Samenvatting

The use of a digital post-ICU diary through intensive care survivors’ relatives: The Technology Acceptance Model applied

Nanda Tummers, Madelon van Hooff, Margo van Mol

In this multicentre, cross-sectional online survey study, a mediation analysis was used to examine the relationship between technophobia and intention to use a digital Post-ICU diary among intensive care survivors’ relatives and whether this relationship is mediated by two user perceptions ‘Perceived Ease of Use’ (PEOU) and ‘Perceived Usefulness’ (PU). In total 63 relatives participated in the study, of which 57.1% women and an average age of 51 years was found. The results showed a positive relationship between the PU and the intention to use the Post-ICU diary. However, the relationship between technophobia and intention to use was not mediated by PEOU and PU. This means, the digital diary seems a valuable alternative to the paper version whereby technophobia no hindering factor is in the applicability of the Post-ICU diary. In addition, the participants perceived the digital diary as a positive intervention, which could support the social interaction between the relative and their own network as well as the interaction with the ICU team. This could reduce the emotional impact in ICU survivors’ relatives in the long run.


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Het gebruik van een dagboek is een bewezen effectieve interventie om de emotionele impact van een opname op de intensive care (IC) te verminderen voor zowel patiënten als naasten. De noodzaak om een digitale versie, het ‘Post-’ dagboek, te implementeren werd tijdens de Covid-19 pandemie urgent vanwege de bezoekbeperkende maatregelen. Inzicht in waargenomen gebruiksgemak en bruikbaarheid, alsmede de rol van angst voor digitale technologie van het Post-IC dagboek bij naasten, is relevant voor nationale implementatie.

Het post-intensive care syndroom

De aandacht voor een opname op een IC-afdeling, en het herstel na een kritieke ziekte, verschuift steeds meer van korte termijn overleven naar de gezondheidsbeperkingen op de lange termijn (Turnbull et al., 2016; White, Connolly, & Rowland, 2021). De fysieke, cognitieve en psychische klachten na ontslag van de IC-afdeling worden sinds 2012 internationaal gedefinieerd als het post-intensive care syndroom (PICS; Davidson et al., 2013; Inoue et al., 2019; Needham et al., 2012). Ook naasten kunnen door de impact van een IC-ervaring psychische klachten ontwikkelen, deze zijn beschreven als PICS-Familie (PICS-F; Davidson, Jones, & Bienvenu, 2012).

Jaarlijks worden gemiddeld 75.000 volwassenen opgenomen op IC-afdelingen in Nederland, waarbij het in 54% van de gevallen ongeplande niet-chirurgische opnames betreft (NICE). Een recente Nederlandse studie toonde aan dat de helft van deze ongeplande IC-patiënten in het eerste jaar na ontslag uit

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