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Family experiences and attitudes toward care of ICU patients with delirium: A scoping review

INTRODUCTION: The family has an important role in the care of the ICU patient. Research shows that the implementation of non-pharmacological interventions to prevent delirium, including interventions with the family, can reduce the incidence of delirium. The aim of this review was to search the avai...

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Autores principales: Lange, Sandra, Mȩdrzycka-Da̧browska, Wioletta, Friganović, Adriano, Religa, Dorota, Krupa, Sabina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9727388/
https://www.ncbi.nlm.nih.gov/pubmed/36505003
http://dx.doi.org/10.3389/fpubh.2022.1060518
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author Lange, Sandra
Mȩdrzycka-Da̧browska, Wioletta
Friganović, Adriano
Religa, Dorota
Krupa, Sabina
author_facet Lange, Sandra
Mȩdrzycka-Da̧browska, Wioletta
Friganović, Adriano
Religa, Dorota
Krupa, Sabina
author_sort Lange, Sandra
collection PubMed
description INTRODUCTION: The family has an important role in the care of the ICU patient. Research shows that the implementation of non-pharmacological interventions to prevent delirium, including interventions with the family, can reduce the incidence of delirium. The aim of this review was to search the available literature about the experiences and attitudes of family/carers of ICU patients diagnosed with delirium during hospitalization. METHODS: A scoping review method was used to map terms relevant to the involvement of relatives in the care of critically ill patients with delirium. To identify studies, the following databases were searched: PubMed, Scopus, EBSCO, Web of Science, and Cochrane Library. The database search was ongoing from 15 July 2022, with a final search on 4 August 2022. RESULTS: Thirteen articles reporting on the experiences and attitudes of family/carers of ICU patients who developed delirium during hospitalization were included in the scoping review. Of the included studies, eight were qualitative studies, three were quantitative studies and two were reviews (systematic review and integrative review). The studies were conducted in North America, Europe, South Africa, and Asia. Our findings show that carers experienced adverse effects associated with delirium in ICU patients such as stress, anxiety, embarrassment, uncertainty, anger, shock. Families/relatives need both emotional and informational support from medical staff. CONCLUSION: Relatives want to be involved in the care of the delirium patient, although this needs improvement in some aspects of care such as: lack of awareness, family/relatives knowledge of delirium, improved education, and communication with medical staff. Recognition of delirium by families is acceptable and feasible. Family involvement may induce an increased anxiety, but this aspect needs further research.
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spelling pubmed-97273882022-12-08 Family experiences and attitudes toward care of ICU patients with delirium: A scoping review Lange, Sandra Mȩdrzycka-Da̧browska, Wioletta Friganović, Adriano Religa, Dorota Krupa, Sabina Front Public Health Public Health INTRODUCTION: The family has an important role in the care of the ICU patient. Research shows that the implementation of non-pharmacological interventions to prevent delirium, including interventions with the family, can reduce the incidence of delirium. The aim of this review was to search the available literature about the experiences and attitudes of family/carers of ICU patients diagnosed with delirium during hospitalization. METHODS: A scoping review method was used to map terms relevant to the involvement of relatives in the care of critically ill patients with delirium. To identify studies, the following databases were searched: PubMed, Scopus, EBSCO, Web of Science, and Cochrane Library. The database search was ongoing from 15 July 2022, with a final search on 4 August 2022. RESULTS: Thirteen articles reporting on the experiences and attitudes of family/carers of ICU patients who developed delirium during hospitalization were included in the scoping review. Of the included studies, eight were qualitative studies, three were quantitative studies and two were reviews (systematic review and integrative review). The studies were conducted in North America, Europe, South Africa, and Asia. Our findings show that carers experienced adverse effects associated with delirium in ICU patients such as stress, anxiety, embarrassment, uncertainty, anger, shock. Families/relatives need both emotional and informational support from medical staff. CONCLUSION: Relatives want to be involved in the care of the delirium patient, although this needs improvement in some aspects of care such as: lack of awareness, family/relatives knowledge of delirium, improved education, and communication with medical staff. Recognition of delirium by families is acceptable and feasible. Family involvement may induce an increased anxiety, but this aspect needs further research. Frontiers Media S.A. 2022-11-23 /pmc/articles/PMC9727388/ /pubmed/36505003 http://dx.doi.org/10.3389/fpubh.2022.1060518 Text en Copyright © 2022 Lange, Mȩdrzycka-Da̧browska, Friganović, Religa and Krupa. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Lange, Sandra
Mȩdrzycka-Da̧browska, Wioletta
Friganović, Adriano
Religa, Dorota
Krupa, Sabina
Family experiences and attitudes toward care of ICU patients with delirium: A scoping review
title Family experiences and attitudes toward care of ICU patients with delirium: A scoping review
title_full Family experiences and attitudes toward care of ICU patients with delirium: A scoping review
title_fullStr Family experiences and attitudes toward care of ICU patients with delirium: A scoping review
title_full_unstemmed Family experiences and attitudes toward care of ICU patients with delirium: A scoping review
title_short Family experiences and attitudes toward care of ICU patients with delirium: A scoping review
title_sort family experiences and attitudes toward care of icu patients with delirium: a scoping review
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9727388/
https://www.ncbi.nlm.nih.gov/pubmed/36505003
http://dx.doi.org/10.3389/fpubh.2022.1060518
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