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Healthcare
Special Issues
Symptoms and Experiences of Patients after Intensive Care
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Symptoms and Experiences of Patients after Intensive Care

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Critical Care".

Deadline for manuscript submissions: 31 May 2024 | Viewed by 9704

Special Issue Editors

Dr. Takeshi Unoki

E-Mail Website
Guest Editor
Department of Acute and Critical Care Nursing, School of Nursing, Sapporo City University, Sapporo 005-0864, Japan
Interests: intensive care; critical care; nursing
Dr. Hideaki Sakuramoto

E-Mail Website
Guest Editor
Department of Adult Health Nursing, College of Nursing, Ibaraki Christian University, Ibaraki 319-1221, Japan
Interests: intensive care; critical care; nursing

Special Issue Information

Dear Colleagues,

After staying in intensive care, many patients experience symptoms known as Post-Intensive Care Syndrome (PICS). PICS primarily includes mental health problems and cognitive and physical impairments. These symptoms can potentially deteriorate quality of life and make employment difficult. These are important issues that need to be solved; however, effective prevention and treatment methods have not yet been established. The purpose of this Special Issue is to solicit and discuss research and review articles on PICS, as well as a wide range of related topics, including experiences such as insomnia, effects on daily life, and employment status after an intensive care stay.

Dr. Takeshi Unoki 
Dr. Hideaki Sakuramoto
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • post-intensive care syndrome
  • intensive care units
  • nursing
  • patient experience

Published Papers (4 papers)

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13 pages, 754 KiB  
Article
One-Year Functional Decline in COVID-19 and Non-COVID-19 Critically Ill Survivors: A Prospective Study Incorporating a Pre-ICU Status Assessment
by Jonathan Cavalleri, Delphine Treguier, Thibaut Deliège, Christine Gurdebeke, Marie Ernst, Bernard Lambermont, Benoit Misset and Anne-Françoise Rousseau
Healthcare 2022, 10(10), 2023; https://doi.org/10.3390/healthcare10102023 - 13 Oct 2022
Cited by 10 | Viewed by 1609
Abstract
We aimed to describe the one-year (1-y) functional status of survivors of COVID-19 critical illness, compared to non-COVID-19 survivors, and compared to their pre-ICU status. Adults who survived a COVID-19 critical illness (COVID group) during the first two waves in 2 hospitals were [...] Read more.
We aimed to describe the one-year (1-y) functional status of survivors of COVID-19 critical illness, compared to non-COVID-19 survivors, and compared to their pre-ICU status. Adults who survived a COVID-19 critical illness (COVID group) during the first two waves in 2 hospitals were contacted by phone 1-y after discharge. They were compared to non-COVID-19 ICU survivors. A standardized assessment focused on quality of life (EQ-5D-3L), autonomy for activities of daily living (Barthel Index), and physical activity quantification (IPAQ-SF). Patients rated their 1-y and pre-ICU status. We included 220 survivors (132 COVID and 88 NC). Their age and severity scores were similar. ICU stay was shorter in NC group (3 [3–6] d) than in COVID group (8 [4.2–16.7] d) (p = 0.001). Proportions of organ supports were similar in the two groups. At 1-y, a significant reduction in EQ-5D-3L total score, in Barthel Index and in physical activity was observed in both groups, compared to the respective baseline values. Dependency (Barthel < 100) was observed in at least 35% of survivors at 1-y. Independently of the critical illness, HRQoL, autonomy and physical activities at 1-y were still significantly inferior to the pre-ICU values. Full article
(This article belongs to the Special Issue Symptoms and Experiences of Patients after Intensive Care)
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14 pages, 661 KiB  
Article
An Automated Algorithm for Determining Sleep Using Single-Channel Electroencephalography to Detect Delirium: A Prospective Observational Study in Intensive Care Units
by Kentaro Matsui, Nobuo Sato, Masafumi Idei, Masako Arakida, Yusuke Seino, Jun-ya Ishikawa, Masashi Nakagawa, Rie Akaho, Katsuji Nishimura and Takeshi Nomura
Healthcare 2022, 10(9), 1776; https://doi.org/10.3390/healthcare10091776 - 15 Sep 2022
Cited by 1 | Viewed by 2046
Abstract
The relationship between polysomnography-based objective sleep and delirium in the intensive care unit (ICU) is inconsistent across studies, suggesting limitations in manually determining the sleep stage of critically ill patients. We objectively measured 24-h sleep using a single-channel electroencephalogram (SleepScope [SS]) and an [...] Read more.
The relationship between polysomnography-based objective sleep and delirium in the intensive care unit (ICU) is inconsistent across studies, suggesting limitations in manually determining the sleep stage of critically ill patients. We objectively measured 24-h sleep using a single-channel electroencephalogram (SleepScope [SS]) and an under-mattress sleep monitor (Nemuri SCAN [NSCAN]), both of which have independent algorithms that automatically determine sleep and wakefulness. Eighteen patients (median age, 68 years) admitted to the ICU after valvular surgery or coronary artery bypass grafting were included, and their sleep time was measured one day after extubation. The median total sleep times (TSTs) measured by SS (TST-SS) and NSCAN were 548 (48–1050) and 1024 (462–1257) min, respectively. Two patients with delirium during the 24-h sleep measurement had very short TST-SS of 48 and 125 min, and the percentage of daytime sleep accounted for >80% in both SS and NSCAN. This preliminary case series showed marked sleep deprivation and increased rates of daytime sleeping in ICU patients with delirium. Although data accuracy from under-mattress sleep monitors is contentious, automated algorithmic sleep/wakefulness determination using a single-channel electroencephalogram may be useful in detecting delirium in ICU patients and could even be superior to polysomnography. Full article
(This article belongs to the Special Issue Symptoms and Experiences of Patients after Intensive Care)
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12 pages, 598 KiB  
Article
The Effects of Pain, Agitation, Delirium, Immobility, and Sleep Disruption Education on Novice Nurses in Adult Intensive Care Units
by Szu-Ying Lee, Chieh-Yu Liu and Te-Yu Wu
Healthcare 2022, 10(8), 1538; https://doi.org/10.3390/healthcare10081538 - 14 Aug 2022
Cited by 1 | Viewed by 1692
Abstract
Intensive care unit (ICU) patients experience highly complex health problems, such as pain, agitation, delirium, immobility, and sleep disruption (PADIS), and require professional nursing care. The assessment of PADIS is critically important for ICU nurses, and therefore, PADIS education programs need to be [...] Read more.
Intensive care unit (ICU) patients experience highly complex health problems, such as pain, agitation, delirium, immobility, and sleep disruption (PADIS), and require professional nursing care. The assessment of PADIS is critically important for ICU nurses, and therefore, PADIS education programs need to be conducted for these nurses to update and improve their caring knowledge, attitudes, and skills. The aims of this study are to bridge this gap by evaluating the effects of PADIS education programs on the knowledge, attitudes, and skills of these nurses, and compare the difference between novice and advanced nurses after receiving the PADIS education programs over a short period of time. In this quasi-experimental study, 112 nurses in ICUs were recruited by researchers and participated in the PADIS education programs. The PADIS education intervention was performed in a teaching hospital in Taipei. A demographic and self-developed PADIS care knowledge questionnaire was used. A baseline (T1) was measured before the interventions, followed by post-test (T2) immediately after the programs, and subsequently a follow-up (T3) test one month later. The results indicated that knowledge and skill scores between novice and advanced nurses varied significantly in T1 but not in T2 and T3. Thus, education programs can significantly assist novice ICU nurses to improve their short-term knowledge, attitudes, and skills, and PADIS education programs are strongly suggested for clinical nursing practice. Full article
(This article belongs to the Special Issue Symptoms and Experiences of Patients after Intensive Care)
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15 pages, 1136 KiB  
Systematic Review
Effectiveness of Nurse-Led Interventions for the Prevention of Mental Health Issues in Patients Leaving Intensive Care: A Systematic Review
by Junpei Haruna, Takeshi Unoki, Nozomi Nagano, Shigeko Kamishima and Tomoki Kuribara
Healthcare 2022, 10(9), 1716; https://doi.org/10.3390/healthcare10091716 - 07 Sep 2022
Cited by 2 | Viewed by 3565
Abstract
This study aimed to evaluate the effectiveness of nurse-led interventions for the prevention of mental health disorders after intensive care unit discharge through a systematic review of the literature. The searches were conducted in the MEDLINE (via PubMed), CINAHL, PsycINFO, and Cochrane Library [...] Read more.
This study aimed to evaluate the effectiveness of nurse-led interventions for the prevention of mental health disorders after intensive care unit discharge through a systematic review of the literature. The searches were conducted in the MEDLINE (via PubMed), CINAHL, PsycINFO, and Cochrane Library databases for studies pertaining to such interventions. Two independent reviewers analyzed the studies, extracted data, and assessed the quality of the evidence. Six eligible articles were identified, all of which were regarding post-traumatic stress disorder after intensive care unit discharge. Some of the interventions were conducted during the admission and some after the discharge. One study found that multimedia education during admission improved anxiety and depression one week after discharge. The remaining five studies concluded that nurse-led interventions did not prevent mental health disorders three months to one year after intensive care unit discharge. Our review revealed a paucity of research into the effectiveness of nurse-led interventions for the prevention of mental health disorders after intensive care unit discharge. The timing and the content of these interventions, and the adequate training of nurses, appear to be key factors. Therefore, multidisciplinary interventions are likely to be more effective than those led by nurses alone. Full article
(This article belongs to the Special Issue Symptoms and Experiences of Patients after Intensive Care)
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