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Psychological and Physical Health in Family Caregivers of Intensive Care Unit Survivors: Current Knowledge and Future Research Strategies

Journal of Korean Academy of Nursing 2016³â 46±Ç 2È£ p.159 ~ 167
KMID : 0806120160460020159
:Cho Ji-Yeon
:Donahoe Michael P./:Hoffman Leslie A.

Abstract

Purpose: This article provides an overview of current knowledge on the impact of caregiving on the psychological and physical healthof family caregivers of intensive care unit (ICU) survivors and suggestions for future research.

Methods: Review of selected paperspublished in English between January 2000 and October 2015 reporting psychological and physical health outcomes in family caregiversof ICU survivors.

Results: In family caregivers of ICU survivors followed up to five years after patients¡¯ discharge from an ICU, psychologicalsymptoms, manifested as depression, anxiety and post-traumatic stress disorder, were highly prevalent. Poor self-care, sleepdisturbances and fatigue were identified as common physical health problems in family caregivers. Studies to date are mainly descriptive;few interventions have targeted family caregivers. Further, studies that elicit unique needs of families from diverse cultures arelacking.

Conclusion: Studies to date have described the impact of caregiving on the psychological and physical health in family caregiversof ICU survivors. Few studies have tested interventions to support unique needs in this population. Therefore, evidence for beststrategies is lacking. Future research is needed to identify ICU caregivers at greatest risk for distress, time points to target interventionswith maximal efficacy, needs of those from diverse cultures and test interventions to mitigate family caregivers¡¯ burden.
KeyWords

Intensive care unit, Caregivers, Family
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