Mothers' recollections of the Paediatric Intensive Care Unit: associations with psychopathology and views on follow up

Mothers' recollections of the Paediatric Intensive Care Unit: associations with psychopathology and views on follow up

Colville GA; Gracey D

Intensive and Critical Care Nursing

2006

Child; Cross-Sectional Studies; Female; Humans; Male; Intensive Care Units; Adult; Attitude to Health; Questionnaires; Professional-Family Relations; Health Services Needs and Demand; Communication; Severity of Illness Index; Risk Factors; Nursing Methodology Research; Preschool; infant; Mothers/psychology; retrospective studies; ICU Decision Making; social support; Psychiatric Status Rating Scales; Stress Disorders; Acute/diagnosis/prevention & control/psychology; Aftercare/organization & administration/psychology; Hospitalized; Mass Screening; Pediatric/organization & administration; Traumatic

The aim of this study was to establish rates of posttraumatic stress symptoms in mothers after a child's admission to a Paediatric Intensive Care Unit (PICU) and their views on the potential value of a follow up appointment with PICU staff. Thirty-four mothers completed the Parental Stressor Scale:PICU, the General Health Questionnaire (GHQ-28) and the Impact of Event Scale, 8 months after discharge. In total 18/34 (53%) scored > or =5 on the GHQ-28 and 6/32 (18%) of the sample scored in the severe range (>35) on the Impact of Event Scale. Distress was associated with retrospective reports of stress experienced during admission (p < 0.001) but not with other demographic or medical variables. Mothers who talked about their feelings at the time of the admission had lower posttraumatic stress scores at 8 months (p = 0.02) and 25/34 (74%) mothers would have appreciated the offer of a follow up appointment. Screening for distress during admission with the Parental Stressor Scale:PICU may identify those mothers in greatest need of psychological support. Mothers' recollections of the Paediatric Intensive Care Unit: Associations with psychopathology and views on follow up.

2006

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