Browsing by Author "Palmeiro Silva, Yasna"

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    Incidence and factors associated with post-intensive care syndrome among caregivers of intensive care unit survivors: Protocol for a cohort study
    (2025) Padilla Fortunatti, Cristóbal Felipe; Rojas Silva, Noelia Pilar; Cortés Maripangue, Sergio; Palmeiro Silva, Yasna; Rojas Jara, Verónica; Nilo González, Valentina Maribel; Cifuentes Avendaño, Belén Fernanda; Morales Morales, Daniel; Garcés Brito, Nicolas
    Background: During the last decades, intensive care unit (ICU) mortality rates have significantly decreased but this progress has come with unintended consequences for patients and their caregivers. The adverse health-related effects observed in caregivers during the post-ICU period are referred to as Post-Intensive Care Syndrome-Family (PICS-F). Despite growing awareness of PICS-F, the long-term challenges faced by caregivers of ICU patients are not well characterized with several gaps in knowledge remaining unaddressed. The proposed study aims to determine the incidence of PICS-F impairments and identify associated factors among caregivers of ICU survivors. Methods: We plan to conduct a longitudinal prospective cohort study involving 175 caregivers of ICU patients admitted to a public hospital in Chile. Data will be collected during ICU admission, after ICU discharge, 3 months and 6 months after hospital discharge. Questionnaires will evaluate caregivers’ psychological, physical and cognitive outcomes and perceived social support, resilience, family satisfaction and caregiver burden. Factors associated with PICS-F impairments will be explored using generalised linear mixed models. Discussion: The current understanding of PICS-F is limited, particularly regarding the risk and protective factors associated with the syndrome among caregivers of ICU survivors. This study will contribute to addressing this gap by providing novel data about PICS-F and exploring previously unexamined factors linked to PICS-F such as family satisfaction, psychological buffers and caregiver burden.
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    Relationship between perceived stress and health literacy on family satisfaction among family members of critically ill patients: A multicenter exploratory study
    (Elsevier Ltda., 2025) Padilla Fortunatti, Cristóbal Felipe; Palmeiro Silva, Yasna; Ovalle Meneses, Victor; Abaitua Pizarro, María; Espinoza Acuña, Jessica; Bustamante Troncoso, Claudia Raquel; Rojas Silva, Noelia Pilar
    Background: Intensive care unit (ICU) admission is often a stressful experience that can negatively influence family satisfaction (FS) with patient care, communication, and decision-making. Health literacy (HL) is associated with the patient's ability to obtain, process, and understand health-related information. Few studies have explored the influence of perceived stress and HL on FS simultaneously. Objective: To examine the association of perceived stress and HL with FS among family members of ICU patients. Design: A multicenter exploratory cross-sectional study. Methods: An exploratory, cross-sectional, multicenter study was conducted in three ICUs from different hospitals in Chile. Family members of ICU patients with >= 48 h of stay and respiratory support were eligible. The Family Satisfaction in the Intensive Care Unit-24 questionnaire and the Perceived Stress Scale were used. HL was evaluated using three screening questions. Multiple beta regressions were fit to explore the association between perceived stress, HL, and FS. Results: A total of 101 family members with 63.4% identified as at risk of low HL were included. Multiple beta regression revealed that low HL was not associated with FS. Conversely, FS was negatively associated with perceived stress, being admitted to the ICU of the central or southern region, and having a close personal relationship with a healthcare provider but positively associated with the number of communications with ICU staff. Conclusions: While perceived stress can be detrimental to FS, HL seems not to impact FS levels among family members of ICU patients. Further studies are required to explore the influence of HL on FS. Implications of the clinical practice: This study advances the knowledge regarding variables affecting FS in the ICU. Evaluating the family members' emotional status may help ICU healthcare providers in the allocation of resources to support family members and to properly assess their satisfaction. Patient or public contribution: Family members of ICU patients participated in this study.