Physical, psychological, and cognitive changes among sepsis survivors after ICU discharge: a systematic review
DOI:
https://doi.org/10.12957/reuerj.2025.89187Keywords:
Intensive Care Units, Sepsis, Cognitive Dysfunction, Estresse Psicológico, Muscle StrengthAbstract
Objective: to synthesize the evidence on the physical, psychological, and cognitive changes presented by patients discharged from the ICU after an episode of sepsis. Method: this is a systematic review, guided by the question: “What are the physical, cognitive, and psychological changes presented by patients discharged from the ICU after an episode of sepsis?”. Searches were conducted in The Cochrane Library, CINAHL, Embase, LILACS, PubMed, Scopus, and Web of Science databases, including studies published since the Consensus of the American College of Chest Physicians and the Society of Critical Care Medicine - 1991. Results: a total of 5,799 studies were identified, of which 18 met the eligibility criteria and were qualitatively analyzed. Conclusion: sepsis survivors may present varying degrees of impairment in the three areas analyzed. There may additionally be an overlap of physical, psychological, and cognitive changes in survivors, which may compromise their ability to live independently and with quality.
References
1. Martins H, Domingues TD, Caldeira S. Spiritual distress in cancer patients undergoing chemotherapy: a longitudinal study. Int. J. Nurs. Knowl. 2023 [cited 2024 July 20]; 35(3):272-80. DOI: https://doi.org/10.1111/2047-3095.12442.
2. Almeida Filho RF, Trezza MCSF, Comassetto I, Silva LKB, Lopes MP, Santana KGS, et al. Spirituality in the uncertainty of illness: the perspective of oncology patients. Rev. Bras. Enferm. 2023 [cited 2024 July 24]; 76(4):e20220712. DOI: https://doi.org/10.1590/0034-7167-2022-0712.
3. Pilger C, Caldeira S, Rodrigues RAP, Carvalho EC, Kusumota L. Spiritual well-being, religious/spiritual coping and quality of life among the elderly undergoing hemodialysis: a correlational study. J. Relig. Spiritual. Aging. 2021 [cited 2024 July 23]; 33(1):1824848. DOI: https://doi.org/10.1080/15528030.2020.1824848.
4. Banin VB, Silva DIC, Moreira LG, Padula NAMR, Mariotti LGL, Andrade LGM. Medicine and spirituality: the profile of students and physicians at a Brazilian medical school. Rev. Bras. Educ. Med. 2024 [cited 2024 July 23]; 48(1):e008. Available from: https://www.scielo.br/j/rbem/a/kGZSmk3CLkvDd9FtDRfN4xN/?lang=en.
5. Koenig HG, McCullough M, Larson DB. Handbook of religion and health: a century of research reviewed. 2nd ed. New York: Oxford University Press; 2001.
6. Santos LCF, Silva SM, Silva AE, Mendoza IYQ, Pereira FM, Queiroz RAS. Older adults in palliative care: experiencing spirituality in the face of terminality. Rev. Enferm. UERJ. 2020 [cited 2024 June 28]; 28:e49853. DOI: http://doi.org/10.12957/reuerj.2020.49853.
7. Barreto LV, Cruz MGS, Okuno MFP, Horta ALM. Association of spirituality, quality of life and depression in family members of older adults with dementia. Acta Paul. Enferm. 2023 [cited 2024 June 28]; 36:eAPE03061. DOI: https://doi.org/10.37689/acta-ape/2023AO03061.
8. Kano MM, Devezas AMLO. Nursing actions in the spirituality of adult cancer patients: bibliographic research. Arq. Med. Hosp. Fac. Ciênc. Med. Santa Casa São Paulo. 2020 [cited 2024 June 28]; 65:e036. DOI: https://doi.org/10.26432/1809-3019.2020.65.036.
9. North American Nursing Association - NANDA. Diagnóstico de enfermagem da NANDA: definições e classificações 2021-2023. Porto Alegre: Artmed; 2021.
10. Bulechek GM, Butcher HK, Dochterman JM. NIC Classificação das intervenções de enfermagem. 7th ed. Rio de Janeiro: Elsevier; 2020.
11. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007 [cited 2024 July 13]; 19(6):349-57. DOI: https://doi.org/10.1093/intqhc/mzm042.
12. Faria-Schützer DB, Surita FG, Alves VLP, Bastos RA, Campos CJG, Turato ER. Seven steps for qualitative treatment in health research: the clinical-qualitative content analysis. Ciênc. Saúde Colet. 2021 [cited 28 June 2024]; 26(1):265-74. DOI: https://doi.org/10.1590/1413-81232020261.07622019.
13. Holloway l, Wheller S. Phenomenology. In: Holloway I, Wheller S., organizators. Qualitative research in nursing and healthcare. 3rd ed. Oxford: John Wiley & Sons; 2010. p. 213-31.
14. Henriques CMG, Botelho MAR, Catarino HCP. Phenomenology as a method applied to nursing science: research study. Ciênc. Saúde Colet. 2021 [cited 2024 May 05]; 26(2):511-9. DOI: https://doi.org/10.1590/1413-81232021262.41042020.
15. Schutz A. El problema de la realidade social. Buenos Aires: Amorrortu; 2008.
16. Moura CO, Silva ÍR, Silva TP, Santos KA, Crespo MCA, Silva MM. Methodological path to reach the degree of saturation in qualitative research: grounded theory. Rev. Bras. Enferm. 2022 [cited 2024 June 24]; 75(2):e20201379. DOI: https://doi.org/10.1590/0034-7167-2020-1379.
17. Martinez MC, Latorre MRDO, Fischer FM. Work ability and intending to leave the nursing profession in São Paulo. Rev. Enferm. UERJ. 2021 [cited 2024 June 29]; 29:e57941 DOI: http://doi.org/10.12957/reuerj.2021.57941.
18. Nogueira VPF, Gomes AMT, Mercês MC, Couto PLS, Yarid SD, Andrade PCST. Spirituality, religiosity, and their representations for people living with HIV: daily life and its experiences. Rev. Esc. Enferm. USP. 2023 [cited 2024 June 23]; 57:e20220394. DOI: https://doi.org/10.1590/1980-220X-REEUSP-2022-0394en.
19. Teixeira MZ. Interconnection between health, spirituality and religiosity: importance of teaching, research and assistance in medical education. Rev. Med. São Paulo. 2020 [cited 2024 May 12]; 99(2):134-47. DOI: https://doi.org/10.11606/issn.1679-9836.v99i2p134-147.
20. Santana VSFV, Santos FK, Neto M, Silva FVC, Castelo Branco AL. Nursing problems and interventions identified in the nursing consult for people living with HIV. Rev. Pesq. Cuid. Fundam. 2023 [cited 2024 June 28]; 15:e12074. DOI: http://doi.org/10.9789/2175-5361.rpcfo.v15.12074.
21. Costa JR, Marcon SS, Piexak DR, Oliveira SG, Santo FHE, Nitschke RG, Moncada MJ, Teston EF. Wheel of life and Reiki repercussions on health promotion for nursing professionals. Texto Contexto Enferm. 2022 [cited 2024 July 12]; 31:e20210294. DOI: https://doi.org/10.1590/1980-265X-TCE-2021-0294en.
22. Souza IN, Silva GB, Silva KTS, Scremin M, Dias CLO, Monteiro SC, et al. Scientific production on the National Policy of Integrative and Complementary Practices. REAS. 2020 [cited 2024 June 28]; 12(10):e4386. DOI: https://doi.org/10.25248/reas.e4386.2020.
23. Flach MRT, Ritt LEF, Santana Junior FG, Correia MF, Claro TC, Ladeia AM, et al. Spirituality, functional gain, and quality of life in cardiovascular rehabilitation. Arq. Bras. Cardiol. 2023 [cited 2024 June 23]; 120(3):e20220452. DOI: https://doi.org/10.36660/abc.20220452.
24. Nunes ECDA, Oliveira FA, Cunha JXP, Reis SO, Meira GG, Szylit R. Music as a transpersonal care tool - perceptions of hospitalized people assisted in the university extension. Esc. Anna Nery. 2020 [cited 2024 July 12]; 24(2):e20190165. DOI: https://doi.org/10.1590/2177-9465-EAN-2019-0165.
25. Marques DA, Alves MS, Carbogim FC, Vargas D, Paula GL, Almeida CPB. Multiprofessional team perception of a music therapeutic workshop developed by nurses. Rev. Bras. Enferm. 2020 [cited 2024 July 12]; 73(1):e20170853. DOI: http://doi.org/10.1590/0034-7167-2017-0853.
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