioletta, Friganović, Adriano, Religa, Dorota, Krupa, Sabina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9517594/
https://www.ncbi.nlm.nih.gov/pubmed/36141873
http://dx.doi.org/10.3390/ijerph191811601
_version_ 1784798982018433024
author Lange, Sandra
Mędrzycka-Dąbrowska, Wioletta
Friganović, Adriano
Religa, Dorota
Krupa, Sabina
author_facet Lange, Sandra
Mędrzycka-Dąbrowska, Wioletta
Friganović, Adriano
Religa, Dorota
Krupa, Sabina
author_sort Lange, Sandra
collection PubMed
description (1) Introduction: Delirium is a cognitive disorder that affects up to 80% of ICU patients and has many negative consequences. The occurrence of delirium in an ICU patient also negatively affects the relatives caring for these patients. The aim of this study was to explore patients’ and their families’ experiences of delirium during their ICU stay. (2) Method: The study used a qualitative design based on phenomenology as a research method. A semi-structured interview method was used to achieve the aim. The responses of patients and their families were recorded and transcribed, and the data were coded and analyzed. (3) Results: Eight interviews were conducted with past ICU patients who developed delirium during hospitalization and their family members. The mean age of the participants was 71 years. Of the eight patients, 2 (25%) were female and 6 (75%) were male. The relationships of the 8 carers with the patients were wife (in 4 cases), daughter (in 2 cases), and son (in 2 cases). The average length of time a patient stayed in the ICU was 24 days. The following themes were extracted from the interviews: education, feelings before the delirium, pain, thirst, the day after, talking to the family/patient, and return home. (4) Conclusions: Post-delirium patients and their families feel that more emphasis should be placed on information about delirium. Most patients feel embarrassed and ashamed about events during a delirium episode. Patients fear the reaction of their families when delirium occurs. Patients’ families are not concerned about their relatives returning home and believe that the home environment will allow them to forget the delirium events more quickly during hospitalization.
format Online
Article
Text
id pubmed-9517594
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-95175942022-09-29 Patients’ and Relatives’ Experiences of Delirium in the Intensive Care Unit—A Qualitative Study Lange, Sandra Mędrzycka-Dąbrowska, Wioletta Friganović, Adriano Religa, Dorota Krupa, Sabina Int J Environ Res Public Health Article (1) Introduction: Delirium is a cognitive disorder that affects up to 80% of ICU patients and has many negative consequences. The occurrence of delirium in an ICU patient also negatively affects the relatives caring for these patients. The aim of this study was to explore patients’ and their families’ experiences of delirium during their ICU stay. (2) Method: The study used a qualitative design based on phenomenology as a research method. A semi-structured interview method was used to achieve the aim. The responses of patients and their families were recorded and transcribed, and the data were coded and analyzed. (3) Results: Eight interviews were conducted with past ICU patients who developed delirium during hospitalization and their family members. The mean age of the participants was 71 years. Of the eight patients, 2 (25%) were female and 6 (75%) were male. The relationships of the 8 carers with the patients were wife (in 4 cases), daughter (in 2 cases), and son (in 2 cases). The average length of time a patient stayed in the ICU was 24 days. The following themes were extracted from the interviews: education, feelings before the delirium, pain, thirst, the day after, talking to the family/patient, and return home. (4) Conclusions: Post-delirium patients and their families feel that more emphasis should be placed on information about delirium. Most patients feel embarrassed and ashamed about events during a delirium episode. Patients fear the reaction of their families when delirium occurs. Patients’ families are not concerned about their relatives returning home and believe that the home environment will allow them to forget the delirium events more quickly during hospitalization. MDPI 2022-09-15 /pmc/articles/PMC9517594/ /pubmed/36141873 http://dx.doi.org/10.3390/ijerph191811601 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lange, Sandra
Mędrzycka-Dąbrowska, Wioletta
Friganović, Adriano
Religa, Dorota
Krupa, Sabina
Patients’ and Relatives’ Experiences of Delirium in the Intensive Care Unit—A Qualitative Study
title Patients’ and Relatives’ Experiences of Delirium in the Intensive Care Unit—A Qualitative Study
title_full Patients’ and Relatives’ Experiences of Delirium in the Intensive Care Unit—A Qualitative Study
title_fullStr Patients’ and Relatives’ Experiences of Delirium in the Intensive Care Unit—A Qualitative Study
title_full_unstemmed Patients’ and Relatives’ Experiences of Delirium in the Intensive Care Unit—A Qualitative Study
title_short Patients’ and Relatives’ Experiences of Delirium in the Intensive Care Unit—A Qualitative Study
title_sort patients’ and relatives’ experiences of delirium in the intensive care unit—a qualitative study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9517594/
https://www.ncbi.nlm.nih.gov/pubmed/36141873
http://dx.doi.org/10.3390/ijerph191811601
work_keys_str_mv AT langesandra patientsandrelativesexperiencesofdeliriumintheintensivecareunitaqualitativestudy
AT medrzyckadabrowskawioletta patientsandrelativesexperiencesofdeliriumintheintensivecareunitaqualitativestudy
AT friganovicadriano patientsandrelativesexperiencesofdeliriumintheintensivecareunitaqualitativestudy
AT religadorota patientsandrelativesexperiencesofdeliriumintheintensivecareunitaqualitativestudy
AT krupasabina patientsandrelativesexperiencesofdeliriumintheintensivecareunitaqualitativestudy