Critical Care Nursing

Published by: Kowsar

Quality of Life and Related Factors Among Patients Discharged from Critical Care Units

Azita Zaheri 1 , Zohre Sadat 2 , Mohamad Abasian 3 , Leila Ghanbari Afra 4 , Mohamad Abdi 5 , * , Koroosh Joodaki 6 and Masoumeh Sadat Mousavi Sarcheshmeh 7
Authors Information
1 Msc in critical care nursing,Faculty of paramedical ,shahrekord university of medical sciences,shahrekord,Iran
2 Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, IR Iran
3 PhD student in Nursing, Qom University of Medical Sciences, Qom, Iran
4 Msc of critical care nursing ,Educational supervisor, kamkar-arabnia sciences.Qom, Iran
5 Department of Intensive Care, Faculty of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
6 Instructor, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran
7 Register Nurse Ayatollah Mousavi Hospital, Zanjan, Iran
Article information
  • Journal of Critical Care Nursing : November 2017, 10 (4); e62148
  • Published Online: November 30, 2017
  • Article Type: Research Article
  • Received: September 24, 2017
  • Revised: November 4, 2017
  • Accepted: November 12, 2017
  • DOI: 10.5812/ccn.62148

To Cite: Zaheri A, Sadat Z, Abasian M, Ghanbari Afra L, Abdi M, et al. Quality of Life and Related Factors Among Patients Discharged from Critical Care Units, Crit Care Nurs J. 2017 ; 10(4):e62148. doi: 10.5812/ccn.62148.

Copyright © 2017, Journal of Critical Care Nursing. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Methods
3. Results
4. Discussion
  • 1. McKinley S, Fien M, Elliott R, Elliott D. Health-Related Quality of Life and Associated Factors in Intensive Care Unit Survivors 6 Months After Discharge. Am J Crit Care. 2016;25(1):52-8. doi: 10.4037/ajcc2016995. [PubMed: 26724295].
  • 2. Gosselin É, Bourgault P, Lavoie S, Gélinas C. Nursing interventions to prevent psychological consequences in intubated and conscious patients. Canadian J Crit Care Nurs. 2017;28(2).
  • 3. McGiffin JN, Galatzer-Levy IR, Bonanno GA. Is the intensive care unit traumatic? What we know and don't know about the intensive care unit and posttraumatic stress responses. Rehabil Psychol. 2016;61(2):120-31. doi: 10.1037/rep0000073. [PubMed: 27196855].
  • 4. Wade D, Page V. Long-Term Mental Health After ICU, Let's Go Through the Looking Glass. Crit Care Med. 2016;44(10):1934-5. doi: 10.1097/CCM.0000000000002043. [PubMed: 27635483].
  • 5. Olsen KD, Nester M, Hansen BS. Evaluating the past to improve the future - A qualitative study of ICU patients' experiences. Intensive Crit Care Nurs. 2017;43:61-7. doi: 10.1016/j.iccn.2017.06.008. [PubMed: 28899584].
  • 6. Choi J, Tate JA, Rogers MA, Donahoe MP, Hoffman LA. Depressive symptoms and anxiety in intensive care unit (ICU) survivors after ICU discharge. Heart Lung. 2016;45(2):140-6. doi: 10.1016/j.hrtlng.2015.12.002. [PubMed: 26791248].
  • 7. Choi J, Donahoe MP, Hoffman LA. Psychological and Physical Health in Family Caregivers of Intensive Care Unit Survivors: Current Knowledge and Future Research Strategies. J Korean Acad Nurs. 2016;46(2):159-67. doi: 10.4040/jkan.2016.46.2.159. [PubMed: 27182013].
  • 8. Berlin A. Goals of Care and End of Life in the ICU. Surg Clin North Am. 2017;97(6):1275-90. doi: 10.1016/j.suc.2017.07.005. [PubMed: 29132509].
  • 9. Lee RY, Engelberg RA, Curtis J, Hough CTL, Kross EK. Post-ICU PTSD Symptoms in Family Members of ARDS Survivors Are Associated With Family-Specific, Not Patient-Specific, Characteristics. American Thoracic Society 2017 International Conference. A22 health services highlights in critical care; 2017.
  • 10. Ryu JH, Kredentser MS, Bienvenu OJ, Blouw M, Sareen J, Olafson K. Post-traumatic stress disorder in survivors of critical illness. Comprehensive guide to post-traumatic stress disorders. 2016. p. 263-80.
  • 11. Reisman M. PTSD Treatment for Veterans: What's Working, What's New, and What's Next. P T. 2016;41(10):623-34. [PubMed: 27757001].
  • 12. McMillan KA, Asmundson GJG, Sareen J. Comorbid PTSD and Social Anxiety Disorder: Associations With Quality of Life and Suicide Attempts. J Nerv Ment Dis. 2017;205(9):732-7. doi: 10.1097/NMD.0000000000000704. [PubMed: 28609312].
  • 13. Dowdy DW, Eid MP, Sedrakyan A, Mendez-Tellez PA, Pronovost PJ, Herridge MS, et al. Quality of life in adult survivors of critical illness: a systematic review of the literature. Intensive Care Med. 2005;31(5):611-20. doi: 10.1007/s00134-005-2592-6. [PubMed: 15803303].
  • 14. Rivera-Fernandez R, Sanchez-Cruz JJ, Abizanda-Campos R, Vazquez-Mata G. Quality of life before intensive care unit admission and its influence on resource utilization and mortality rate. Crit Care Med. 2001;29(9):1701-9. doi: 10.1097/00003246-200109000-00008. [PubMed: 11546968].
  • 15. Koopmans M, Vermei L, van Wieren A, Bruins N, de Jager CM, Christiaan Boerma E. Improvement in functional abilities at ICU discharge is feasible without prolongation of the length of stay ICU. Intensive Care Med. 2017;43(2):273-4. doi: 10.1007/s00134-016-4565-3. [PubMed: 27686351].
  • 16. Vainiola T, Roine RP, Suojaranta-Ylinen R, Vento A, Sintonen H. Can factors related to mortality be used to predict the follow-up health-related quality of life (HRQoL) in cardiac surgery patients?. Intensive Crit Care Nurs. 2013;29(6):337-43. doi: 10.1016/j.iccn.2013.04.003. [PubMed: 23669053].
  • 17. Mainz J. Defining and classifying clinical indicators for quality improvement. Int J Qual Health Care. 2003;15(6):523-30. doi: 10.1093/intqhc/mzg081. [PubMed: 14660535].
  • 18. Davidson JE, Harvey MA, Schuller J, Black G. Post-intensive care syndrome: What it is and how to help prevent it. Am Nurse Today. 2013;8(5):32-8.
  • 19. Guler E, Schmid JP, Wiedemar L, Saner H, Schnyder U, von Kanel R. Clinical diagnosis of posttraumatic stress disorder after myocardial infarction. Clin Cardiol. 2009;32(3):125-9. doi: 10.1002/clc.20384. [PubMed: 19301284].
  • 20. Cuthbertson BH, Scott J, Strachan M, Kilonzo M, Vale L. Quality of life before and after intensive care. Anaesthesia. 2005;60(4):332-9. doi: 10.1111/j.1365-2044.2004.04109.x. [PubMed: 15766335].
  • 21. Tereran NP, Zanei SS, Whitaker IY. Quality of life before admission to the intensive care unit. Rev Bras Ter Intensiva. 2012;24(4):341-6. doi: 10.1590/S0103-507X2012000400008. [PubMed: 23917930].
  • 22. Fildissis G, Zidianakis V, Tsigou E, Koulenti D, Katostaras T, Economou A, et al. Quality of life outcome of critical care survivors eighteen months after discharge from intensive care. Croat Med J. 2007;48(6):814-21. doi: 10.3325/cmj.2007.6.814. [PubMed: 18074416].
  • 23. Oeyen SG, Vandijck DM, Benoit DD, Annemans L, Decruyenaere JM. Quality of life after intensive care: a systematic review of the literature. Crit Care Med. 2010;38(12):2386-400. doi: 10.1097/CCM.0b013e3181f3dec5. [PubMed: 20838335].
  • 24. Granja C, Lopes A, Moreira S, Dias C, Costa-Pereira A, Carneiro A, et al. Patients' recollections of experiences in the intensive care unit may affect their quality of life. Crit Care. 2005;9(2):R96-109. doi: 10.1186/cc3026. [PubMed: 15774056].
  • 25. Carr AJ, Gibson B, Robinson PG. Measuring quality of life: Is quality of life determined by expectations or experience?. BMJ. 2001;322(7296):1240-3. doi: 10.1136/bmj.322.7296.1240. [PubMed: 11358783].
  • 26. Sarvimaki A, Stenbock-Hult B. Quality of life in old age described as a sense of well-being, meaning and value. J Adv Nurs. 2000;32(4):1025-33. [PubMed: 11095244].
  • 27. Stanhope M. Case studies in community health nursing practice: A problem-based learning approach. Mosby Incorporated; 1999.
  • 28. Noome M, Beneken Genaamd Kolmer DM, van Leeuwen E, Dijkstra BM, Vloet LC. The nursing role during end-of-life care in the intensive care unit related to the interaction between patient, family and professional: an integrative review. Scand J Caring Sci. 2016;30(4):645-61. doi: 10.1111/scs.12315. [PubMed: 26991253].
  • 29. Najafi M, Sheikhvatan M, Montazeri A, Abbasi SH, Sheikhfatollahi M. Quality of life in coronary artery disease: SF-36 compared to WHOQOL-BREF. The Journal of Tehran University Heart Center. 2008;3(2):101-6.
  • 30. Montazeri AG, Vahdaninia M. Translation, reliability and validity of Persian standard tool sf-36. Quarterlypayesh. J Iran Inst Health Sci Res. 2005;5(1):45-56.
  • 31. Narimani M, Yosefi F, Kazemi R. The role of attachment styles and quality of life in predicting psychological well-being in adolescents with learning disabilities [In Persian]. J Learn Diabet. 2014.
  • 32. Goudarzi MA. Based on validation and validity of the mississippi scale for posttraumatic stress 1382 [In Persian]. J Psychol. 2003;2(7):153-77.
  • 33. Blanchard EB, Jones-Alexander J, Buckley TC, Forneris CA. Psychometric properties of the PTSD Checklist (PCL). Behav Res Ther. 1996;34(8):669-73. doi: 10.1016/0005-7967(96)00033-2. [PubMed: 8870294].
  • 34. Elliott D, Lazarus R, Leeder SR. Proxy respondents reliably assessed the quality of life of elective cardiac surgery patients. J Clin Epidemiol. 2006;59(2):153-9. doi: 10.1016/j.jclinepi.2005.06.010. [PubMed: 16426950].
  • 35. Ghafari R, Rafiei M, Taheri Nejad MR. Assessment of health related quality of life by SF-36 Version 2 in general population of Qom city [In Persian]. Arak Med Univ J. 2014;16(11):63-72.
  • 36. Wiseman TA, Curtis K, Lam M, Foster K. Incidence of depression, anxiety and stress following traumatic injury: a longitudinal study. Scand J Trauma Resusc Emerg Med. 2015;23:29. doi: 10.1186/s13049-015-0109-z. [PubMed: 25882818].
  • 37. Myhren H, Ekeberg O, Toien K, Karlsson S, Stokland O. Posttraumatic stress, anxiety and depression symptoms in patients during the first year post intensive care unit discharge. Crit Care. 2010;14(1):R14. doi: 10.1186/cc8870. [PubMed: 20144193].
  • 38. Stoll C, Schelling G, Goetz AE, Kilger E, Bayer A, Kapfhammer HP, et al. Health-related quality of life and post-traumatic stress disorder in patients after cardiac surgery and intensive care treatment. J Thorac Cardiovasc Surg. 2000;120(3):505-12. doi: 10.1067/mtc.2000.108162. [PubMed: 10962412].
  • 39. Tabah A, Philippart F, Timsit JF, Willems V, Francais A, Leplege A, et al. Quality of life in patients aged 80 or over after ICU discharge. Crit Care. 2010;14(1):R2. doi: 10.1186/cc8231. [PubMed: 20064197].
  • 40. Toffart AC, Timsit JF. Is prolonged mechanical ventilation of cancer patients futile?. Crit Care. 2013;17(5):189. doi: 10.1186/cc13014. [PubMed: 24053905].
  • 41. Douglas SL, Daly BJ, Gordon N, Brennan PF. Survival and quality of life: short-term versus long-term ventilator patients. Crit Care Med. 2002;30(12):2655-62. doi: 10.1097/01.CCM.0000034688.55283.68. [PubMed: 12483055].
  • 42. Zilberberg M, Raut M, Luippold R, Sulsky . Prolonged mechanical ventilation, hospital resource utilization and mortality in a us cohort. Crit Care Med. 2006;34:126. doi: 10.1097/00003246-200612002-00434.
  • 43. Jones C, Backman C, Capuzzo M, Flaatten H, Rylander C, Griffiths RD. Precipitants of post-traumatic stress disorder following intensive care: a hypothesis generating study of diversity in care. Intensive Care Med. 2007;33(6):978-85. doi: 10.1007/s00134-007-0600-8. [PubMed: 17384929].
  • 44. Toien K, Bredal IS, Skogstad L, Myhren H, Ekeberg O. Health related quality of life in trauma patients. Data from a one-year follow up study compared with the general population. Scand J Trauma Resusc Emerg Med. 2011;19:22. doi: 10.1186/1757-7241-19-22. [PubMed: 21477280].
  • 45. Ong AW, Omert LA, Vido D, Goodman BM, Protetch J, Rodriguez A, et al. Characteristics and outcomes of trauma patients with ICU lengths of stay 30 days and greater: a seven-year retrospective study. Crit Care. 2009;13(5):R154. doi: 10.1186/cc8054. [PubMed: 19778422].
  • 46. Kapfhammer HP, Rothenhausler HB, Krauseneck T, Stoll C, Schelling G. Posttraumatic stress disorder and health-related quality of life in long-term survivors of acute respiratory distress syndrome. Am J Psychiatry. 2004;161(1):45-52. doi: 10.1176/appi.ajp.161.1.45. [PubMed: 14702249].

Featured Image:

Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments