At a glance
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Early Care, Therapeutic Education, and Psychological Intervention for the Management of Post-intensive Care Syndrome and Chronic Pain After Coronavirus Disease 2019 Infection. Simple-blind, Controlled, Randomized Trial.
In Brief
A clinical study evaluating Intervention program for Post ICU Syndrome and 2 related conditions. Completed, enrolled 102 participants across 1 site.
Detailed Summary
COVID-19 (coronavirus 2019) disease has led to a large number of hospital admissions, many of which require admission to intensive care (ICU). Post-intensive care syndrome (PICS) is defined as deterioration or worsening of previous deterioration in the mental, physical or cognitive status that appears as a consequence of a critical illness and which persists after acute hospital care. Also, there is evidence that patients who survive a critical illness have a high prevalence of moderate to extreme chronic pain. Patients with COVID-19 disease are an especially susceptible population to develop PICS due to acute respiratory distress syndrome (ARDS) survivors have significant long-term deterioration in mental, cognitive, and functional health. This study hypothesis is that a specific care program based on early therapeutic education and psychological intervention improves the quality of life of patients at risk of developing PICS and chronic pain after COVID-19 disease.
Study Details
Timeline
Interventions
Medical visits: There will be three medical visits stipulated as follows: * Visit 1 Intervention Group, four weeks after hospital discharge. * Visit 2 Intervention Group, eight weeks after hospital discharge. * Visit 3 Intervention Group, 18 weeks after hospital discharge. Components of visits: * Interview and physical examination. * Therapeutic education about the intensive care syndrome orally and with a specific document that will be delivered at the end of the visit. * Therapeutic education around pain. If the patient reports pain, a specific document will be prepared that will be delivered at the end of the visit. Psychological intervention: Inclusion criteria for psychological intervention: Patients with a score higher than 8 on the HAD (hospital anxiety and depression) test depression subscale. Description : The intervention protocol consists of 7 weekly sessions lasting one hour and a half. The intervention in depression is based on Rehm's model of self-control.