Efficacy of intensive care unit diaries on patients and relatives: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

WANG Weijia ¹ , LI Dinggen ^1,2 , CHEN Liaolin ³ , LIU Xin ⁴ ,  YANG Yonghong ^1,2

1. Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
2. Key Laboratory of Rehabilitation Medicine of Sichuan Province, Chengdu 610041, P. R. China;
3. Department of Rehabilitation Medicine, Sichuan Province Orthopedic Hospital, Chengdu 610041, P. R. China;
4. Department of Rehabilitation Medicine, Affiliated Hospital of North Sichuan Medical College, Nancong 637000, P. R. China;

Corresponding author：

YANG Yonghong, Email: nicole308@126.com

Keywords：

Intensive care units; ICU diaries; Post-traumatic stress disorder; Quality of life; Meta-analysis; Systematic review

DOI：

10.7507/1672-2531.202310184

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Objective To systematically review the efficacy of ICU diaries on psychological outcomes, cognition and health-related quality of life in both patients and their relatives. Methods The PubMed, Embase, Web of Science, Cochrane Library, PsycINFO, CNKI, WanFang Data and VIP database were electronically searched to collect trails related to the objective from inception to August 2023. Two reviewers independently screened the literature, extracted data, and assessed the risk of bias of the included studies. Meta-analysis was then performed using RevMan 5.3 software. Results A total of 17 studies involving 2 093 patients and 786 relatives were included. The results of meta-analysis showed that compared with the control group, ICU diaries could improve patients’ post-traumatic stress disorder (PTSD) (RR=0.64, 95%CI 0.50 to 0.83, P<0.01), depression (RR=0.65, 95%CI 0.48 to 0.89, P<0.01) and quality of life (MD=7.78, 95%CI 4.37 to 11.18, P<0.01) significantly. However, there were no significant differences in patients’ anxiety, memory and relatives’ psychological outcomes. Conclusion Current evidence shows that the use of ICU diaries can reduce the incidence rate of patients’ PTSD, depression and improve their quality of life, but other effects are unclear. Due to the limited quantity and quality of the included studies, more high-quality studies are needed to verify the above conclusion.

Citation： WANG Weijia, LI Dinggen, CHEN Liaolin, LIU Xin, YANG Yonghong. Efficacy of intensive care unit diaries on patients and relatives: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2024, 24(5): 557-564. doi: 10.7507/1672-2531.202310184 Copy

1.	Barrett ML, Smith MW, Elixhauser A, et al. Utilization of intensive care services. Healthcare cost and utilization project (HCUP) statistical briefs. Rockville MD: Agency for Healthcare Research and Quality (US), 2006.
2.	Taboada M, Rodríguez N, Díaz-Vieito M, et al. Quality of life and persistent symptoms after hospitalization for COVID-19. A prospective observational study comparing ICU with non-ICU patients. Revista Espanola De Anestesiologia Y Reanimacion, 2022, 69(6): 326-335.
3.	Wilcox ME, Girard TD, Hough CL. Delirium and long term cognition in critically ill patients. BMJ, 2021, 373: n1007.
4.	Baumstarck K, Boucekine M, Estagnasie P, et al. Assessment of patients' self-perceived intensive care unit discomforts: validation of the 18-item version of the IPREA. Health Qual Life Outcomes, 2019, 17(1): 29.
5.	徐丽娜, 刘婷婷. ICU日记对重症监护室患者创伤后应激障碍及焦虑、抑郁影响的Meta分析. 天津护理, 2023, 31(2): 137-141.
6.	Cumpston M, Li T, Page MJ, et al. Updated guidance for trusted systematic reviews: a new edition of the Cochrane handbook for systematic reviews of interventions. Cochrane Database Syst Rev, 2019, (10): ED000142.
7.	Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010, 25(9): 603-605.
8.	曾宪涛, 庄丽萍, 杨宗国, 等. Meta分析系列之七: 非随机实验性研究、诊断性试验及动物实验的质量评价工具. 中国循证心血管医学杂志, 2012, 4(6): 496-499.
9.	陈淑珍, 周品芳, 张燊. 以日记为载体的认知暴露疗法对ICU患者创伤后应激障碍的干预研究. 中西医结合护理(中英文), 2019, 5(7): 124-126.
10.	Glimelius Petersson C, Ringdal M, Apelqvist G, et al. Diaries and memories following an ICU stay: a 2-month follow-up study. Nurs Crit Care, 2018, 23(6): 299-307.
11.	Garrouste-Orgeas M, Flahault C, Vinatier I, et al. Effect of an ICU diary on posttraumatic stress disorder symptoms among patients receiving mechanical ventilation: a randomized clinical trial. JAMA, 2019, 322(3): 229-239.
12.	Wang S, Xin HN, Chung Lim Vico C, et al. Effect of an ICU diary on psychiatric disorders, quality of life, and sleep quality among adult cardiac surgical ICU survivors: a randomized controlled trial. Crit Care, 2020, 24(1): 81.
13.	Fukuda T, Inoue T, Kinoshita Y, et al. Effectiveness of ICU diaries: improving “distorted memories” encountered during ICU admission: 4. Open J Nurs, 2015, 5(4): 313-324.
14.	Knowles RE, Tarrier N. Evaluation of the effect of prospective patient diaries on emotional well-being in intensive care unit survivors: a randomized controlled trial. Crit Care Med, 2009, 37(1): 184-191.
15.	王烁. ICU患者创伤后应激障碍危险因素与非药物干预的研究. 福州: 福建医科大学, 2017.
16.	青远琴, 苏涛, 陈芳, 等. ICU日记在ICU成人患者创伤后应激障碍中的干预效果研究. 中国护理管理, 2020, 20(10): 1471-1475.
17.	Garrouste-Orgeas M, Coquet I, Périer A, et al. Impact of an intensive care unit diary on psychological distress in patients and relatives*. Crit Care Med, 2012, 40(7): 2033-2040.
18.	Sayde GE, Stefanescu A, Conrad E, et al. Implementing an intensive care unit (ICU) diary program at a large academic medical center: Results from a randomized control trial evaluating psychological morbidity associated with critical illness. Gen Hosp Psychiatry, 2020, 66: 96-102.
19.	Svenningsen H, Tønnesen EK, Videbech P, et al. Intensive care delirium - effect on memories and health-related quality of life - a follow-up study. J Clin Nurs, 2014, 23(5-6): 634-644.
20.	Jones C, Bäckman C, Capuzzo M, et al. Intensive care diaries reduce new onset post traumatic stress disorder following critical illness: a randomised, controlled trial. Crit Care, 2010, 14(5): R168.
21.	Bäckman CG, Orwelius L, Sjöberg F, et al. Long-term effect of the ICU-diary concept on quality of life after critical illness. Acta Anaesthesiol Scand, 2010, 54(6): 736-743.
22.	Torres L, Nelson F, West G. Original research: exploring the effects of a nurse-initiated diary intervention on post-critical care posttraumatic stress disorder. Am J Nurs, 2020, 120(5): 24-33.
23.	Kredentser MS, Blouw M, Marten N, et al. Preventing posttraumatic stress in ICU survivors: a single-center pilot randomized controlled trial of ICU diaries and psychoeducation. Crit Care Med, 2018, 46(12): 1914-1922.
24.	Nielsen AH, Angel S, Egerod I, et al. The effect of family-authored diaries on posttraumatic stress disorder in intensive care unit patients and their relatives: a randomised controlled trial (DRIP-study). Aust Crit Care, 2020, 33(2): 123-129.
25.	罗利, 傅凡, 肖莎. 日记法在ICU病人创伤后应激障碍早期干预的效果研究. 护理研究, 2019, 33(1): 145-148.
26.	Sun X, Huang D, Zeng F, et al. Effect of intensive care unit diary on incidence of posttraumatic stress disorder, anxiety, and depression of adult intensive care unit survivors: a systematic review and meta-analysis. J Adv Nurs, 2021, 77(7): 2929-2941.
27.	Maartmann-Moe CC, Solberg MT, Larsen MH, et al. Patients' memories from intensive care unit: a qualitative systematic review. Nurs Open, 2021, 8(5): 2221-2234.
28.	McIlroy PA, King RS, Garrouste-Orgeas M, et al. The effect of ICU diaries on psychological outcomes and quality of life of survivors of critical illness and their relatives: a systematic review and meta-analysis. Crit Care Med, 2019, 47(2): 273-279.
29.	Barreto BB, Luz M, Rios MNO, et al. The impact of intensive care unit diaries on patients' and relatives' outcomes: a systematic review and meta-analysis. Crit Care, 2019, 23(1): 411.
30.	Brandao Barreto B, Luz M, Gusmao-Flores D. Using qualitative synthesis to explore heterogeneity of randomized trials on ICU diaries. Crit Care Med, 2022, 50(11): 1654-1661.
31.	Brandao Barreto B, Luz M, Alves Valente do Amaral Lopes S, et al. Exploring patients' perceptions on ICU diaries: a systematic review and qualitative data synthesis. Crit Care Med, 2021, 49(7): e707-e718.
32.	Pattison N, O'Gara G, Lucas C, et al. Filling the gaps: a mixed-methods study exploring the use of patient diaries in the critical care unit. Intensive Crit Care Nurs, 2019, 51: 27-34.
33.	Perier A, Revah-Levy A, Bruel C, et al. Phenomenologic analysis of healthcare worker perceptions of intensive care unit diaries. Crit Care, 2013, 17(1): R13.

1. Barrett ML, Smith MW, Elixhauser A, et al. Utilization of intensive care services. Healthcare cost and utilization project (HCUP) statistical briefs. Rockville MD: Agency for Healthcare Research and Quality (US), 2006.
2. Taboada M, Rodríguez N, Díaz-Vieito M, et al. Quality of life and persistent symptoms after hospitalization for COVID-19. A prospective observational study comparing ICU with non-ICU patients. Revista Espanola De Anestesiologia Y Reanimacion, 2022, 69(6): 326-335.
3. Wilcox ME, Girard TD, Hough CL. Delirium and long term cognition in critically ill patients. BMJ, 2021, 373: n1007.
4. Baumstarck K, Boucekine M, Estagnasie P, et al. Assessment of patients' self-perceived intensive care unit discomforts: validation of the 18-item version of the IPREA. Health Qual Life Outcomes, 2019, 17(1): 29.
5. 徐丽娜, 刘婷婷. ICU日记对重症监护室患者创伤后应激障碍及焦虑、抑郁影响的Meta分析. 天津护理, 2023, 31(2): 137-141.
6. Cumpston M, Li T, Page MJ, et al. Updated guidance for trusted systematic reviews: a new edition of the Cochrane handbook for systematic reviews of interventions. Cochrane Database Syst Rev, 2019, (10): ED000142.
7. Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010, 25(9): 603-605.
8. 曾宪涛, 庄丽萍, 杨宗国, 等. Meta分析系列之七: 非随机实验性研究、诊断性试验及动物实验的质量评价工具. 中国循证心血管医学杂志, 2012, 4(6): 496-499.
9. 陈淑珍, 周品芳, 张燊. 以日记为载体的认知暴露疗法对ICU患者创伤后应激障碍的干预研究. 中西医结合护理(中英文), 2019, 5(7): 124-126.
10. Glimelius Petersson C, Ringdal M, Apelqvist G, et al. Diaries and memories following an ICU stay: a 2-month follow-up study. Nurs Crit Care, 2018, 23(6): 299-307.
11. Garrouste-Orgeas M, Flahault C, Vinatier I, et al. Effect of an ICU diary on posttraumatic stress disorder symptoms among patients receiving mechanical ventilation: a randomized clinical trial. JAMA, 2019, 322(3): 229-239.
12. Wang S, Xin HN, Chung Lim Vico C, et al. Effect of an ICU diary on psychiatric disorders, quality of life, and sleep quality among adult cardiac surgical ICU survivors: a randomized controlled trial. Crit Care, 2020, 24(1): 81.
13. Fukuda T, Inoue T, Kinoshita Y, et al. Effectiveness of ICU diaries: improving “distorted memories” encountered during ICU admission: 4. Open J Nurs, 2015, 5(4): 313-324.
14. Knowles RE, Tarrier N. Evaluation of the effect of prospective patient diaries on emotional well-being in intensive care unit survivors: a randomized controlled trial. Crit Care Med, 2009, 37(1): 184-191.
15. 王烁. ICU患者创伤后应激障碍危险因素与非药物干预的研究. 福州: 福建医科大学, 2017.
16. 青远琴, 苏涛, 陈芳, 等. ICU日记在ICU成人患者创伤后应激障碍中的干预效果研究. 中国护理管理, 2020, 20(10): 1471-1475.
17. Garrouste-Orgeas M, Coquet I, Périer A, et al. Impact of an intensive care unit diary on psychological distress in patients and relatives*. Crit Care Med, 2012, 40(7): 2033-2040.
18. Sayde GE, Stefanescu A, Conrad E, et al. Implementing an intensive care unit (ICU) diary program at a large academic medical center: Results from a randomized control trial evaluating psychological morbidity associated with critical illness. Gen Hosp Psychiatry, 2020, 66: 96-102.
19. Svenningsen H, Tønnesen EK, Videbech P, et al. Intensive care delirium - effect on memories and health-related quality of life - a follow-up study. J Clin Nurs, 2014, 23(5-6): 634-644.
20. Jones C, Bäckman C, Capuzzo M, et al. Intensive care diaries reduce new onset post traumatic stress disorder following critical illness: a randomised, controlled trial. Crit Care, 2010, 14(5): R168.
21. Bäckman CG, Orwelius L, Sjöberg F, et al. Long-term effect of the ICU-diary concept on quality of life after critical illness. Acta Anaesthesiol Scand, 2010, 54(6): 736-743.
22. Torres L, Nelson F, West G. Original research: exploring the effects of a nurse-initiated diary intervention on post-critical care posttraumatic stress disorder. Am J Nurs, 2020, 120(5): 24-33.
23. Kredentser MS, Blouw M, Marten N, et al. Preventing posttraumatic stress in ICU survivors: a single-center pilot randomized controlled trial of ICU diaries and psychoeducation. Crit Care Med, 2018, 46(12): 1914-1922.
24. Nielsen AH, Angel S, Egerod I, et al. The effect of family-authored diaries on posttraumatic stress disorder in intensive care unit patients and their relatives: a randomised controlled trial (DRIP-study). Aust Crit Care, 2020, 33(2): 123-129.
25. 罗利, 傅凡, 肖莎. 日记法在ICU病人创伤后应激障碍早期干预的效果研究. 护理研究, 2019, 33(1): 145-148.
26. Sun X, Huang D, Zeng F, et al. Effect of intensive care unit diary on incidence of posttraumatic stress disorder, anxiety, and depression of adult intensive care unit survivors: a systematic review and meta-analysis. J Adv Nurs, 2021, 77(7): 2929-2941.
27. Maartmann-Moe CC, Solberg MT, Larsen MH, et al. Patients' memories from intensive care unit: a qualitative systematic review. Nurs Open, 2021, 8(5): 2221-2234.
28. McIlroy PA, King RS, Garrouste-Orgeas M, et al. The effect of ICU diaries on psychological outcomes and quality of life of survivors of critical illness and their relatives: a systematic review and meta-analysis. Crit Care Med, 2019, 47(2): 273-279.
29. Barreto BB, Luz M, Rios MNO, et al. The impact of intensive care unit diaries on patients' and relatives' outcomes: a systematic review and meta-analysis. Crit Care, 2019, 23(1): 411.
30. Brandao Barreto B, Luz M, Gusmao-Flores D. Using qualitative synthesis to explore heterogeneity of randomized trials on ICU diaries. Crit Care Med, 2022, 50(11): 1654-1661.
31. Brandao Barreto B, Luz M, Alves Valente do Amaral Lopes S, et al. Exploring patients' perceptions on ICU diaries: a systematic review and qualitative data synthesis. Crit Care Med, 2021, 49(7): e707-e718.
32. Pattison N, O'Gara G, Lucas C, et al. Filling the gaps: a mixed-methods study exploring the use of patient diaries in the critical care unit. Intensive Crit Care Nurs, 2019, 51: 27-34.
33. Perier A, Revah-Levy A, Bruel C, et al. Phenomenologic analysis of healthcare worker perceptions of intensive care unit diaries. Crit Care, 2013, 17(1): R13.

Chinese Journal of Evidence-Based Medicine

Efficacy of intensive care unit diaries on patients and relatives: a meta-analysis

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