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Taking Intensive (after)care


Esther Bakker

on 24 March 2013

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Transcript of Taking Intensive (after)care

Research proposal Dr. Esther Bakker
Dr. Marjan Nijkamp In the Netherlands about 76.000 patients are hospitalized on IC each year http://gemi.st/13938019 Up to 40% of recovering IC patients suffers from post traumatic stress symptoms. These symptoms can last for at least 2 years after discharge from the IC
Physical weakness usually gets better, but these mental symptoms often just linger....... Onderzoek Ontwerp Probleem Doel Information and Education Algemene informatie over IC opname Informatie over gevolgen IC-opname Ziekenhuisspecifieke informatie Psychological debriefing Verwijzing naar zorgverleners Ziekenhuisspecifieke nazorg &
medisch nazorg Personal support Verkrijgen van sociale steun Faciliteren lotgenotencontact Verwijzing naar persoonlijke hulpbronnen Assessment and therapy Distress PTSS symptoms Coping Nazorgbehoefte Disease self-management Problem solving techniques Stress management techniques Trauma-focused interventions
(CGT, EMDR) Verwijzing naar hulpverleners Primary research question
What are the short term (2-6 weeks), medium term (6 months) and long term (1 year) health related effects of the tailored, web-based ICU aftercare intervention on the psychosocial outcomes and the quality of life of former ICU patients? Primary outcomes:
- psychosocial outcomes
- quality of life

Secondary outcomes:
- effects on coping strategies
- perceived social support from important others
- fulfilment of informational needs of former ICU patients. E-Health intervention
Providing personalized aftercare for (ex) ICU patients

Online portal were recovering ICU patients can obtain personalized information, self-assessment and tailored advice, support and training, making it easier to successfully cope with their experiences from ICU admission. benutten verdedigen versterken terugtrekken Needs Assessment Taking Intensive (after)Care + relevante problematiek
+ mogelijk goede oplossing voor het probleem
+ eerdere expertise met ontwikkelen web-based interventies te complex
waarom meteen RCT?
call voor subsidieaanvragen? Planmatige interventieontwikkeling Kortom:
Routewijzer met betrouwbare informatie Ervaring
ziekenhuissetting Ervaring E-Health
interventies 4 Pilotprojecten
door studenten in eigen
IC-werkomgeving Presentaties op
IC congressen
(Brussel, Lunteren) Andere groepen
Lectoraat Bezuinigingen Wanneer breng je je plan naar buiten? Bouwen aan goede nazorg voor ex-IC-patiënten Zorgaanbod nog niet beschikbaar in regio Subsidie consortia Ziekenhuizen
(Atrium, MUMC+, Erasmus,
Radboud, UMCG) CMD
Hello Hospital Patiënten tijdstip t0 t1 t2 t3 meetmoment nulmeting 2-6 wk 6 mo 1yr
IC-intervention R 01 X 02 03 04
Care as usual R 01 02 03 04 1. IC zorg voor naasten 2. Lotgenotencontact en sociale steun in relatie tot kwaliteit van leven 3. Determinanten van nazorgbehoefte bij ex-IC patiënten 4. Ontwikkeling IC-nazorg interventie
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