Reported Experience Measurement on Reducing Patient Discomfort in Intensive Care

What this Trial Is About

Hospitalization in intensive care can be very traumatic and may lead to long recovery times affected by anxiety, depression, or post-traumatic stress disorder PTSD, collectively known as post-intensive care syndrome PICS. These conditions can last for years and impact patients quality of life, increasing the need for psychotropic medications and mental health services. This research aims to reduce the traumatic experience of intensive care stays by improving conditions and practices of healthcare professionals in intensive care units. It builds on previous studies, including IPREA3, by using updated assessment tools and longer program implementation. The study evaluates a tailor-made, multi-component program called PREMREA, led by a doctor and a non-medical caregiver duo. This program includes patients completing an 18-item discomfort questionnaire IPREA on the day they leave intensive care, monthly feedback sessions for staff about patient discomfort scores, and the introduction of specific care measures to improve patient experience. The program allows a longer learning period of nine months to help healthcare teams adopt new humanizing care practices, supported by conferences led by patient experts. Participants will be patients discharged alive from intensive care after a stay of at least three days. They will complete the discomfort questionnaire themselves to report their experience. Researchers will measure the overall discomfort score three months after intensive care discharge as the primary outcome. The study involves monitoring the implementation of care improvements and providing monthly feedback to staff. Participation includes signing informed consent and speaking French. The study will run until the end of 2027, aiming to assess how these interventions affect patient discomfort and recovery.

Reported Experience Measurement on Reducing Patient Discomfort in Intensive Care