Recent discoveries in preventing mental impairments and ICU staff interventions in post-intensive care syndrome

ZALEWSKI, Paweł, GRUCA, Dariusz, RAABE, Adam, WAIS, Marcin and WRÓBLEWSKI, Wiktor. Recent discoveries in preventing mental impairments and ICU staff interventions in post-intensive care syndrome. Journal of Education, Health and Sport. 2023;17(1):226-241. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2023.17.01.019 https://apcz.umk.pl/JEHS/article/view/45766 https://zenodo.org/record/8330343 The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343. Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences). Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159. Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu). © The Authors 2023; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 17.08.2023. Revised: 24.08.2023. Accepted: 06.09.2023. Published: 17.09.2023. Recent discoveries in preventing mental impairments and ICU staff interventions in post-intensive care syndrome Paweł Zalewski Medical University of Lublin, Faculty of Medicine https://orcid.org/0009-0007-2384-554X Dariusz Gruca Medical University of Lublin, Faculty of Medicine https://orcid.org/0000-0002-5583-1229 Adam Raabe Medical University of Lublin, Faculty of Medicine https://orcid.org/0000-0001-9574-4501 Marcin Wais Medical University of Lublin, Faculty of Medicine https://orcid.org/0000-0003-4757-8582 Wiktor Wróblewski Medical University of Lublin, Faculty of Medicine https://orcid.org/0000-0003-4740-9455 Abstract Introduction Mental impairments such as post-traumatic stress disorder, depression, and anxiety are alarming problems in the ICU-survivors population because of the higher survival rate due to medical, scientific and technological progress. There are more and more patients facing long-term emotional consequences of critical illness. The main purpose of this review is to describe recent research about possible interventions and methods of prevention of mental impairments after an ICU stay made since 2015. Review methods The review was made using online databases such as PubMed and Google Scholar. Brief description of the state of knowledge Recent trials included in our review suggest that the sedation strategy has no significant impact on mental impairments in ICU survivors. ICU diaries seem to be a well-accepted and cheap method of prevention of mental disorders after critical illness but their universal usefulness is difficult to determine because variable factors like hospital and country levels influence the trials on patients. Nurse-led intervention programs, virtual reality and antioxidants described in recent studies also show no significant decrease in PTS symptoms in ICU survivors. Initial effects of mobile apps-based psychoeducational programs are comparable to therapist-led programs. Summary We did not find any evidence-based revolutionary method of prevention or intervention to help improve the mental health of ICU survivors. We think that the growing seriousness of this problem will lead to further research to cope with this phenomenon. Keywords: Intensive Care Units, Stress Disorders, Post-Traumatic, Depression, Critical Illness, Anxiet