Psychology consultation patterns in a medical intensive care unit: A brief report.

Psychology consultation patterns in a medical intensive care unit: A brief report. - 2019

Available in print through MWHC library: 1998 - 2006

CONCLUSIONS: Patients with a longer MICU stay more commonly had a rehabilitation psychology consultation request, typically to provide support for emotional distress or engagement in rehabilitation therapy. Future research should evaluate the effectiveness of psychology interventions in the ICU. (PsycINFO Database Record (c) 2019 APA, all rights reserved). METHOD: Psychology consultations were prospectively tracked, with patient-related data retrospectively collected and analyzed. PURPOSE/OBJECTIVE: Intensive care unit (ICU) survivors frequently experience long-lasting mental health, cognitive, and physiologic challenges. Psychologists have a role in providing interventions to reduce patient distress during critical illness and improve outcomes. There is limited data regarding psychology consultations in the ICU. This brief report characterizes psychology consultations in a medical intensive care unit (MICU) in an academic medical center. RESULTS: A total of 79 consecutive psychology consultations occurred at mean of 8 +/- 6 days after MICU admission. Reasons for consultation were patient emotional distress (56%), rehabilitation therapy engagement (24%), family engagement (13%), cognitive disturbance (4%), and pain (4%). Patient characteristics were: mean age 56 +/- 15 years, 54% women, 53% White, and 34% with psychiatric comorbidity at MICU admission. Patients referred for consultation had a longer MICU length of stay than the total MICU population (12 +/- 9 days vs. 4 +/- 6 days, p < .01). For consultations for emotional distress compared with limited rehabilitation therapy engagement, patient demographic characteristics were similar, with the exception of women (vs. men) being more commonly consulted for emotional distress (64 vs. 26%, p = .01).


English

0090-5550

10.1037/rep0000264 [doi] 2019-09256-001 [pii]


*Critical Care/mt [Methods]
*Critical Care/px [Psychology]
*Critical Illness/px [Psychology]
*Critical Illness/rh [Rehabilitation]
*Referral and Consultation/sn [Statistics & Numerical Data]
Academic Medical Centers
Cognitive Dysfunction/px [Psychology]
Cognitive Dysfunction/th [Therapy]
Family/px [Psychology]
Female
Humans
Intensive Care Units
Length of Stay/sn [Statistics & Numerical Data]
Male
Middle Aged
Pain/px [Psychology]
Patient Compliance/px [Psychology]
Psychological Distress
Retrospective Studies
Sex Factors


MedStar National Rehabilitation Network


Journal Article

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