Post-traumatic stress disorder among family members of patients with prolonged mechanical ventilation

Le résumé fourni par la source

Background: The incidence and risk factors contributing to post-traumatic stress disorder (PTSD) symptoms in family members of patients undergoing prolonged mechanical ventilation (PMV) remain unclear. This study aims to investigate the prevalence of PTSD symptoms and associated factors in family members of PMV patients. Methods: This prospective observational cohort study was conducted at a tertiary medical center in Taiwan. Family members of PMV patients were assessed using validated psychological questionnaires, including the Post-Traumatic Stress Syndrome-14 (PTSS-14), Post-Traumatic Stress Syndrome-10 (PTSS-10), the Hospital Anxiety and Depression Scale (HADS), the Zarit Buren Interview and the the Caregiver Burden Inventory (CBI). Clinical data of the patients were collected at admission and followed up after one year. Results: A total of 102 family members with mean age 49.5 years and 39.2% male sex were included. Mean MV days before transfer was 30.9 days with total MV duration were 53.7 days among MV patients with in-hospital mortality 8.8%. PTSD symptoms were observed in 25 (24.5%) family members (PTSS-10 24.8, PTSS-14 34.4). Additionally, a significant proportion of family members experienced anxiety and depressive symptoms (HADS 19.6), and caregiver burden (ZBI 84.0, CBI 41.4), persisting up to one year after follow-up. Multivariate regression analysis identified PMV, including ventilator days before transfer and total MV days, as risk factors for PTSD symptoms in family members. Conclusion: Family members of PMV patients exhibit a high prevalence of PTSD symptoms. Longer duration of mechanical ventilation is independently associated with increased PTSD symptoms.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.