End-of-life in French Intensive Care Units: Perception of the Quality of Dying and Experience of Physicians, Nurses and Relatives. Validation of the CAESAR Scale
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 475
- 试验地点
- 47
- 主要终点
- CAESAR score
研究概览
简要总结
The purpose of the study is to evaluate the quality of the dying process in french ICUs (assessed by the CAESAR scale) and to compare physicians', nurses' and relatives perceptions and experiences, with a one-year follow-up of bereaved relatives.
Our hypothesis is that perception of the quality of dying may impact on relatives' experience of bereavement (anxiety, depression, complicated grief, posttraumatic stress disorder (PTSD)).
详细描述
Seventy percent of all deaths occur in the hospital environment, and amongst them 20% occur in intensive care units (ICU). In France, no studies have evaluated the quality of the end-of-life process from both the professional and the lay perspective.
The CAESAR scale has been developed from literature reviews and qualitative interviews with relatives, physicians and nurse to assess quality of dying in ICU. Our hypothesis is that perception of the quality of dying may impact on relatives' experience of bereavement (anxiety, depression, complicated grief, PTSD).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients Deceased in the ICU after at least 48 hours of ICU stay
- •At least one visit of a relative in the ICU
排除标准
- •no French-speaking relative
结局指标
主要结局
CAESAR score
时间窗: Within 3 weeks after patient's death
Score on the 32-item CAESAR scale assessing quality of end-of-life process
次要结局
- Job strain of the physicians and nurses in charge of the patient(within 3 weeks following patient's death)
- Anxiety and depression(3 months after patient's death)
- Post Traumatic Stress Disorder(3 months after patient's death)
- Complicated Grief(6 months after patients' death)
- PTSD(12 months after patient's death)