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Title: | The impact of critical illness on patients' physical function and recovery: an explanatory mixed-methods analysis. | Authors: | Paton M. ;Le Maitre C.;Berkovic D.;Lane R. ;Hodgson C.L. | Monash Health Department(s): | Physiotherapy Allied Health |
Institution: | (Paton) Australian and New Zeland Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia; Department of Physiotherapy, Monash Health, 246 Clayton Road, Clayton, VIC 3168, Australia (Le Maitre) Department of Physiotherapy, The Alfred, 55 Commercial Road, Melbourne, VIC 3004, Australia. Electronic address: C.LeMaitre@alfred.org.au (Berkovic) School of Public Health and Preventative Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia (Lane) School of Health Sciences, Swinburne University, John St, Hawthorn, VIC 3122, Australia (Hodgson) Australian and New Zeland Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia; Department of Physiotherapy, The Alfred, 55 Commercial Road, Melbourne, VIC 3004, Australia; Department of Critical Care, University of Melbourne, 780 Elizabeth St, Melbourne, VIC 3004, Australia; Critical Care Division, The George Institute for Global Health, 1 King St, Newtown, NSW 2042, Australia |
Issue Date: | 7-Dec-2023 | Copyright year: | 2023 | Place of publication: | Netherlands | Publication information: | Intensive & Critical Care Nursing. 81(pp 103583), 2024. Date of Publication: 01 Apr 2024. | Journal: | Intensive & Critical Care Nursing | Abstract: | OBJECTIVES: To determine how the perception of physical function 6-months following critical illness compares to objectively measured function, and to identify key concerns for patients during recovery from critical illness. RESEARCH METHODOLOGY AND DESIGN: A nested convergent parallel mixed methods study assessed physical function during a home visit 6-months following critical illness, with semi-structured interviews conducted at the same time. SETTING: Participants were recruited from two hospitals at one healthcare network in Melbourne, Australia from September 2017 to October 2018 with follow-up data completed in April 2019. MAIN OUTCOME MEASURES: Physical function was assessed through four objective outcomes: the functional independence measure, six-minute walk test, functional reach test, and grip strength. Semi structured interviews focused on participants function, memories of the intensive care and hospital stay, assistance required on discharge, ongoing limitations, and the recovery process. FINDINGS: Although many participants (12/20, 60%) stated they had recovered from their critical illness, 14 (70%) had function below expected population norms. Decreased function on returning home was commonly reported, although eleven participants were described as independent and safe for discharge from hospital-based staff. The importance of family and social networks to facilitate discharge was highlighted, however participants often described wanting more support and issues accessing services. The effect of critical illness on the financial well-being of the family network was confirmed, with difficulties accessing financial support identified. CONCLUSION(S): Survivors of critical illness perceived a better functional state than measured, but many report new limitations 6-months after critical illness. Family and friends play a crucial role in facilitating transition home and providing financial support. IMPLICATIONS FOR CLINICAL PRACTICE: Implementation of specific discharge liaison personnel to provide education, support and assist the transition from hospital-based care to home, particularly in those without stable social supports, may improve the recovery process for survivors of critical illness.Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved. | DOI: | http://monash.idm.oclc.org/login?url=https://dx.doi.org/10.1016/j.iccn.2023.103583 | PubMed URL: | 38042106 [https://www.ncbi.nlm.nih.gov/pubmed/?term=38042106] | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/50739 | Type: | Article | Subjects: | grip strength intensive care post intensive care syndrome rehabilitation |
Type of Clinical Study or Trial: | Qualitative study |
Appears in Collections: | Articles |
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