No registrations found.
ID
Source
Brief title
Health condition
Not specified, target group: relatives of patients who died in the ICU
Sponsors and support
Intervention
Outcome measures
Primary outcome
Complicated grief measured with the 'Traumatic Grief Inventory-Self Report Version', 19 items.
Secondary outcome
Anxiety and depression, measured with the 'Hospital Anxiety and Depression Scale', 7 items on each sub scale.
Post traumatic stress measured with the 'Impact of Events Scale', 15 items.
Experiences with the quality of dying, items derived from the 'Consumer Quality Index Relatives in the ICU' and 'The Quality of Dying and Death questionnaire'.
Background summary
When a patient dies at the ICU, most of the relatives in the intensive care unit (ICU) need to make a rapid transition from aiming at recovery of their beloved one, to preparation for an unavoidable death. Bereaved relatives may develop complicated grief as a consequence of this burdensome situation. Complicated grief has been included in the Post Intensive Care Syndrome Family (PICS-F) and is characterized by intense symptoms of grief enduring for more than 6 months post-loss, separation distress, intrusive thoughts, and feelings of emptiness or meaninglessness. It could lead to negative health outcomes, advanced medical service utilization, and high economic costs. However, little is known on the true prevalence of complicated grief in bereaved relatives in the ICU.
Patients in Dutch hospitals die rapidly, resulting in a dignified death with a low burden of suffering and little signs of discomfort. It is therefore valuable to assess complicated grief and the experiences with quality of bereavement care in relatives in a Dutch ICU. This study aims to contribute in knowledge on complicated grief.
Study objective
The introduction of the intervention may help to reduce the risks of presenting symptoms of complicated grief, depression, anxiety. Furthermore, it may improve the quality of experiences with bereavement care in the ICU.
Study design
Cohort 1, Patient died in 2018
Cohort 2, Patient died in 2019
Intervention
Introduction of newly developed bundle of interventions in bereavement care, including an information leaflet on loss and grief, a condolence greeting card, material to make a memory, and follow-up call by nurses 6 weeks post-death.
Inclusion criteria
Bereaved relatives after the death of an adult patient in the ICU, fulfilling all inclusion criteria:
- Death of an adult (age>18) patient
- Death of a patient whose relative has met the ICU team at at least once before the death
- Relative has understanding of the Dutch language
- Relatives are considered legally capable
Exclusion criteria
- Refusal of the relative
- Unknown contact details
Design
Recruitment
IPD sharing statement
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL7875 |
| Other | Medical Ethics Committee Erasmus MC : MEC-2018-1598 |