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Factors and health-related quality of life associated with participation in a post-ICU follow-up. A register study.
CSK.
Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Department of Nursing and Integrated Health Sciences. Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Department of Nursing and Integrated Health Sciences. Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.ORCID iD: 0000-0003-4820-6203
Göteborgs universitet.
2021 (English)In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 65, no 7, p. 902-911Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Follow-up for heterogeneous intensive care patients presents challenges for rehabilitation interventions and outcome measurements. The aim was to describe and explore characteristics and determinants for visiting/not visiting a nurse-led clinic (NLC) at different time-points, and to describe physical and mental health (HRQoL) over time.

METHODS: Patients with a length of stay (LOS) of ≥72 hours, discharged from a general intensive care unit 2004-2014, who participated in a six-month follow-up programme offering visits to NLC at two and six months were included. The register study includes information regarding patients' participation in NLC, clinical and demographic data from the Patient Administrative System within Intensive care, and data on two-, six- and 12- month HRQoL by using SF-36 from the Swedish Intensive care Registry.

RESULTS: Of 656 patients, 57% visited the NLC on some occasion. These patients were younger (P=0.000), had lower Simplified Acute Physiology scores (P=0.001) and higher SF-36 physical health domain scores at two months (P<0.05) compared to those not visiting at all. Visitors at two months only were younger, had shorter LOS and higher physical and mental domain scores than patients visiting at six months only. Patients visiting the NLC scored significantly higher in all domains from 2-12 months, whereas non-visiting-patients´ did this in four out of eight domains during the same time frame.

CONCLUSION: Individual patient's characteristics and current health conditions seem to influence visits to NLC or not. The findings may contribute to development of existing routines to match the diversity of patients' needs and life situations.

Place, publisher, year, edition, pages
2021. Vol. 65, no 7, p. 902-911
Keywords [en]
Follow-up, Health-related quality of life, Intensive care, Nurse-led clinic, Nursing, Register, study
National Category
Nursing
Identifiers
URN: urn:nbn:se:hkr:diva-21696DOI: 10.1111/aas.13811ISI: 000630669400001PubMedID: 33650105OAI: oai:DiVA.org:hkr-21696DiVA, id: diva2:1534432
Available from: 2021-03-05 Created: 2021-03-05 Last updated: 2021-08-09Bibliographically approved

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Jakobsson, Liselotte

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Research Platform for Collaboration for HealthDepartment of Nursing and Integrated Health SciencesResearch Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education
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