Physical, social, mental and spiritual functioning of COVID-19 intensive care unit-survivors and their family members one year after intensive care unit-discharge: A prospective cohort study

Marisa Onrust; Anja Visser; Nadine van Veenendaal; Willem Dieperink; Marie Louise Luttik; Mechteld-Hanna G. Derksen; Peter H. J. van der Voort; Ingeborg C. van der Meulen

doi:10.1016/j.iccn.2022.103366

Physical, social, mental and spiritual functioning of COVID-19 intensive care unit-survivors and their family members one year after intensive care unit-discharge: A prospective cohort study

Marisa Onrust, Anja Visser, Nadine van Veenendaal, Willem Dieperink, Marie Louise Luttik, Mechteld-Hanna G. Derksen, Peter H. J. van der Voort, Ingeborg C. van der Meulen

University of Groningen, University Medical Center Groningen, Department of Critical Care
University of Groningen, Faculty of Theology and Religious Studies, Department of Comparative Study of Religion
University of Groningen, University Medical Center Groningen, Department of Anesthesiology
University of Groningen, University Medical Center Groningen, Department of Spiritual Care
Tilburg University, TIAS School for Business and Society

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

OBJECTIVE: To describe the long-term functioning of patients who survived a COVID-19-related admission to the intensive care unit and their family members, in the physical, social, mental and spiritual domain.

DESIGN: A single-centre, prospective cohort study with a mixed-methods design.

SETTING: The intensive care unit of the University Medical Center Groningen in the Netherlands.

MAIN OUTCOME MEASURES: To study functioning 12 months after intensive care discharge several measurements were used, including a standardised list of physical problems, the Clinical Frailty Scale, the Medical Outcomes Study Short-Form General Health Survey, the McMaster Family Assessment Device, the Hospital Anxiety and Depression Scale, and the Spiritual Needs Questionnaire, as well as open questions and interviews with survivors and their family members.

RESULTS: A total of 56 survivors (77%) returned the 12-month questionnaire, whose median age was 62 (inter-quartile range [IQR]: 55.0-68.0). Moreover, 67 family members (66%) returned the 12-month questionnaire, whose median age was 58 (IQR: 43-66). At least one physical problem was reported by 93% of the survivors, with 22% reporting changes in their work-status. Both survivors (84%) and their family members (85%) reported at least one spiritual need. The need to feel connected with family was the strongest. The main theme was 'returning to normal' in the interviews with survivors and 'if the patient is well, I am well' in the interviews with family members.

CONCLUSIONS: One year after discharge, both COVID-19 intensive care survivors and their family members positively evaluate their health-status. Survivors experience physical impairments, and their family members' well-being is strongly impacted by the health of the survivor.

Original language	English
Number of pages	10
Journal	Intensive & critical care nursing
Volume	75
DOIs	https://doi.org/10.1016/j.iccn.2022.103366
Publication status	E-pub ahead of print - 7 Dec 2022

Keywords

aftercare
covid-19
critical care
family
post intensive care syndrome
quality of life
spirituality
survivors

Research Focus Areas Hanze University of Applied Sciences * (mandatory by Hanze)

Healthy Ageing

Research Focus Areas Research Centre or Centre of Expertise * (mandatory by Hanze)

Frailty and adequate care

Publinova themes

Other
Health
People and Society

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10.1016/j.iccn.2022.103366Licence: CC BY

Cite this

Onrust, M., Visser, A., van Veenendaal, N., Dieperink, W., Luttik, M. L., Derksen, M.-H. G., van der Voort, P. H. J., & van der Meulen, I. C. (2022). Physical, social, mental and spiritual functioning of COVID-19 intensive care unit-survivors and their family members one year after intensive care unit-discharge: A prospective cohort study. Intensive & critical care nursing, 75. Advance online publication. https://doi.org/10.1016/j.iccn.2022.103366

@article{79fa6d48e3ea4cd490365fc4b714861f,

title = "Physical, social, mental and spiritual functioning of COVID-19 intensive care unit-survivors and their family members one year after intensive care unit-discharge: A prospective cohort study",

abstract = "OBJECTIVE: To describe the long-term functioning of patients who survived a COVID-19-related admission to the intensive care unit and their family members, in the physical, social, mental and spiritual domain.DESIGN: A single-centre, prospective cohort study with a mixed-methods design.SETTING: The intensive care unit of the University Medical Center Groningen in the Netherlands.MAIN OUTCOME MEASURES: To study functioning 12 months after intensive care discharge several measurements were used, including a standardised list of physical problems, the Clinical Frailty Scale, the Medical Outcomes Study Short-Form General Health Survey, the McMaster Family Assessment Device, the Hospital Anxiety and Depression Scale, and the Spiritual Needs Questionnaire, as well as open questions and interviews with survivors and their family members.RESULTS: A total of 56 survivors (77%) returned the 12-month questionnaire, whose median age was 62 (inter-quartile range [IQR]: 55.0-68.0). Moreover, 67 family members (66%) returned the 12-month questionnaire, whose median age was 58 (IQR: 43-66). At least one physical problem was reported by 93% of the survivors, with 22% reporting changes in their work-status. Both survivors (84%) and their family members (85%) reported at least one spiritual need. The need to feel connected with family was the strongest. The main theme was 'returning to normal' in the interviews with survivors and 'if the patient is well, I am well' in the interviews with family members.CONCLUSIONS: One year after discharge, both COVID-19 intensive care survivors and their family members positively evaluate their health-status. Survivors experience physical impairments, and their family members' well-being is strongly impacted by the health of the survivor.",

keywords = "aftercare, covid-19, critical care, family, post intensive care syndrome, quality of life, spirituality, survivors, corona, familie, kritieke zorg, kwaliteit van leven, nazorg, overlevenden, post-intensive care-syndroom, spiritualiteit",

author = "Marisa Onrust and Anja Visser and {van Veenendaal}, Nadine and Willem Dieperink and Luttik, {Marie Louise} and Derksen, {Mechteld-Hanna G.} and {van der Voort}, {Peter H. J.} and {van der Meulen}, {Ingeborg C.}",

year = "2022",

month = dec,

day = "7",

doi = "10.1016/j.iccn.2022.103366",

language = "English",

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journal = "Intensive & critical care nursing",

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}

Onrust, M, Visser, A, van Veenendaal, N, Dieperink, W, Luttik, ML, Derksen, M-HG, van der Voort, PHJ & van der Meulen, IC 2022, 'Physical, social, mental and spiritual functioning of COVID-19 intensive care unit-survivors and their family members one year after intensive care unit-discharge: A prospective cohort study', Intensive & critical care nursing, vol. 75. https://doi.org/10.1016/j.iccn.2022.103366

Physical, social, mental and spiritual functioning of COVID-19 intensive care unit-survivors and their family members one year after intensive care unit-discharge: A prospective cohort study. / Onrust, Marisa; Visser, Anja; van Veenendaal, Nadine et al.
In: Intensive & critical care nursing, Vol. 75, 07.12.2022.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Physical, social, mental and spiritual functioning of COVID-19 intensive care unit-survivors and their family members one year after intensive care unit-discharge

T2 - A prospective cohort study

AU - Onrust, Marisa

AU - Visser, Anja

AU - van Veenendaal, Nadine

AU - Dieperink, Willem

AU - Luttik, Marie Louise

AU - Derksen, Mechteld-Hanna G.

AU - van der Voort, Peter H. J.

AU - van der Meulen, Ingeborg C.

PY - 2022/12/7

Y1 - 2022/12/7

N2 - OBJECTIVE: To describe the long-term functioning of patients who survived a COVID-19-related admission to the intensive care unit and their family members, in the physical, social, mental and spiritual domain.DESIGN: A single-centre, prospective cohort study with a mixed-methods design.SETTING: The intensive care unit of the University Medical Center Groningen in the Netherlands.MAIN OUTCOME MEASURES: To study functioning 12 months after intensive care discharge several measurements were used, including a standardised list of physical problems, the Clinical Frailty Scale, the Medical Outcomes Study Short-Form General Health Survey, the McMaster Family Assessment Device, the Hospital Anxiety and Depression Scale, and the Spiritual Needs Questionnaire, as well as open questions and interviews with survivors and their family members.RESULTS: A total of 56 survivors (77%) returned the 12-month questionnaire, whose median age was 62 (inter-quartile range [IQR]: 55.0-68.0). Moreover, 67 family members (66%) returned the 12-month questionnaire, whose median age was 58 (IQR: 43-66). At least one physical problem was reported by 93% of the survivors, with 22% reporting changes in their work-status. Both survivors (84%) and their family members (85%) reported at least one spiritual need. The need to feel connected with family was the strongest. The main theme was 'returning to normal' in the interviews with survivors and 'if the patient is well, I am well' in the interviews with family members.CONCLUSIONS: One year after discharge, both COVID-19 intensive care survivors and their family members positively evaluate their health-status. Survivors experience physical impairments, and their family members' well-being is strongly impacted by the health of the survivor.

AB - OBJECTIVE: To describe the long-term functioning of patients who survived a COVID-19-related admission to the intensive care unit and their family members, in the physical, social, mental and spiritual domain.DESIGN: A single-centre, prospective cohort study with a mixed-methods design.SETTING: The intensive care unit of the University Medical Center Groningen in the Netherlands.MAIN OUTCOME MEASURES: To study functioning 12 months after intensive care discharge several measurements were used, including a standardised list of physical problems, the Clinical Frailty Scale, the Medical Outcomes Study Short-Form General Health Survey, the McMaster Family Assessment Device, the Hospital Anxiety and Depression Scale, and the Spiritual Needs Questionnaire, as well as open questions and interviews with survivors and their family members.RESULTS: A total of 56 survivors (77%) returned the 12-month questionnaire, whose median age was 62 (inter-quartile range [IQR]: 55.0-68.0). Moreover, 67 family members (66%) returned the 12-month questionnaire, whose median age was 58 (IQR: 43-66). At least one physical problem was reported by 93% of the survivors, with 22% reporting changes in their work-status. Both survivors (84%) and their family members (85%) reported at least one spiritual need. The need to feel connected with family was the strongest. The main theme was 'returning to normal' in the interviews with survivors and 'if the patient is well, I am well' in the interviews with family members.CONCLUSIONS: One year after discharge, both COVID-19 intensive care survivors and their family members positively evaluate their health-status. Survivors experience physical impairments, and their family members' well-being is strongly impacted by the health of the survivor.

KW - aftercare

KW - covid-19

KW - critical care

KW - family

KW - post intensive care syndrome

KW - quality of life

KW - spirituality

KW - survivors

KW - corona

KW - familie

KW - kritieke zorg

KW - kwaliteit van leven

KW - nazorg

KW - overlevenden

KW - post-intensive care-syndroom

KW - spiritualiteit

U2 - 10.1016/j.iccn.2022.103366

DO - 10.1016/j.iccn.2022.103366

M3 - Article

C2 - 36528460

SN - 0964-3397

VL - 75

JO - Intensive & critical care nursing

JF - Intensive & critical care nursing

ER -

Onrust M, Visser A, van Veenendaal N, Dieperink W, Luttik ML, Derksen MHG et al. Physical, social, mental and spiritual functioning of COVID-19 intensive care unit-survivors and their family members one year after intensive care unit-discharge: A prospective cohort study. Intensive & critical care nursing. 2022 Dec 7;75. Epub 2022 Dec 7. doi: 10.1016/j.iccn.2022.103366

Physical, social, mental and spiritual functioning of COVID-19 intensive care unit-survivors and their family members one year after intensive care unit-discharge: A prospective cohort study

Abstract

Keywords

Research Focus Areas Hanze University of Applied Sciences * (mandatory by Hanze)

Research Focus Areas Research Centre or Centre of Expertise * (mandatory by Hanze)

Publinova themes

Access to Document

Fingerprint

Cite this