by
S. Ågren,
A. Eriksson, M. Fredrikson, G. Hollman-Frisman, L. Orwelius
Intensive and
Critical Care Nursing – in press
Abstract
Background
After
intensive care unit treatment, patients often have prolonged impairments that
affect their physical, cognitive and mental health. Family members can face
overwhelming and emotionally challenging situations and their concerns and
needs must be addressed.
Objective
We
investigated the outcomes of pilot randomised control trial, a nurse-led family
intervention, Health Promoting Conversations, which focused on family
functioning and wellbeing in families with a critically ill member.
Study
design
This
randomised controlled pilot study used a pre-test, post-test design with
intervention and control groups to investigate the outcomes of the nurse-led
intervention in 17 families.
Outcome
measures
The Health
Promoting Conversations intervention was evaluated using validated instruments
that measure family functioning and family wellbeing: the General Functioning
sub-scale from the McMaster Family Assessment Device; the Family Sense of
Coherence, the Herth Hope Index, and the Medical Outcome Short-Form Health
Survey. Descriptive and analytical statistical methods were used to analyse the
data.
Results
After
12 months, the intervention group reported better family functioning than the
control group. The intervention group also had better social functioning and
mental health after 12 months.
Conclusion
This
intervention may improve family wellbeing by improving family function,
reducing stress, and promoting better mental health.
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