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Adult nursing
Intervention in family care tends to mitigate the stress-related symptoms of intensive care unit patient family members
  1. Mohammad Khan1,
  2. Shamima Easmin Nishi2
  1. 1 School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
  2. 2 Universiti Sains Malaysia, Kota Bharu, 16150, Kelantan, Malaysia
  1. Correspondence to Dr Mohammad Khan, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu 16150, Kelantan, Malaysia; drmohammadkhan1001{at}

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Commentary on: Amass TH, Villa G, OMahony S, et al. Family care rituals in the ICU to reduce symptoms of post-traumatic stress disorder in family members—a multicenter, multinational, before-and-after intervention trial. Crit Care Med. 2020;48(2):176–84.

Implications for practice and research

  • Family members of intensive care unit (ICU) patients require education about their loved one’s treatment, with information booklets being one suitable approach.

  • Further evidence, based on randomised controlled trials, is required to determine the best approach to family-support care involvement for patients admitted to ICU.


Post-traumatic stress disorder (PTSD) is a common occurrence among ICU patient family members. The causes of PTSD in this context are multifactorial, but can include the critical care environment, communication problems, abrupt decision-taking and anxiety caused by the potential death of loved one.1 …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.