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dc.contributor.authorPattison, Natalie
dc.contributor.authorO'Gara, Geraldine
dc.contributor.authorRattray, Janice
dc.date.accessioned2018-02-12T18:06:39Z
dc.date.available2018-02-12T18:06:39Z
dc.date.issued2015-08-01
dc.identifier.citationPattison , N , O'Gara , G & Rattray , J 2015 , ' After critical care : patient support after critical care. A mixed method longitudinal study using email interviews and questionnaires ' , Intensive and Critical Care Nursing , vol. 31 , no. 4 , pp. 213-22 . https://doi.org/10.1016/j.iccn.2014.12.002
dc.identifier.issn0964-3397
dc.identifier.otherORCID: /0000-0002-6771-8733/work/62751755
dc.identifier.urihttp://hdl.handle.net/2299/19768
dc.descriptionCrown Copyright © 2015. Published by Elsevier Ltd. All rights reserved.
dc.description.abstractPURPOSE: To explore experiences and needs over time, of patients discharged from ICU using the Intensive Care Experience (ICE-q) questionnaire, Hospital Anxiety and Depression Scale (HADS) and EuroQoL (EQ-5D), associated clinical predictors (APACHE II, TISS, Length of stay, RIKER scores) and in-depth email interviewing. METHODS: A mixed-method, longitudinal study of patients with >48hour ICU stays at 2 weeks, 6 months, 12 months using the ICE-q, HADS, EQ-5D triangulated with clinical predictors, including age, gender, length of stay (ICU and hospital), APACHE II and TISS. In-depth qualitative email interviews were completed at 1 month and 6 months. Grounded Theory analysis was applied to interview data and data were triangulated with questionnaire and clinical data. RESULTS: Data was collected from January 2010 to March 2012 from 77 participants. Both mean EQ-5D visual analogue scale, utility scores and HADS scores improved from 2 weeks to 6 months, (p=<0.001; p=<0.001), but between 6 and 12 months, no change was found in data from either questionnaire, suggesting improvements level off. These variations were reflected in qualitative data themes: rehabilitation/recovery in the context of chronic illness; impact of critical care; emotional and psychological needs (including sub-themes of: information needs and relocation anxiety). The overarching, core theme related to adjustment of normality. CONCLUSIONS: Patient recovery in this population appears to be shaped by ongoing illness and treatment. Email interviews offer a convenient method of gaining in-depth interview data and could be used as part of ICU follow-up.en
dc.format.extent10
dc.format.extent1051769
dc.language.isoeng
dc.relation.ispartofIntensive and Critical Care Nursing
dc.subjectAPACHE
dc.subjectAftercare
dc.subjectAged
dc.subjectAnxiety
dc.subjectCritical Illness
dc.subjectDepression
dc.subjectElectronic Mail
dc.subjectFemale
dc.subjectHealth Services Needs and Demand
dc.subjectHumans
dc.subjectIntensive Care Units
dc.subjectLength of Stay
dc.subjectLongitudinal Studies
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectNeeds Assessment
dc.subjectSurveys and Questionnaires
dc.subjectUnited Kingdom
dc.subjectJournal Article
dc.subjectResearch Support, Non-U.S. Gov't
dc.titleAfter critical care : patient support after critical care. A mixed method longitudinal study using email interviews and questionnairesen
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionCentre for Applied Clinical, Health and Care Research (CACHE)
dc.contributor.institutionCentre for Future Societies Research
dc.description.statusPeer reviewed
rioxxterms.versionofrecord10.1016/j.iccn.2014.12.002
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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