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Efecto psicológico de la reanimación presenciada en parientes en duelo
S M Robinson1, S Mackenzie-Ross, G L Campbell Hewson
1Emergency Department, Addenbrooke's NHS Trust, Cambridge, UK.
Lancet (London, England)
|September 24, 1998
Resumen
Los familiares que presenciaron la reanimación de un familiar gravemente enfermo no reportaron efectos psicológicos adversos y se mostraron satisfechos con su decisión. Permitir que los familiares estén presentes durante la reanimación puede ser beneficioso y debe considerarse en los departamentos de emergencia.
Área de la Ciencia:
- Medicina de emergencia Medicina de emergencia.
- Psicología Psicología Psicología.
- Cuidados críticos en cuidados intensivos.
Sus antecedentes:
- Tradicionalmente, los familiares están excluidos de las áreas clínicas durante la reanimación del paciente.
- El estudio investigó el deseo de los familiares de estar presentes durante la reanimación y su impacto psicológico.
Objetivo del estudio:
- Para determinar si los familiares desean estar presentes durante la reanimación de un miembro de la familia.
- Para evaluar los efectos psicológicos en los familiares en duelo que presencian la reanimación.
Principales métodos:
- Un estudio piloto asignó al azar a pacientes que requieren reanimación a un grupo de reanimación presenciado o a un grupo de control.
- Los familiares fueron acompañados por un chaperón para apoyo e información.
- Los cuestionarios psicológicos evaluaron la ansiedad, la depresión, el dolor y el trauma en familiares en duelo un mes después de la reanimación.
Principales resultados:
- Los familiares que presenciaron la reanimación no informaron efectos psicológicos adversos.
- Todos los familiares que presenciaron la reanimación estaban satisfechos con su decisión.
- El estudio se terminó antes de tiempo debido a los beneficios observados para los familiares y la convicción del equipo clínico.
Conclusiones:
- La exclusión rutinaria de familiares de las salas de reanimación en los departamentos de emergencia puede ser inapropiada.
- Permitir a los familiares presenciar la reanimación, si así lo desean, puede ser beneficioso.
- Esta práctica merece una reconsideración en los entornos de atención de emergencia.
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