Date Available

4-13-2020

Year of Publication

2020

Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Sheila Melander

Clinical Mentor

Dr. Khaled Ziada

Committee Member

Dr. Melanie Hardin-Pierce

Abstract

Background: Extracorporeal membrane oxygenation (ECMO) survivors have shown to have poor physical and mental health outcomes post decannulation and hospitalization; thus leading to an overall decreased quality of life. Identifying and managing the psychological components of care in this patient population can improve their physical, emotional, and mental well-being.

Purpose: To assess the incidence of impaired health related quality of life (HRQOL) and posttraumatic stress disorder (PTSD) like symptoms in survivors of ECMO; identify which constellation of patients (respiratory vs. cardiac) have poorer HRQOL outcomes post ECMO; and compare the tools used to measure post procedural outcomes in this patient population.

Methods: This is a prospective cohort study. 21 patients were invited to participate in this study. Surveys were administered and data collected at discharge, first follow-up appointment (2-4 weeks), and second follow-up appointment (12-16 weeks) post discharge. Demographics were gathered through the patient’s chart and data from the SF12v2 health survey and ICU memory tool (ICUMT). The surveys addressed the incidence of poor HRQOL in relation to PTSD-like symptoms in patients.

Results: A total of 8 participants agreed to participate in the surveys, with only 3 participants completing the surveys at all 3 data collection points. At each data collection timepoint, the PCS and MCS scores were not significantly different for the 3 participants, however the MCS scores from the SF12v2 and the ICUMT at data collection points two and three appear to align with similar results.

Conclusion: Despite low scores overall, study results did not show any statistical significance in PCS and MCS scores from the SF12v2 survey. The ICUMT and MCS data report similar results and those patients admitted with a cardiac diagnosis had poorer HRQOL outcomes compared to those admitted with a respiratory diagnosis. Further research is recommended.

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