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Evid Based Nurs 10:85 doi:10.1136/ebn.10.3.85
  • Treatment

A proactive communication strategy reduced post-traumatic stress disorder symptoms in relatives of patients dying in the ICU


 
 Q Does an end-of-life family conference held according to specific guidelines reduce the burden of bereavement on relatives of patients dying in the intensive care unit (ICU)?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

unclear concealment.

GraphicBlinding:

blinded (data collectors and data analysts).

GraphicFollow up period:

90 days.

GraphicSetting:

22 ICUs in France.

GraphicPatients:

126 patients ⩾18 years of age (56% men) in the ICU who were expected to die within the next few days. Each patient had 1 family member (median age 54 y, 73% women) whom they had designated or who ranked highest in the hierarchy for surrogate decision making according to French law; these family members were interviewed at 90 days after the patient’s death.

GraphicIntervention:

family members were allocated to a proactive communication strategy plus a bereavement brochure (n = 63) or …

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