Abstract
Background: The coping styles of the Sickness Insight in Coping Questionnaire (SICQ; positivism, redefinition, toughness, fighting spirit, nonacceptance) may affect the health and recovery of hospitalized critically ill patients. Research Question: Do the SICQ coping styles of hospitalized critically ill patients relate to the patients health-related quality of life (HRQoL) and recovery? Study Design and Methods: A prospective cohort study was conducted in a single university-affiliated Dutch hospital. Participants were critically ill adult patients admitted to a mixed medical-surgical ICU (start: n = 417; pre-ICU: n = 391; hospital discharge: n = 350; 3-month follow-up: n = 318; 6-month follow-up: n = 308; 12-month follow-up: n = 285). Coping was recorded with the SICQ pre-ICU and at discharge. HRQoL was measured with the SF-12 pre-ICU, at discharge, and 3, 6, and 12 months after discharge. Indicators of recovery were ICU and hospital length of stay, discharge disposition, and mortality. Correlation and regression analyses were used for data analysis. Results: Positivism (r = 0.28-0.51), fighting spirit (r = 0.14-0.35), and redefinition (r = 0.12-0.23) associated significantly (P <.05) with mental HRQoL after discharge. Furthermore, positivism associated positively (P <.01) with physical HRQoL (r = 0.17-0.26) after discharge. Increase in positivism (r = 0.13), redefinition (r = 0.13), and toughness (r = 0.13) across the period of hospitalization associated positively (P ≤.05) with mental HRQoL at discharge. Pre-ICU positivism associated with hospital length of stay (ρ = −.21, P ≤.05) and hazard for death (HR = 0.57, P <.01) and had a unidirectional effect on mental HRQoL (β =.30, P <.001). Interpretation: SICQ coping is associated with long-term mental HRQoL, hospital length of stay, and hazard for death among hospitalized critically ill patients.
| Original language | English |
|---|---|
| Pages (from-to) | 130-139 |
| Number of pages | 10 |
| Journal | Chest |
| Volume | 161 |
| Issue number | 1 |
| Early online date | 26 Jun 2021 |
| DOIs | |
| Publication status | Published - Jan 2022 |
Bibliographical note
Funding Information:Authors contributions: All authors contributed substantially to this research. E. J. B. takes responsibility for (is the guarantor of) the content of the manuscript, including the data and analysis. P. E. S. J. G. M. H. and R. E. d. V. contributed to the conception and design of the research. J. G. M. H. and P. E. S. collected the raw patient data. E. J. B. and R. E. d. V. developed the plan for analysis of the data. E. J. B. analyzed the data. P. E. S. R. E. d. V. J. G. M. H. and E. J. B. interpreted outcomes of the data analysis. C. E. C. reviewed the interpretations of the outcomes of the data analysis and provided recommendations for improvements. E. J. B. P. E. S. J. G. M. H. R. E. d.V. and C. E. C. drafted the manuscript about the research, made revisions to the manuscript about the research, and finalized the manuscript about the research. All authors have approved the submitted version of the manuscript about the research, have agreed both to be personally accountable for the author's own contributions and to ensure that questions related to the accuracy or integrity of any part of the work, even ones in which the author was not personally involved, are appropriately investigated, resolved, and the resolution documented in the literature. Financial/nonfinancial disclosures: None declared, Additional information: The e-Tables can be found in the Supplemental Materials section of the online article.
Publisher Copyright:
© 2021 The Authors
Keywords
- coping skills
- critical care
- ICU
- quality of life