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Recollections of Indian children after discharge from an intensive care unit

Sunil Karande1, Ashish Kelkar, Madhuri Kulkarni

  • 1Department of Pediatrics, Lokmanya Tilak Municipal Medical College & General Hospital, Sion, Mumbai (Bombay), India. karandesunil@yahoo.com

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
|April 29, 2005
PubMed

Insights

Most children have neutral memories of the pediatric intensive care unit (PICU), but many recall pain and fear. Improving comfort with toys, sedation, and pain management is crucial for better pediatric intensive care unit experiences.

Area of Science:

  • Pediatric Intensive Care
  • Child Psychology
  • Healthcare Quality Improvement

Background:

  • Understanding children's experiences in the pediatric intensive care unit (PICU) is vital for improving care.
  • Previous research has not fully explored post-discharge recollections of pediatric patients.

Purpose of the Study:

  • To analyze the recollections of children after their discharge from the pediatric intensive care unit (PICU).

Main Methods:

  • A prospective, interview-based study was conducted.
  • Fifty children aged 5-12 years were interviewed within 1-5 days of transfer from the PICU.
  • Content analysis was used to interpret children's responses.

Main Results:

  • 74% of children had neutral recollections, 18% negative, and 16% positive.
  • Good features included a clean environment (52%) and doctors (36%).
  • Bad features included injections (50%); common negative experiences were fear (64%), pain (74%), thirst (14%), hunger (16%), and disturbed sleep (18%).

Conclusions:

  • Children require more toys, better prevention of phlebitis, adequate sedation for amnesia and sleep, and sufficient analgesia.
  • Healthcare providers should introduce themselves, ensure patient comfort, and shield children from witnessing distressing events or procedures on others.
Abstract

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