The specific needs of patients following sepsis: a nested qualitative interview study

Area of Science:

• Post-sepsis care research
• General practice innovation
• Patient recovery and support

Background:

• Sepsis survivors face significant sequelae post-discharge.
• Primary care lacks structured aftercare programs for these patients.
• Case managers may aid in managing chronic critical illness after sepsis.

Purpose of the Study:

• To explore the effectiveness of a structured aftercare program for post-sepsis patients in general practice.
• To understand patient and general practitioner (GP) perspectives on structured post-sepsis care.

Main Methods:

• Qualitative study employing semi-structured interviews with 19 patients and 13 GPs.
• Participants were from a randomized controlled trial of a structured aftercare program.
• Interviews were audio-recorded, transcribed, and analyzed using qualitative content analysis.

Main Results:

• Patients valued educational information but some found it distressing.
• GPs appreciated informed patients, aiding follow-up participation.
• Both patients and GPs valued case monitoring for safety and reflection, though some had concerns.
• GPs received useful clinical information but questioned relevance and delegation.
• Both groups desired enhanced clinical support, including easier access to psychotherapy.

Conclusions:

• Structured patient education and case monitoring following sepsis are generally well-received by patients and GPs.
• Consideration of patients' emotional responses and anxieties is essential for successful aftercare.
• The study highlights the need for integrated and accessible psychosocial support in post-sepsis care programs.