Caregiver strain following critical care discharge: an exploratory evaluation

Joanne McPeake, Helen Devine, Pamela MacTavish, Leanne Fleming, Rebecca Crawford, Ruth Struthers, John Kinsella, Malcolm Daniel, Martin Shaw, Tara Quasim

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective The objective of this exploratory evaluation was to understand the impact of critical care survivorship on caregivers. Design Family members who attended a quality improvement initiative within our critical care unit were asked to complete 4 questionnaires. Setting The setting for this study was a 20-bedded mixed critical care unit in a large teaching hospital in Scotland. Data were collected as a part of an evaluation of a quality improvement initiative. Participants Thirty-six carers completed the questionnaire set. Measurements and main results A total of 53% of caregivers suffered significant strain. Poor quality of life in the patient was significantly associated with higher caregiver strain (P= .006). Anxiety was present in 69% of caregivers. Depression was present in 56% of caregivers, with a significant association between carer strain and depression (P< .001). Those caregivers who were defined as being strained also had significantly higher Insomnia Severity Index scores than those without carers strain (P= .007). Conclusion This evaluation has demonstrated that there is a significant burden for caregivers of critical care survivors. Furthermore, they reported high levels of posttraumatic stress disorder, anxiety, depression, and insomnia. Future work on rehabilitation from critical care should focus on the inclusion of caregivers.

LanguageEnglish
Pages180-184
Number of pages5
JournalJournal of Critical Care
Volume35
Early online date4 Jun 2016
DOIs
Publication statusPublished - 31 Oct 2016
Externally publishedYes

Fingerprint

Critical Care
Caregivers
Sleep Initiation and Maintenance Disorders
Depression
Quality Improvement
Anxiety
Scotland
Post-Traumatic Stress Disorders
Teaching Hospitals
Survivors
Rehabilitation
Survival Rate
Quality of Life

Keywords

  • caregivers
  • family members
  • intensive care
  • quality of life

Cite this

McPeake, J., Devine, H., MacTavish, P., Fleming, L., Crawford, R., Struthers, R., ... Quasim, T. (2016). Caregiver strain following critical care discharge: an exploratory evaluation. Journal of Critical Care, 35, 180-184. https://doi.org/10.1016/j.jcrc.2016.05.023
McPeake, Joanne ; Devine, Helen ; MacTavish, Pamela ; Fleming, Leanne ; Crawford, Rebecca ; Struthers, Ruth ; Kinsella, John ; Daniel, Malcolm ; Shaw, Martin ; Quasim, Tara. / Caregiver strain following critical care discharge : an exploratory evaluation. In: Journal of Critical Care. 2016 ; Vol. 35. pp. 180-184.
@article{efb843a7aa2d4831af1b4463f79f1606,
title = "Caregiver strain following critical care discharge: an exploratory evaluation",
abstract = "Objective The objective of this exploratory evaluation was to understand the impact of critical care survivorship on caregivers. Design Family members who attended a quality improvement initiative within our critical care unit were asked to complete 4 questionnaires. Setting The setting for this study was a 20-bedded mixed critical care unit in a large teaching hospital in Scotland. Data were collected as a part of an evaluation of a quality improvement initiative. Participants Thirty-six carers completed the questionnaire set. Measurements and main results A total of 53{\%} of caregivers suffered significant strain. Poor quality of life in the patient was significantly associated with higher caregiver strain (P= .006). Anxiety was present in 69{\%} of caregivers. Depression was present in 56{\%} of caregivers, with a significant association between carer strain and depression (P< .001). Those caregivers who were defined as being strained also had significantly higher Insomnia Severity Index scores than those without carers strain (P= .007). Conclusion This evaluation has demonstrated that there is a significant burden for caregivers of critical care survivors. Furthermore, they reported high levels of posttraumatic stress disorder, anxiety, depression, and insomnia. Future work on rehabilitation from critical care should focus on the inclusion of caregivers.",
keywords = "caregivers, family members, intensive care, quality of life",
author = "Joanne McPeake and Helen Devine and Pamela MacTavish and Leanne Fleming and Rebecca Crawford and Ruth Struthers and John Kinsella and Malcolm Daniel and Martin Shaw and Tara Quasim",
year = "2016",
month = "10",
day = "31",
doi = "10.1016/j.jcrc.2016.05.023",
language = "English",
volume = "35",
pages = "180--184",
journal = "Journal of Critical Care",
issn = "0883-9441",
publisher = "W.B. Saunders Ltd",

}

McPeake, J, Devine, H, MacTavish, P, Fleming, L, Crawford, R, Struthers, R, Kinsella, J, Daniel, M, Shaw, M & Quasim, T 2016, 'Caregiver strain following critical care discharge: an exploratory evaluation' Journal of Critical Care, vol. 35, pp. 180-184. https://doi.org/10.1016/j.jcrc.2016.05.023

Caregiver strain following critical care discharge : an exploratory evaluation. / McPeake, Joanne; Devine, Helen; MacTavish, Pamela; Fleming, Leanne; Crawford, Rebecca; Struthers, Ruth; Kinsella, John; Daniel, Malcolm; Shaw, Martin; Quasim, Tara.

In: Journal of Critical Care, Vol. 35, 31.10.2016, p. 180-184.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Caregiver strain following critical care discharge

T2 - Journal of Critical Care

AU - McPeake, Joanne

AU - Devine, Helen

AU - MacTavish, Pamela

AU - Fleming, Leanne

AU - Crawford, Rebecca

AU - Struthers, Ruth

AU - Kinsella, John

AU - Daniel, Malcolm

AU - Shaw, Martin

AU - Quasim, Tara

PY - 2016/10/31

Y1 - 2016/10/31

N2 - Objective The objective of this exploratory evaluation was to understand the impact of critical care survivorship on caregivers. Design Family members who attended a quality improvement initiative within our critical care unit were asked to complete 4 questionnaires. Setting The setting for this study was a 20-bedded mixed critical care unit in a large teaching hospital in Scotland. Data were collected as a part of an evaluation of a quality improvement initiative. Participants Thirty-six carers completed the questionnaire set. Measurements and main results A total of 53% of caregivers suffered significant strain. Poor quality of life in the patient was significantly associated with higher caregiver strain (P= .006). Anxiety was present in 69% of caregivers. Depression was present in 56% of caregivers, with a significant association between carer strain and depression (P< .001). Those caregivers who were defined as being strained also had significantly higher Insomnia Severity Index scores than those without carers strain (P= .007). Conclusion This evaluation has demonstrated that there is a significant burden for caregivers of critical care survivors. Furthermore, they reported high levels of posttraumatic stress disorder, anxiety, depression, and insomnia. Future work on rehabilitation from critical care should focus on the inclusion of caregivers.

AB - Objective The objective of this exploratory evaluation was to understand the impact of critical care survivorship on caregivers. Design Family members who attended a quality improvement initiative within our critical care unit were asked to complete 4 questionnaires. Setting The setting for this study was a 20-bedded mixed critical care unit in a large teaching hospital in Scotland. Data were collected as a part of an evaluation of a quality improvement initiative. Participants Thirty-six carers completed the questionnaire set. Measurements and main results A total of 53% of caregivers suffered significant strain. Poor quality of life in the patient was significantly associated with higher caregiver strain (P= .006). Anxiety was present in 69% of caregivers. Depression was present in 56% of caregivers, with a significant association between carer strain and depression (P< .001). Those caregivers who were defined as being strained also had significantly higher Insomnia Severity Index scores than those without carers strain (P= .007). Conclusion This evaluation has demonstrated that there is a significant burden for caregivers of critical care survivors. Furthermore, they reported high levels of posttraumatic stress disorder, anxiety, depression, and insomnia. Future work on rehabilitation from critical care should focus on the inclusion of caregivers.

KW - caregivers

KW - family members

KW - intensive care

KW - quality of life

UR - http://www.scopus.com/inward/record.url?scp=84994519159&partnerID=8YFLogxK

U2 - 10.1016/j.jcrc.2016.05.023

DO - 10.1016/j.jcrc.2016.05.023

M3 - Article

VL - 35

SP - 180

EP - 184

JO - Journal of Critical Care

JF - Journal of Critical Care

SN - 0883-9441

ER -