Factors Related to Health-related Quality of Life Among Critically Ill Survivors
Keywords:
Health-related Quality of Life, HRQOL, Critically ill survivorsAbstract
Health-related Quality of Life (HRQOL) is the perception of the state of liveliness in their perspective on experiences related to the impact of critical illness and the treatment that effects the daily lives of people who have survived a critical illness. This research aims to study the HRQOL and factors related to HRQOL among critically ill survivors. The samples selection with proportional sampling of critically ill survivors at Maharaj Nakorn Chiang Mai Hospital. The samples of this study were 102 critically ill survivors who received services at the outpatient department, Maharaj Nakorn Chiang Mai Hospital from October 2015 to May 2017. The research instruments included: Barthel Activity Daily Living (ADL), Hospital Anxiety and Depression Scales (HADS) and Short - Form Health Survey 36 (SF-36). Descriptive statistics and spearman's rank correlation coefficients were used to analyze the data.
The results of this study revealed that;
- The critically ill survivors had the following average scores of HRQOL and average score of 8 dimensions in different levels as follows role limitations due to physical problems dimensions have a high average rating ( = 81.22 , S.D.= 15.65), the general mental health dimensions have a low average rating ( = 33.09 , S.D.= 38.72). Others, having a medium grade point average were social functioning dimensions ( = 69.98 , S.D.= 22.75), bodily pain dimensions ( = 69.24, S.D.= 23.64), vitality dimensions ( = 67.94, S.D.= 15.83), general health perceptions dimensions ( =63.82,S.D.=21.34), role limitations due to emotional problems dimensions ( =63.07,S.D.= 41.67) and physical functioning dimensions ( =58.04,S.D.= 29.74)
- Activity daily living was significantly positive relations to HRQOL in the physical functioning dimensions (r = .521), role limitations due to physical problems dimensions
(r = .285), general health perceptions dimensions (r = .263) and vitality dimensions (r = .223) at the .05. - Anxiety was significantly negative relations to HRQOL in the general mental health dimensions (r = -.742), vitality dimensions (r = -.550), general health perceptions dimensions
(r = -.455), bodily pain dimensions (r = -.453), role limitations due to emotional problems dimensions (r = .427) and social functioning dimensions (r = -.407) at the .01. In addition depression was significantly negative relations to HRQOL in all dimensions (r = -.644 to -.217) at the .01 and .05.
The results of this study can plan to promote the HRQOL of Critically ill survivors. Focus on reducing depression and anxiety and promote rehabilitation to increase the ability to perform activity daily living.
References
Agard, A. S., Egerod, I., Tonnesen, E., & Lomborg, K. (2012). Struggling for independence: A grounded theory study on convalescence of ICU survivors 12 months post ICU discharge. Intensive and Critical Care Nursing, 28(2), 105-113.
Burns, N., & Grove, S. (2009). The practice of nursing research: Appraisal. Synthesis and generation of evidence. (6th ed.). St Louis: Saunders Elsevier.
Chaboyer, W., & Elliott, D. (2000). Health-related quality of life of ICU survivors: Review of the literature. Intensive and Critical Care Nursing, 16(2), 88-97.
Choi, J., Hoffman, L. A., Schulz, R., Tate, J. A., Donahoe, M. P., Ren, D., . . . Sherwood, P. R. (2014). Self-reported physical symptoms in Intensive Care Unit (ICU) survivors: Pilot exploration over four months post-ICU discharge. Journal of Pain and Symptom Management, 47(2), 257-270.
Craven, J., & Hicks, P. (2012). Intensive care resources and activity: Australia and New Zealand 2009/2010. ANZICS, Melbourne.
Dennis, D. M., Hebden-Todd, T. K., Marsh, L. J., Cipriano, L. J., & Parsons, R. W. (2011). How do Australian ICU survivors fare functionally 6 months after admission. Critical Care and Resuscitation, 13(1), 9-16.
Duggan, M. C., Wang, L., Wilson, J. E., Dittus, R. S., Ely, E. W., & Jackson, J. C. (2017). The relationship between executive dysfunction, depression, and mental health-related quality of life in survivors of critical illness: Results from the BRAIN-ICU investigation. Journal of Critical Care, 37, 72-79.
Egerod, I., Bergbom, I., Lindahl, B., Henricson, M., Granberg-Axell, A., & Storli, S. L. (2015). The patient experience of intensive care: A meta-synthesis of Nordic studies. International Journal of Nursing Studies, 52(8), 1354-1361.
Gordo, F., & Abella, A. (2014). Intensive Care Unit without walls: Seeking patient safety by
improving the efficiency of the system. Medicina Intensiva (English Edition), 38(7), 438-443.
Group, T. W. (1998). The World Health Organization quality of life assessment (WHOQOL): development and general psychometric properties. Social Science & Medicine, 46(12), 1569-1585.
Group, W. (1994). The development of the World Health Organization quality of life assessment instrument (the WHOQOL). Quality of life assessment: International perspectives. Heidelberg: Springer Verlag, 41-57.
Haghgoo, H. A., Pazuki, E. S., Hosseini, A. S., & Rassafiani, M. (2013). Depression, activities of daily living and quality of life in patients with stroke. Journal of the Neurological Sciences, 328(1–2), 87-91.
Hofhuis, J. G., Spronk, P. E., van Stel, H. F., Schrijvers, G. J., Rommes, J. H., & Bakker, J. (2008). The impact of critical illness on perceived health-related quality of life during ICU treatment, hospital stay, and after hospital discharge: A long-term follow-up study. CHEST Journal, 133(2), 377-385.
Hofhuis, J. G., van Stel, H. F., Schrijvers, A. J., Rommes, J. H., & Spronk, P. E. (2011). Changes of health-related quality of life in critically ill octogenarians: A follow-up study. CHEST Journal, 140(6), 1473-1483.
Innocenti, F., Del Taglia, B., Coppa, A., Trausi, F., Conti, A., Zanobetti, M., & Pini, R. (2015). Quality of life after mild to moderate trauma. Injury, 46(5), 902-908.
Jitaphantakun, S.,ThawiKittik, R., Khamya, T., & Milintharangkun,C. (1998). Analysis of the elderly. Principles of geriatric medicine (pp. 85-86), Bangkok: Chulalongkorn University Printing House. (In Thai)
Jackson, J. C., Pandharipande, P. P., Girard, T. D., Brummel, N. E., Thompson, J. L., Hughes, C. G., . . . Ely, E. W. (2014). Depression, post-traumatic stress disorder, and functional disability in survivors of critical illness in the BRAIN-ICU study: A longitudinal cohort study. The Lancet Respiratory Medicine, 2(5), 369-379.
Jones, C. (2014). Recovery post ICU. Intensive and Critical Care Nursing, 30(5), 239-245.
Jutte, J. E., Needham, D. M., Pfoh, E. R., & Bienvenu, O. J. (2015). Psychometric evaluation of the hospital anxiety and depression scale 3 months after acute lung injury. Journal of Critical Care, 30(4), 793-798.
Kwek, S.-K., Chew, W.-M., Ong, K.-C., Ng, A. W.-K., Lee, L. S.-U., Kaw, G., & Leow, M. K.-S. (2006). Quality of life and psychological status in survivors of severe acute respiratory syndrome at 3 months postdischarge. Journal of Psychosomatic Research, 60(5), 513-519.
Leurmarnkul, W., & Meetam,P. (2005). Developing and testing the standards of the short-form health survey 36 (Thai version). Nakorn Pathom: Silpakorn University Research and Development Institute. (In Thai)
Mahoney, F. I. (1965). Functional evaluation: The Barthel index. Maryland State Medical Journal, 14, 61-65.
Myhren, H., Ekeberg, O., Toien, K., Karlsson, S., & Stokland, O. (2010). Posttraumatic stress, anxiety and depression symptoms in patients during the first year post intensive care unit discharge. Critical Care Medicine, 14(1), 14.
Medical Records and statistics Section ,Faculty of Medicine, Chiang Mai University. (2016).
The statistics of the movement of patients admitted to the hospital Classified by ward for the year 2012-2016 .Retrieved April 7, 2016, from https://w2.med.cmu.ac.th/ (In Thai)
Nilchaikovit, T., Lortrakul, M., & Phisansuthidet, U. (1996). Development of Thai version of hospital anxiety and depression scale in cancer patients. Journal of the Psychiatrist Association of Thailand, 41(1), 18-30. (In Thai)
Neves, A. V. D., Vasquez, D. N., Loudet, C. I., Intile, D., Sáenz, M. G., Marchena, C., . . . Estenssoro, E. (2015). Symptom burden and health-related quality of life among intensive care unit survivors in Argentina: A prospective cohort study. Journal of Critical Care, 30(5), 1049-1054.
Polit, D. F., & Lake, E. (2010). Statistics and data analysis for nursing research. Retrieved from http://www. pearsonhighered. com/educator/product/Statistics-and-Data-Analysis-for-Nursing-Research/9780135085073.
Schnabel, K., Rundshagen, I., Wegner, C., & am Esch, S. J. (2002). Incidence of recall, nightmares, and hallucinations during analgosedation in intensive care. Intensive Care Medicine, 28, 38-43.
Sakthong, P. (2011). Health-related quality of life (1). Bangkok: Chulalongkorn University Printing House. (In Thai)
Silberman, S., Bitran, D., Fink, D., Tauber, R., & Merin, O. (2013). Very prolonged stay in the intensive care unit after cardiac operations: Early results and late survival. The Annals of Thoracic Surgery, 96(1), 15-22.
Stevenson, J. E., Colantuoni, E., Bienvenu, O. J., Sricharoenchai, T., Wozniak, A., Shanholtz, C., . . . Needham, D. M. (2013). General anxiety symptoms after acute lung injury: Predictors and correlates. Journal of Psychosomatic Research, 75(3), 287-293.
Saira,P. (2014). Effects of a Self-management Training Program on FunctionalPerformance, Acute exacerbation and quality of life among patients chronic obstructive pulmonary disease. Nursing Journal, 41(4), 23-35. (In Thai)
van der Schaaf, M., Beelen, A., Dongelmans, D. A., Vroom, M. B., & Nollet, F. (2009). Poor functional recovery after a critical illness: A longitudinal study. Journal of Rehabilitation Medicine, 41(13), 1041-1048.
Ware Jr, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): Conceptual framework and item selection. Medical Care, 473-483.
Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life: A conceptual model of patient outcomes. Jama, 273(1), 59-65.
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361-370.
Burns, N., & Grove, S. (2009). The practice of nursing research: Appraisal. Synthesis and generation of evidence. (6th ed.). St Louis: Saunders Elsevier.
Chaboyer, W., & Elliott, D. (2000). Health-related quality of life of ICU survivors: Review of the literature. Intensive and Critical Care Nursing, 16(2), 88-97.
Choi, J., Hoffman, L. A., Schulz, R., Tate, J. A., Donahoe, M. P., Ren, D., . . . Sherwood, P. R. (2014). Self-reported physical symptoms in Intensive Care Unit (ICU) survivors: Pilot exploration over four months post-ICU discharge. Journal of Pain and Symptom Management, 47(2), 257-270.
Craven, J., & Hicks, P. (2012). Intensive care resources and activity: Australia and New Zealand 2009/2010. ANZICS, Melbourne.
Dennis, D. M., Hebden-Todd, T. K., Marsh, L. J., Cipriano, L. J., & Parsons, R. W. (2011). How do Australian ICU survivors fare functionally 6 months after admission. Critical Care and Resuscitation, 13(1), 9-16.
Duggan, M. C., Wang, L., Wilson, J. E., Dittus, R. S., Ely, E. W., & Jackson, J. C. (2017). The relationship between executive dysfunction, depression, and mental health-related quality of life in survivors of critical illness: Results from the BRAIN-ICU investigation. Journal of Critical Care, 37, 72-79.
Egerod, I., Bergbom, I., Lindahl, B., Henricson, M., Granberg-Axell, A., & Storli, S. L. (2015). The patient experience of intensive care: A meta-synthesis of Nordic studies. International Journal of Nursing Studies, 52(8), 1354-1361.
Gordo, F., & Abella, A. (2014). Intensive Care Unit without walls: Seeking patient safety by
improving the efficiency of the system. Medicina Intensiva (English Edition), 38(7), 438-443.
Group, T. W. (1998). The World Health Organization quality of life assessment (WHOQOL): development and general psychometric properties. Social Science & Medicine, 46(12), 1569-1585.
Group, W. (1994). The development of the World Health Organization quality of life assessment instrument (the WHOQOL). Quality of life assessment: International perspectives. Heidelberg: Springer Verlag, 41-57.
Haghgoo, H. A., Pazuki, E. S., Hosseini, A. S., & Rassafiani, M. (2013). Depression, activities of daily living and quality of life in patients with stroke. Journal of the Neurological Sciences, 328(1–2), 87-91.
Hofhuis, J. G., Spronk, P. E., van Stel, H. F., Schrijvers, G. J., Rommes, J. H., & Bakker, J. (2008). The impact of critical illness on perceived health-related quality of life during ICU treatment, hospital stay, and after hospital discharge: A long-term follow-up study. CHEST Journal, 133(2), 377-385.
Hofhuis, J. G., van Stel, H. F., Schrijvers, A. J., Rommes, J. H., & Spronk, P. E. (2011). Changes of health-related quality of life in critically ill octogenarians: A follow-up study. CHEST Journal, 140(6), 1473-1483.
Innocenti, F., Del Taglia, B., Coppa, A., Trausi, F., Conti, A., Zanobetti, M., & Pini, R. (2015). Quality of life after mild to moderate trauma. Injury, 46(5), 902-908.
Jitaphantakun, S.,ThawiKittik, R., Khamya, T., & Milintharangkun,C. (1998). Analysis of the elderly. Principles of geriatric medicine (pp. 85-86), Bangkok: Chulalongkorn University Printing House. (In Thai)
Jackson, J. C., Pandharipande, P. P., Girard, T. D., Brummel, N. E., Thompson, J. L., Hughes, C. G., . . . Ely, E. W. (2014). Depression, post-traumatic stress disorder, and functional disability in survivors of critical illness in the BRAIN-ICU study: A longitudinal cohort study. The Lancet Respiratory Medicine, 2(5), 369-379.
Jones, C. (2014). Recovery post ICU. Intensive and Critical Care Nursing, 30(5), 239-245.
Jutte, J. E., Needham, D. M., Pfoh, E. R., & Bienvenu, O. J. (2015). Psychometric evaluation of the hospital anxiety and depression scale 3 months after acute lung injury. Journal of Critical Care, 30(4), 793-798.
Kwek, S.-K., Chew, W.-M., Ong, K.-C., Ng, A. W.-K., Lee, L. S.-U., Kaw, G., & Leow, M. K.-S. (2006). Quality of life and psychological status in survivors of severe acute respiratory syndrome at 3 months postdischarge. Journal of Psychosomatic Research, 60(5), 513-519.
Leurmarnkul, W., & Meetam,P. (2005). Developing and testing the standards of the short-form health survey 36 (Thai version). Nakorn Pathom: Silpakorn University Research and Development Institute. (In Thai)
Mahoney, F. I. (1965). Functional evaluation: The Barthel index. Maryland State Medical Journal, 14, 61-65.
Myhren, H., Ekeberg, O., Toien, K., Karlsson, S., & Stokland, O. (2010). Posttraumatic stress, anxiety and depression symptoms in patients during the first year post intensive care unit discharge. Critical Care Medicine, 14(1), 14.
Medical Records and statistics Section ,Faculty of Medicine, Chiang Mai University. (2016).
The statistics of the movement of patients admitted to the hospital Classified by ward for the year 2012-2016 .Retrieved April 7, 2016, from https://w2.med.cmu.ac.th/ (In Thai)
Nilchaikovit, T., Lortrakul, M., & Phisansuthidet, U. (1996). Development of Thai version of hospital anxiety and depression scale in cancer patients. Journal of the Psychiatrist Association of Thailand, 41(1), 18-30. (In Thai)
Neves, A. V. D., Vasquez, D. N., Loudet, C. I., Intile, D., Sáenz, M. G., Marchena, C., . . . Estenssoro, E. (2015). Symptom burden and health-related quality of life among intensive care unit survivors in Argentina: A prospective cohort study. Journal of Critical Care, 30(5), 1049-1054.
Polit, D. F., & Lake, E. (2010). Statistics and data analysis for nursing research. Retrieved from http://www. pearsonhighered. com/educator/product/Statistics-and-Data-Analysis-for-Nursing-Research/9780135085073.
Schnabel, K., Rundshagen, I., Wegner, C., & am Esch, S. J. (2002). Incidence of recall, nightmares, and hallucinations during analgosedation in intensive care. Intensive Care Medicine, 28, 38-43.
Sakthong, P. (2011). Health-related quality of life (1). Bangkok: Chulalongkorn University Printing House. (In Thai)
Silberman, S., Bitran, D., Fink, D., Tauber, R., & Merin, O. (2013). Very prolonged stay in the intensive care unit after cardiac operations: Early results and late survival. The Annals of Thoracic Surgery, 96(1), 15-22.
Stevenson, J. E., Colantuoni, E., Bienvenu, O. J., Sricharoenchai, T., Wozniak, A., Shanholtz, C., . . . Needham, D. M. (2013). General anxiety symptoms after acute lung injury: Predictors and correlates. Journal of Psychosomatic Research, 75(3), 287-293.
Saira,P. (2014). Effects of a Self-management Training Program on FunctionalPerformance, Acute exacerbation and quality of life among patients chronic obstructive pulmonary disease. Nursing Journal, 41(4), 23-35. (In Thai)
van der Schaaf, M., Beelen, A., Dongelmans, D. A., Vroom, M. B., & Nollet, F. (2009). Poor functional recovery after a critical illness: A longitudinal study. Journal of Rehabilitation Medicine, 41(13), 1041-1048.
Ware Jr, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): Conceptual framework and item selection. Medical Care, 473-483.
Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life: A conceptual model of patient outcomes. Jama, 273(1), 59-65.
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361-370.
Downloads
Published
2021-03-29
How to Cite
Pongtae , K. ., Tachaudomdach , C., & Somrarnyart , M. (2021). Factors Related to Health-related Quality of Life Among Critically Ill Survivors. Nursing Journal CMU, 48(1), 281–294. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/250261
Issue
Section
Research Article
License
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
