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Behavioral Responses of Family Members during Critical Illness
Margo A. Halm
University of Iowa Hospitals and Clinics
Marita G. Titler
University of Iowa Hospitals and Clinics
Charmaine Kleiber
University of Iowa Hospitals and Clinics
Susan K. Johnson
University of Iowa Hospitals and Clinics
Lou Ann Montgomery
University of Iowa Hospitals and Clinics
Martha J. Craft
University of Iowa College of Nursing
Kaihleen Buckwalter
University of Iowa College of Nursing and University of Iowa Hospitals and Clinics
Anita Nicholson
University of Iowa College of Nursing
Karen Megern
University of Iowa Hospital and Clinics
This articles describes the behavioral responses of adult family members to critical illness and how these responses change over the course of the hospitalization. A convenience sample of 52 family members of patients in intensive units completed the Iowa ICU Family Scale, a self-report tool measuring sleep, eating, activity, family role, and support behaviors. Scales were completed by family members each day during the first week and then weekly throughout the patient's ICU stay. Family members reported sleeping less with a poorer quality of sleep, less nutritional intake, an increased use of cigarettes, alcohol, and over-the-counter and prescription medications, and spending more time talking, visiting the patient and waiting. Stress was highest at the time of the ICU admission, began to plateau at Day 6, and then dropped considerably by Day 28. These findings suggest that crisis intervention is important during the early phase of caring for critically ill patients and their family members.
Clinical Nursing Research, Vol. 2, No. 4,
414-437 (1993)
DOI: 10.1177/105477389300200405

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