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Clinical Nursing Research, Vol. 2, No. 4, 414-437 (1993)
DOI: 10.1177/105477389300200405

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.


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