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SICQ Coping and the Health-Related Quality of Life and Recovery of Critically Ill ICU Patients: A Prospective Cohort Study.

Publication ,  Journal Article
Boezeman, EJ; Hofhuis, JGM; Cox, CE; de Vries, RE; Spronk, PE
Published in: Chest
January 2022

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.

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Published In

Chest

DOI

EISSN

1931-3543

Publication Date

January 2022

Volume

161

Issue

1

Start / End Page

130 / 139

Location

United States

Related Subject Headings

  • Young Adult
  • Surveys and Questionnaires
  • Respiratory System
  • Recovery of Function
  • Quality of Life
  • Prospective Studies
  • Proportional Hazards Models
  • Optimism
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
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Boezeman, E. J., Hofhuis, J. G. M., Cox, C. E., de Vries, R. E., & Spronk, P. E. (2022). SICQ Coping and the Health-Related Quality of Life and Recovery of Critically Ill ICU Patients: A Prospective Cohort Study. Chest, 161(1), 130–139. https://doi.org/10.1016/j.chest.2021.06.033
Boezeman, Edwin J., José G. M. Hofhuis, Christopher E. Cox, Reinout E. de Vries, and Peter E. Spronk. “SICQ Coping and the Health-Related Quality of Life and Recovery of Critically Ill ICU Patients: A Prospective Cohort Study.Chest 161, no. 1 (January 2022): 130–39. https://doi.org/10.1016/j.chest.2021.06.033.
Boezeman EJ, Hofhuis JGM, Cox CE, de Vries RE, Spronk PE. SICQ Coping and the Health-Related Quality of Life and Recovery of Critically Ill ICU Patients: A Prospective Cohort Study. Chest. 2022 Jan;161(1):130–9.
Boezeman, Edwin J., et al. “SICQ Coping and the Health-Related Quality of Life and Recovery of Critically Ill ICU Patients: A Prospective Cohort Study.Chest, vol. 161, no. 1, Jan. 2022, pp. 130–39. Pubmed, doi:10.1016/j.chest.2021.06.033.
Boezeman EJ, Hofhuis JGM, Cox CE, de Vries RE, Spronk PE. SICQ Coping and the Health-Related Quality of Life and Recovery of Critically Ill ICU Patients: A Prospective Cohort Study. Chest. 2022 Jan;161(1):130–139.

Published In

Chest

DOI

EISSN

1931-3543

Publication Date

January 2022

Volume

161

Issue

1

Start / End Page

130 / 139

Location

United States

Related Subject Headings

  • Young Adult
  • Surveys and Questionnaires
  • Respiratory System
  • Recovery of Function
  • Quality of Life
  • Prospective Studies
  • Proportional Hazards Models
  • Optimism
  • Middle Aged
  • Male