Spiritual care for prevention of psychological disorders in critically ill patients: study protocol of a feasibility randomised controlled pilot trial

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dc.article.number2
dc.contributor.authorRepetto Lisboa, Paula Beatriz
dc.contributor.authorRuiz, Carolina
dc.contributor.authorRojas, Veronica
dc.contributor.authorOlivares, Patricia
dc.contributor.authorBakker, Jan
dc.contributor.authorAlegria Vargas, Leyla
dc.date.accessioned2025-05-01T10:32:54Z
dc.date.available2025-05-01T10:32:54Z
dc.date.issued2025
dc.description.abstractIntroduction A significant number of critically ill patients who survive their illness will experience new sequelae or a worsening of their baseline health status following their discharge from the hospital. These consequences may be physical, cognitive and/or psychological and have been labelled postintensive care syndrome (PICS). Prior research has demonstrated that spiritual care aligned with a specific creed during hospitalisation in the intensive care unit (ICU), as part of a comprehensive care plan, may be an effective strategy for preventing psychological sequelae in surviving critically ill patients. However, there is a gap in clinical literature regarding the effectiveness of generalist spiritual care in preventing psychological sequelae associated with PICS. This pilot study aims to explore the feasibility of implementing a generalist spiritual care strategy in the ICU and to evaluate its preliminary effectiveness in preventing anxiety and depression symptoms and post-traumatic stress disorder in critically ill patients. Methods and analysis This is a single-site, feasibility randomised controlled pilot trial of a generalist spiritual care intervention compared with the current standard of care. A total of 30 adults who are critically ill and have undergone invasive mechanical ventilation for a minimum of 72 hours without alterations in consciousness will be randomly assigned to either the spiritual care group or the usual care group at a ratio of 1:1. The primary outcome will be the feasibility and acceptability of the spiritual care strategy in critically ill patients. Secondary aims include evaluating the differences in anxiety and depression symptoms and post-traumatic stress disorder between the spiritual care group and the usual care control group at 3 months after ICU discharge. Subjects will be followed up until 3 months post-ICU discharge. Ethics and dissemination The Ethics Committee for Medical Sciences of Pontificia Universidad Catolica de Chile (#220111005) and the Ethics Committee of Servicio de Salud Metropolitano Sur Oriente approved the study. Pontificia Universidad Cat & oacute;lica de Chile funded the study (project number 105699/DPCC2021). The findings will be widely disseminated through peer-reviewed publications, academic conferences, local community-based presentations, partner organisations and the Chilean Intensive Care Society.
dc.description.abstractIntroduction A significant number of critically ill patients who survive their illness will experience new sequelae or a worsening of their baseline health status following their discharge from the hospital. These consequences may be physical, cognitive and/or psychological and have been labelled postintensive care syndrome (PICS). Prior research has demonstrated that spiritual care aligned with a specific creed during hospitalisation in the intensive care unit (ICU), as part of a comprehensive care plan, may be an effective strategy for preventing psychological sequelae in surviving critically ill patients. However, there is a gap in clinical literature regarding the effectiveness of generalist spiritual care in preventing psychological sequelae associated with PICS. This pilot study aims to explore the feasibility of implementing a generalist spiritual care strategy in the ICU and to evaluate its preliminary effectiveness in preventing anxiety and depression symptoms and post-traumatic stress disorder in critically ill patients. Methods and analysis This is a single-site, feasibility randomised controlled pilot trial of a generalist spiritual care intervention compared with the current standard of care. A total of 30 adults who are critically ill and have undergone invasive mechanical ventilation for a minimum of 72 hours without alterations in consciousness will be randomly assigned to either the spiritual care group or the usual care group at a ratio of 1:1. The primary outcome will be the feasibility and acceptability of the spiritual care strategy in critically ill patients. Secondary aims include evaluating the differences in anxiety and depression symptoms and post-traumatic stress disorder between the spiritual care group and the usual care control group at 3 months after ICU discharge. Subjects will be followed up until 3 months post-ICU discharge.
dc.description.funderAgencia Nacional de Investigacion y Desarrollo
dc.format.extent10 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1136/bmjopen-2024-084914
dc.identifier.eisbn9780128194706
dc.identifier.eissn2044-6055
dc.identifier.isbn9780128231548
dc.identifier.issn2044-6055
dc.identifier.pubmedid36225231
dc.identifier.scieloidS0718-69242020000300109
dc.identifier.scopusidSCOPUS_ID:85142731691
dc.identifier.urihttps://doi.org/10.1136/bmjopen-2024-084914
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/103919
dc.identifier.wosidWOS:001459375000001
dc.information.autorucEscuela de Psicología; Repetto Lisboa Paula Beatriz; 0000-0002-0331-7375; 73877
dc.information.autorucEscuela de Medicina; Alegria Vargas Leyla; 0000-0002-0930-4452; 121090
dc.issue.numero4
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final217
dc.pagina.inicio211
dc.publisherElsevier
dc.relation.ispartofPresent Knowledge in Food Safety: A Risk-Based Approach through the Food Chain
dc.revistaBMJ OPEN
dc.rightsacceso abierto
dc.subjectAdult intensive & critical care
dc.subjectPsychological Stress
dc.subjectPsychosocial Intervention
dc.subject.ddc150
dc.subject.deweyPsicologíaes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleSpiritual care for prevention of psychological disorders in critically ill patients: study protocol of a feasibility randomised controlled pilot trial
dc.typeartículo
dc.volumen15
sipa.codpersvinculados73877
sipa.codpersvinculados121090
sipa.indexWOS
sipa.trazabilidadCarga WOS-SCOPUS;01-05-2025
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