I need to review articles that specifically studied the emotions of family members how were treated in cardiac care unit CCU. So the interest here is on CCU and not ICUs in general, thank you.
Risk of Post-traumatic Stress Symptoms in Family Members of Intensive Care Unit Patients :首席医学网 2006年10月07日 15:18:16 Saturday Azoulay et al.
However, I am unfamiliar with this language I give the link to an English version: http://journal.9med.net/qikan/article.php?id=193974
Abstract:
ABSTRACT Rationale: Intensive care unit (ICU) admission of a relative is a stressful event that may cause symptoms of post-traumatic stress disorder (PTSD). Objectives: Factors associated with these symptoms need to be identified. Methods: For patients admitted to 21 ICUs between March and November 2003, we studied the family member with the main potential decision-making role. Measurements: Ninety days after ICU discharge or death, family members completed the Impact of Event Scale (which evaluates the severity of post-traumatic stress reactions), Hospital Anxiety and Depression Scale, and 36-item Short-Form General Health Survey during a telephone interview. Linear regression was used to identify factors associated with the risk of post-traumatic stress symptoms. Main results: Interviews were obtained for family members of 284 (62%) of the 459 eligible patients. Post-traumatic stress symptoms consistent with a moderate to major risk of PTSD were found in 94 (33.1%) family members. Higher rates were noted among family members who felt information was incomplete in the ICU (48.4%), who shared in decision making (47.8%), whose relative died in the ICU (50%), whose relative died after end-of-life decisions (60%), and who shared in end-of-life decisions (81.8%). Severe post-traumatic stress reaction was associated with increased rates of anxiety and depression and decreased quality of life. Conclusion: Post-traumatic stress reaction consistent with a high risk of PTSD is common in family members of ICU patients and is the rule among those who share in end-of-life decisions. Research is needed to investigate PTSD rates and to devise preventive and early-detection strategies.
Key Words: autonomy burden decision making end of life paternalism
Zarit Burden Interview and The Social Difficulties Inventory (SDI)
The above two tool were used to measure burden among caregivers of cancer patients,. Recently i have translate them into Arabic to be used among Jordainain cancer patient
you may adopt them to cardiac patient and test their validity.