3 years ago

Structured nurse-led follow-up for patients after discharge from the intensive care unit: prospective quasi-experimental study

Helga Jonsdottir, Christina Jones, Gisli H Sigurdsson, Rannveig j. Jónasdóttir
Aims To describe a structured three-month nurse-led follow-up of patients after discharge from intensive care and measure its effects on health status. Background Patients requiring intensive care stay frequently have lengthy and incomplete recovery suggesting need for additional support. The effects of intensive care nurse-led follow-up have not been sufficiently elucidated. Design A prospective, quasi-experimental study of patients who received structured nurse-led follow-up from intensive care nurses after discharge from intensive care until three months afterwards. The control group received usual care. Methods Of 574 patients assessed for eligibility, from November 2012 - May 2015, 168 were assigned to the experimental group (N=73) and the control group (N=75). Primary outcome was health status, measured with eight scales of Short Form-36v2, before the intensive care admission and at four time points until twelve months after intensive care. A mixed effect model tested differences between the groups over time. Criteria for Reporting Development and Evaluation of Complex Interventions 2 guideline, guided the reporting of the intervention. Results The structured nurse-led follow-up did not improve patients’ health status compared with usual care (mixed effect model, p = 0.078 – 0.937). Conclusion The structured nurse-led follow-up did not reveal an effect on the intensive care patients studied. Further examination of intensive care nurse-led follow-up is needed, taking into account the heterogeneity of the patient population, variations in length of ward stay, patients’ health care needs during the first week at home after discharge from general ward and health status before intensive care admission. This article is protected by copyright. All rights reserved.

Publisher URL: http://onlinelibrary.wiley.com/resolve/doi

DOI: 10.1111/jan.13485

You might also like
Discover & Discuss Important Research

Keeping up-to-date with research can feel impossible, with papers being published faster than you'll ever be able to read them. That's where Researcher comes in: we're simplifying discovery and making important discussions happen. With over 19,000 sources, including peer-reviewed journals, preprints, blogs, universities, podcasts and Live events across 10 research areas, you'll never miss what's important to you. It's like social media, but better. Oh, and we should mention - it's free.

  • Download from Google Play
  • Download from App Store
  • Download from AppInChina

Researcher displays publicly available abstracts and doesn’t host any full article content. If the content is open access, we will direct clicks from the abstracts to the publisher website and display the PDF copy on our platform. Clicks to view the full text will be directed to the publisher website, where only users with subscriptions or access through their institution are able to view the full article.