Assessment of 5-year outcomes of life satisfaction in survivors after rehabilitation programs: a multicenter clinical trial

Farshid Rahimi-Bashar, Mahmood Salesi, Keivan Gohari-Moghadam, Ali Fathi Jouzdani, Mohamad Amin Pourhoseingholi, Amir Vahedian-Azimi, Farshid Rahimi-Bashar, Mahmood Salesi, Keivan Gohari-Moghadam, Ali Fathi Jouzdani, Mohamad Amin Pourhoseingholi, Amir Vahedian-Azimi

Abstract

Using a rehabilitation program for the survivors of acute respiratory distress syndrome (ARDS) could be one of the important and fundamental steps to improve the pulmonary function and health-related quality of life (HRQoL) of patients. This study was carried out to evaluate the effect of two rehabilitation techniques (Family-Based Empowerment Model (FECM)/Continuing Care Model (CCM), or both of them) on pulmonary function, and HRQoL in ARDS survivors. From December 2009 to June 2016, ARDS survivors from mixed medical-surgical ICUs at four academic teaching hospitals in Tehran, Iran, were randomly assigned to one of three intervention groups (A, B, or C) or a control group (D). Pre- and post-interventions, pulmonary functions and HRQoL status of patients in all groups were collected 48 times via clinical measurements and various questionnaires during 5 years of follow-up. Significantly improvement was seen in the intervention groups compared to the control group, and the greatest benefit was observed in patients who received mixed of FCEM and CCM rehabilitation techniques. Co-administration of FCEM and CCM can improve pulmonary function as well as the life satisfaction of ARDS survivors. As a result, the execution of the empowerment model by nurses is recommended for ARDS survivors and the participation of their families at the same time.Trial registration: NCT02787720 (ClinicalTrial.gov, 24/05/2016).

Conflict of interest statement

The authors declare no competing interests.

© 2022. The Author(s).

Figures

Figure 1
Figure 1
The flowchart of participants in the trial study.
Figure 2
Figure 2
Repeated measurements of life satisfaction items during a 5-year follow-up. Horizontal axis (x-axis) represents a different time of measurement as follows; Number 1: pre-intervention, Number 2: 10-day post intervention, Number 3: 3-month post measurement 2, Numbers 4–9: following ups includes six 3-month periods (6, 9, 12, 15, 18, 21), Numbers 10–13: following ups includes four 3-month periods (27, 33, 39, 45), and Numbers 14–15: following ups includes two 12-month period (57, and 60) after intervention by deploying family centered empowerment model (FCEM) and continuous care model (CCM).

References

    1. Ranieri VM, et al. Acute respiratory distress syndrome: The Berlin Definition. JAMA. 2012;307:2526–2533. doi: 10.1001/jama.2012.5669.
    1. Bashar FR, et al. Comparison of non-invasive to invasive oxygenation ratios for diagnosing acute respiratory distress syndrome following coronary artery bypass graft surgery: A prospective derivation-validation cohort study. J. Cardiothorac. Surg. 2018;13:123. doi: 10.1186/s13019-018-0804-8.
    1. Brower RG, Matthay MA, Morris A, Schoenfeld D, Thompson BT, Wheeler A. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N. Engl. J. Med. 2000;342:1301–1308. doi: 10.1056/nejm200005043421801.
    1. Papazian L, et al. Neuromuscular blockers in early acute respiratory distress syndrome. N. Engl. J. Med. 2010;363:1107–1116. doi: 10.1056/NEJMoa1005372.
    1. Gattinoni L, et al. Effect of prone positioning on the survival of patients with acute respiratory failure. N. Engl. J. Med. 2001;345:568–573. doi: 10.1056/NEJMoa010043.
    1. Hashem MD, et al. Patient outcomes after critical illness: A systematic review of qualitative studies following hospital discharge. Crit. Care. 2016;20:345. doi: 10.1186/s13054-016-1516-x.
    1. Bashar FR, et al. Post-ICU psychological morbidity in very long ICU stay patients with ARDS and delirium. J. Crit. Care. 2018;43:88–94. doi: 10.1016/j.jcrc.2017.08.034.
    1. Schelling G, et al. Pulmonary function and health-related quality of life in a sample of long-term survivors of the acute respiratory distress syndrome. Intensive Care Med. 2000;26:1304–1311. doi: 10.1007/s001340051342.
    1. Orme J, Jr, et al. Pulmonary function and health-related quality of life in survivors of acute respiratory distress syndrome. Am. J. Respir. Crit. Care Med. 2003;167:690–694. doi: 10.1164/rccm.200206-542OC.
    1. Peters JI, Bell RC, Prihoda TJ, Harris G, Andrews C, Johanson WG. Clinical determinants of abnormalities in pulmonary functions in survivors of the adult respiratory distress syndrome. Am. Rev. Respir. Dis. 1989;139:1163–1168. doi: 10.1164/ajrccm/139.5.1163.
    1. Hsieh MJ, et al. Recovery of pulmonary functions, exercise capacity, and quality of life after pulmonary rehabilitation in survivors of ARDS due to severe influenza A (H1N1) pneumonitis. Influenza Other Respir. Viruses. 2018;12:643–648. doi: 10.1111/irv.12566.
    1. Yang J, Lin R, Xu Z, Zhang H. Significance of pulmonary rehabilitation in improving quality of life for subjects with COPD. Respir. Care. 2019;64:99–107. doi: 10.4187/respcare.06353.
    1. Ahmadi F. Developing and Evaluating Continuous Care Model in Controlling Patients with Coronary Artery Disease. Tarbiat Modarres University; 2001.
    1. Vahedian-Azimi A, et al. Cardiac rehabilitation using the Family-Centered Empowerment Model versus home-based cardiac rehabilitation in patients with myocardial infarction: A randomised controlled trial. Open Heart. 2016;3:e000349. doi: 10.1136/openhrt-2015-000349.
    1. Raiesifar A, et al. Effect of applying continuous care model on quality of life among kidney transplant patients: A randomized clinical trial. Iran. J. Kidney Dis. 2014;8:139–144.
    1. Sadeghi Shermeh M, et al. Effect of applying continuous care model on quality of life of patients after coronary artery bypass graft. Iran. J. Crit. Care Nurs. 2009;2:1–6.
    1. Ghavami H, Ahmadi F, Entezami H, Memarian R. Effectiveness of applying continuous care model on quality of life level in diabetic patients. Uremia Med. J. 2005;16:9–15.
    1. Borhani F, Najafi MK, Rabori ED, Sabzevari S. The effect of family-centered empowerment model on quality of life of school-aged children with thalassemia major. Iran. J. Nurs. Midwifery Res. 2011;16:292–298.
    1. Shoghi M, Shahbazi B, Seyedfatemi N. The effect of the family-centered empowerment model (FCEM) on the care burden of the parents of children diagnosed with cancer. Asian Pac. J. Cancer Prev. 2019;20:1757–1764. doi: 10.31557/apjcp.2019.20.6.1757.
    1. Herridge MS, et al. One-year outcomes in survivors of the acute respiratory distress syndrome. N. Engl. J. Med. 2003;348:683–693. doi: 10.1056/NEJMoa022450.
    1. Herridge MS, et al. Functional disability 5 years after acute respiratory distress syndrome. N. Engl. J. Med. 2011;364:1293–1304. doi: 10.1056/NEJMoa1011802.
    1. Oliveira RP, Teixeira C, Rosa RG. Acute respiratory distress syndrome: How do patients fare after the intensive care unit? Revista Brasileira de terapia intensiva. 2019;31:555–560. doi: 10.5935/0103-507x.20190074.
    1. Cooper AB, et al. Long-term follow-up of survivors of acute lung injury: Lack of effect of a ventilation strategy to prevent barotrauma. Crit. Care Med. 1999;27:2616–2621. doi: 10.1097/00003246-199912000-00002.
    1. Riasmini NM, Kamso S, Sahar J, Prasetyo S. The effectiveness of independent family group model to reduce caregiver burden and improve the caregiver ability on providing care for elder person in community. Nurs. Health Sci. 2013;1:57–64.
    1. Kwak J, Montgomery RJ, Kosloski K, Lang J. The impact of TCARE® on service recommendation, use, and caregiver well-being. Gerontologist. 2011;51:704–713. doi: 10.1093/geront/gnr047.
    1. Montgomery RJ, Kwak J, Kosloski K, O’Connell Valuch K. Effects of the TCARE® intervention on caregiver burden and depressive symptoms: Preliminary findings from a randomized controlled study. J. Gerontol. Ser. B Psychol. Sci. Soc. Sci. 2011;66:640–647. doi: 10.1093/geronb/gbr088.
    1. Mohammadi F, Taherian A, Hosseini MA, Rahgozar M. Effect of home-based cardiac rehabilitation on quality of life in the patients with myocardial infarction. Iran Rehabil. J. 2006;7:9–11.
    1. Cuschieri S. The CONSORT statement. Saudi J. Anaesth. 2019;13:S27–s30. doi: 10.4103/sja.SJA_559_18.
    1. World Medical Association World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. J. Am. Coll. Dentists. 2014;81:14–18.
    1. Nassar AP, Malbouisson LM, Moreno R. Evaluation of Simplified Acute Physiology Score 3 performance: A systematic review of external validation studies. Crit. Care. 2014;18:R117. doi: 10.1186/cc13911.
    1. Haq A, Patil S, Parcells AL, Chamberlain RS. The simplified acute physiology score III is superior to the simplified acute physiology score II and acute physiology and chronic health evaluation II in predicting surgical and ICU mortality in the "oldest old". Curr. Gerontol. Geriatr. Res. 2014;2014:934852. doi: 10.1155/2014/934852.
    1. Vincent JL, et al. Use of the SOFA score to assess the incidence of organ dysfunction/failure in intensive care units: Results of a multicenter, prospective study. Working group on "sepsis-related problems" of the European Society of Intensive Care Medicine. Crit. Care Med. 1998;26:1793–1800. doi: 10.1097/00003246-199811000-00016.
    1. Ferreira FL, Bota DP, Bross A, Mélot C, Vincent JL. Serial evaluation of the SOFA score to predict outcome in critically ill patients. JAMA. 2001;286:1754–1758. doi: 10.1001/jama.286.14.1754.
    1. Zimmerman JE, Kramer AA, McNair DS, Malila FM. Acute Physiology and Chronic Health Evaluation (APACHE) IV: Hospital mortality assessment for today's critically ill patients. Crit. Care Med. 2006;34:1297–1310. doi: 10.1097/01.ccm.0000215112.84523.f0.
    1. Marshall JC, Cook DJ, Christou NV, Bernard GR, Sprung CL, Sibbald WJ. Multiple organ dysfunction score: A reliable descriptor of a complex clinical outcome. Crit. Care Med. 1995;23:1638–1652. doi: 10.1097/00003246-199510000-00007.

Source: PubMed

Sponsorer och medarbetare

Medicinska tillstånd

Läkemedelsinterventioner

3
Prenumerera