The investigators thought that the confinement measure took in France could induce an increase in the post traumatic syndrome in the relative of patient hospitalized in ICU during this period indeed the restricted visit and the limited interaction with ICU team are documented risk factors for PTSD in this population. The investigators designed an intervention in order to prevent the effect of the confinement measures on PTSD in relatives named OLAF. In this research the investigators aimed to study the impact on this intervention on PTSD.
The hospitalization of a relative in an intensive care unit is an important stress factor for
his/ her relatives and previous studies demonstrated that 33% post traumatic disorder (PTSD)
following the ICU stay of their loved ones. To response to this issue specific approach have
been designed to decrease the stress of the relatives named family centered care. Those
approaches are based on the interaction between the ICU team and the relatives and included
large time for visiting the patient in the ward. In France the restrictive measures
(confinement) took to combat the SARS-CoV-2 pandemic from the 17 march 2020 impacted
negatively those family centered care approach by prohibiting the visit in ICU and limiting
to interaction between ICU team and relatives to phone calls. The investigators thought that
this context could have for consequence an increase in relative anxiety and PTSD. The
investigators designed a care intervention named OLAF in order to limit the impact of the
confinement on relative psychological state. OLAF intervention permits to the two closest
relatives of the patient to be contacted by a psychiatrist and could benefit from a
specialized follow up. This intervention is completed by the implementation of virtual visits
by video conference that were proposed to the relatives as well as video interview with the
ICU team. In this study the investigators aimed to investigated the impact of this
intervention to prevent the PTSD in the relatives by comparing the PTSD prevalence in a group
of relatives that loved ones were hospitalized after the confinement measure but before the
OLAF intervention and a group of relatives that loved ones were hospitalized during the OLAF
intervention.
The relative will benefit from psychiatric interview 3 months after their loved ones leave
the ICU or died to collect information by phone about the confinement situation they
experiment, the satisfaction they had about the patient stay in ICU and their anxiety and
depression state. Three-month, six month and twelve months after the discharge of the dead
the relative information will be collected by phone about PTSD symptoms, anxiety and
depression and complicated grief in case of death of the patient.
Other: Phone call
The relatives of both groups will be contacted by phone one month after the discharge of the ICU of the death, three month after, six month after and twelve month after. During these interviews the PTSD symptoms, the anxiety and depression symptoms, the complicated grief symptoms (in case of death) and the satisfaction about the ICU stay will be collected.
Inclusion Criteria:
- Contact person (defined as the person that bring a support to the patient et with who
the patient had close relationship) aged from more than 18 years old of a patient
hospitalized during the confinement and the restricted visited during the SARS-CoV2
pandemic. Two contact persons maximum will be included by patient.
- Affiliated to the social security
- Agreed to participated by oral consent
Exclusion Criteria:
- Physical visits permitted by the end of the confinement
- Language barrier
- Sensorial handicap (blindness or deafness) compromising the comprehension of the
information
- Legal protection of adults
- Refusal of participation
University Hospital Toulouse
Toulouse, Occitanie, France
Juliette SALLES, MD, Principal Investigator
University Hospital, Toulouse