通過移動健康應用程式為重症監護後綜合症家庭提供認知行為療法

研究結果證實了對 ICU 患者家屬實施基於應用程式的認知行為治療的可行性。

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Abstract

Background

Family members of intensive care unit (ICU) patients are at risk for post–intensive care syndrome– family (PICS-F), including symptoms of anxiety, depression, and posttraumatic stress. Cognitive behavioral therapy is the first-line nonpharmacologic treatment for many psychological symptoms and has been successfully delivered by use of mobile technology for symptom self-management.

Objectives

To determine the feasibility of delivering cognitive behavioral therapy through a smartphone app to family members of critically ill patients.

Methods

This was a prospective longitudinal cohort study with a consecutive sample of patients admitted to 2 adult ICUs and their family members. The control group period was followed by the intervention group period. The intervention consisted of a mobile health app preloaded on a smartphone provided to family members. The study time points were enrollment (within 5 days of ICU admission), 30 days after admission, and 60 days after admission. Study measures included demographic data, app use, satisfaction with the app, mental health self-efficacy, and measures of PICS-F symptoms.

Results

The study sample consisted of 49 predominantly White (92%) and female (82%) family members (24 intervention, 25 control). Smartphone ownership was 88%. Completion rates for study measures were 92% in the control group and 79% in the intervention group. Family members logged in to the app a mean of 18.58 times (range 2-89) and spent a mean of 81.29 minutes (range 4.93-426.63 minutes) using the app.

Conclusions

The study results confirm the feasibility of implementing app-based delivery of cognitive behavioral therapy to family members of ICU patients.

摘要翻譯(僅供參考)

背景

重症監護病房 (ICU) 患者的家人有患重症監護後綜合徵 - 家庭 (PICS-F) 的風險,包括焦慮、抑鬱和創傷後壓力的症狀。認知行為療法是許多心理症狀的一線非藥物治療方法,並已通過使用移動技術進行症狀自我管理而成功實現。

目標

確定通過智慧手機應用程式向危重患者的家人提供認知行為治療的可行性。

方法

這是一項前瞻性縱向隊列研究,對入住 2 個成人 ICU 的患者及其家屬進行連續抽樣。對照組期之後是干預組期。干預包括預裝在智慧手機上的移動健康應用程式,提供給家庭成員。研究時間點為入院(入住ICU後5天內)、入院後30天和入院後60天。研究測量包括人口統計數據、應用程式使用、對應用程式的滿意度、心理健康自我效能感和 PICS-F 症狀的測量。

結果

研究樣本由 49 名主要是白人 (92%) 和女性 (82%) 的家庭成員組成(24 名干預,25 名對照)。智慧手機擁有率為 88%。對照組的研究措施完成率為 92%,干預組為 79%。家庭成員平均登錄該應用程式 18.58 次(範圍 2-89),使用該應用程式的平均時間為 81.29 分鐘(範圍 4.93-426.63 分鐘)。

結論

研究結果證實了對 ICU 患者家屬實施基於應用程式的認知行為治療的可行性。

原文連結:

https://doi.org/10.4037/ajcc2021962

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