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. 2022 Jun 10;12(1):49.
doi: 10.1186/s13613-022-01019-3.

Corporeal rehabilitation to manage acute stress in critically ill patients

Irma Bourgeon-Ghittori #  1   2   3 , Maryline Couette #  1   4 , Sylvie Marini  4 , Rachida Ouedraogo  4 , Aline Alves  4 , Keyvan Razazi  1   2   4 , Damien Carras  4 , Ann-Cecile Pallud  4 , Nancy Kentish-Barnes  5 , Armand Mekontso Dessap  6   7   8
Affiliations

Corporeal rehabilitation to manage acute stress in critically ill patients

Irma Bourgeon-Ghittori et al. Ann Intensive Care. .

Abstract

Background: Intensive care unit (ICU) patients often endure discomfort and distress brought about by their medical environment and the subjective experience of their stay. Distress, pain, and loss of control are important predictors of future neuropsychiatric disorders. Depression, anxiety, and post-traumatic stress are common after discharge. We aimed at mitigating acute stress and discomfort via a novel intervention based on body image rehabilitation and rehabilitation of senses performed following a holistic approach guided by positive communication (corporeal rehabilitation care, CRC).

Results: We conducted a prospective observational study on 297 consecutively enrolled patients participating in at least one CRC session. Benefits of CRC were assessed on both subjective analogical scales of stress, pain, and well-being criteria, and objective clinical measures of dyspnea, respiratory rate, and systolic arterial pressure, just after CRC and long after (a median of 72 min later) to estimate its remote effect. Results showed that CRC had a positive effect on all overt measures of distress (acute stress, pain, discomfort) just after CRC and remotely. This beneficial effect was also observed on dyspnea and respiratory rate. Results also showed that best CRC responders had higher baseline values of stress and heart rate and lower baseline values of well-being score, indicating that the care targeted the population most at risk of developing psychological sequelae. Interestingly, a positive CRC response was associated with a better survival even after adjustment for physiologic severity, indicating a potential to identify patients prompt to better respond to other therapeutics and/or rehabilitation.

Conclusion: This study demonstrated the feasibility of an innovative holistic patient-centered care approach and its short-term positive effects on critical parameters that are considered risk factors for post-intensive care syndrome. Further studies are warranted to study long-term benefits for patients, and overall benefits for relatives as well as ICU staff.

Keywords: Corporeal; Intensive care; Rehabilitation; Stress.

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Conflict of interest statement

The authors have no conflict of interest to disclose.

Figures

Fig. 1
Fig. 1
Corporeal rehabilitation care
Fig. 2
Fig. 2
Effect of corporeal rehabilitation care on psychological [stress (A), well-being (B)], and functional [pain (C), dyspnea (D), respiratory rate (E) and systolic arterial pressure (F)] variables
Fig. 3
Fig. 3
Probability of survival in critically ill patients with or without a positive response to corporeal rehabilitation care
See this image and copyright information in PMC

References

    1. Novaes MAFP, Aronovich A, Ferraz MB, Knobel E. Stressors in ICU: patients’ evaluation. Intensive Care Med. 1997;23:1282–1285. doi: 10.1007/s001340050500. - DOI - PubMed
    1. Rotondi AJ, Chelluri L, Sirio C, Mendelsohn A, Schulz R, Belle S, et al. Patients’ recollections of stressful experiences while receiving prolonged mechanical ventilation in an intensive care unit*. Crit Care Med. 2002;30:746–752. doi: 10.1097/00003246-200204000-00004. - DOI - PubMed
    1. Simini B. Patients’ perceptions of intensive care. Lancet. 1999;354:571–572. doi: 10.1016/S0140-6736(99)02728-2. - DOI - PubMed
    1. van de Leur JP, van der Schans CP, Loef BG, Deelman BG, Geertzen JH, Zwaveling JH. Discomfort and factual recollection in intensive care unit patients. Crit Care. 2004;8:R467. doi: 10.1186/cc2976. - DOI - PMC - PubMed
    1. Lecomte J. Empathie et ses effets. Elsevier Masson SAS, Paris. EMC Savoirs Soins Infirm. 2010. https://www.em-consulte.com/en/article/262093. Accessed 26 Apr 2020.

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