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Measurement of the impact of the diary intervention on patient outcomes has been limited in both scope and time frame.
Only the ICU diary intervention and self-directed rehabilitation manual intervention have demonstrated a longer-term benefit.
Inconsistencies exist in sample characteristics, study outcomes, study methods, and the diary intervention itself, limiting the amount of comparison that is possible between studies.
Samples have usually been from one center and highly selective, and as few as 10% of the patients in each ICU received the diary intervention [ 2, 8, 15, 24].
Interventions to date have included ICU rehabilitation programs [ 9, 10], early mobility interventions such as daily awakening and recognition and treatment for delirium [ 11- 14], an ICU diary intervention [ 15], a nurse-led follow-up program [ 16], and a self-directed manual for rehabilitation [ 17].
Furthermore, using the Post-Traumatic Stress Syndrome 14-Question Inventory, post-trauma stress symptoms did not change over time and were similar in the two groups at 3 months, providing no evidence of reduction in PTSD symptoms in response to the diary intervention (Table 1).
Similar(54)
There was moderate quality evidence from three studies for the effectiveness of diary interventions, with medium-term follow-up results.
Diary interventions, aimed at aiding therapeutic recollection of the ICU, have been shown to reduce the incidence of PTSD (5%) compared with controls (13%) [ 39, 40].
Patients will be required to complete a 3 day diet diary pre intervention and then weekly throughout the study.
Missing values might appear in incomplete interview questionnaires, incomplete headache diaries, missed intervention sessions and/or due to dropouts.
The participants recorded the daily SW times and durations for working days in a diary during the intervention period.
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