Concept Analysis of Post Intensive Care Syndrome

Kang, Ji yeon; Won, Youn Hui

Journal of Korean Critical Care Nursing 2015;8(2):55-65.
Published online December 31, 2015.

집중치료 후 증후군에 관한 개념분석

강지연, 원윤희

¹동아대학교
²동아대학교의료원

Concept Analysis of Post Intensive Care Syndrome

Ji yeon Kang, Youn Hui Won

¹Department of Nursing, Dong-A University
²Dong-A University Medical Center

Abstract

Purpose
The purpose of this study was to identify the attributes, antecedents, and consequences of post-intensive care syndrome.
Methods
The study was conducted in accordance with Walker and Avant's conceptual analysis process. We searched the Medline, ProQuest, Google scholar, NANET (Korean National Assembly Library), and RISS (Korean Education and Research Information Service) databases resulting in 29 studies for in-depth review.
Results
The attributes of post-intensive care syndrome include (1) new or worsening impairment persisting after discharge, (2) physical impairment, (3) psychological impairment, (4) cognitive impairment, and (5) symptom experience. The antecedents of the concept include a critical condition that requires intensive care, stressful events, immobility, sedation, delirium, insomnia, frailty, and invasive procedures. The consequences of post-intensive care syndrome are increased dependency in activities of daily life, decreased social interaction, delayed return to previous occupation, decreased quality of life, familial post-intensive care syndrome, and readmission/death.
Conclusion
The concept of post-intensive care syndrome has multifaceted and integrative features. Further research needs to be conducted to develop a measurement tool that reflects the attributes of the concept and to develop multidisciplinary interventions to prevent post-intensive care syndrome.

Key Words: Intensive Care, Syndrome, Concept analysis