Nursing in critical care · 2026
Impact of a Volunteer-Delivered Spiritual Care Strategy on Preventing Post-Intensive Care Syndrome-Family in Relatives of Critically Ill ICU Patients: A Quasi-Experimental Study.
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Ruiz Carolina, Alegria Leyla, Olivares Patricia, Rojas Verónica, Taboada Paulina, Manríquez Daniela, Bakker Jan, Repetto Paula
Аннотация
BACKGROUND: Family members of critically ill patients are at increased risk of developing psychological disorders after ICU discharge, a condition known as Post-Intensive Care Syndrome-Family (PICS-F). Spiritual care (SC) interventions may reduce this burden, yet are rarely studied in this context.
AIM: To assess the effect of a volunteer-delivered spiritual care intervention on the prevention of PICS-F, specifically post-traumatic stress disorder (PTSD), anxiety, and depression in relatives of ICU patients.
STUDY DESIGN: We conducted a quasi-experimental pre-post intervention study in a Chilean ICU. The intervention comprised three structured spiritual care sessions delivered virtually by trained community volunteers using the FICA tool. The primary outcome was PTSD symptoms, measured with the IES-R scale. Secondary outcomes included anxiety and depression (HADS) and satisfaction with the intervention. Given the protective role of family support during ICU stays against PICS-F, a non-randomised prospective study was designed. This study aimed to prevent psychological disorders related to PICS-F by providing support to family members of critically ill patients. It was hypothesised that a systematic general spiritual care intervention compared to standard care would effectively reduce psychological disorders associated with family post-ICU syndrome within 3 months.
RESULTS: A total of 125 family members participated (n = 64 in the control group, n = 61 in the intervention group). After the intervention, significant differences were observed in PTSD scores (OR = 0.067; CI 0.010-0.458). This was not the case for depression or anxiety. Satisfaction with the intervention was high.
CONCLUSIONS: A structured spiritual care intervention delivered by trained community volunteers was feasible and associated with reduced psychological distress in ICU family members. This low-cost and scalable spiritual care intervention, delivered virtually by trained volunteers, demonstrates feasibility and acceptability in ICU settings, particularly in resource-limited contexts.
RELEVANCE TO CLINICAL PRACTICE: This study demonstrates that a structured, non-denominational spiritual care intervention can significantly reduce symptoms of post-traumatic stress in family members of ICU patients. By integrating generalist spiritual support into ICU family care, delivered by trained volunteers using telehealth platforms, critical care teams can offer compassionate, accessible, and scalable support that addresses emotional and existential suffering. These findings highlight the importance of integrating spiritual care into multidisciplinary approaches to prevent PICS-F and promote holistic, family-centred care in intensive care settings.
AIM: To assess the effect of a volunteer-delivered spiritual care intervention on the prevention of PICS-F, specifically post-traumatic stress disorder (PTSD), anxiety, and depression in relatives of ICU patients.
STUDY DESIGN: We conducted a quasi-experimental pre-post intervention study in a Chilean ICU. The intervention comprised three structured spiritual care sessions delivered virtually by trained community volunteers using the FICA tool. The primary outcome was PTSD symptoms, measured with the IES-R scale. Secondary outcomes included anxiety and depression (HADS) and satisfaction with the intervention. Given the protective role of family support during ICU stays against PICS-F, a non-randomised prospective study was designed. This study aimed to prevent psychological disorders related to PICS-F by providing support to family members of critically ill patients. It was hypothesised that a systematic general spiritual care intervention compared to standard care would effectively reduce psychological disorders associated with family post-ICU syndrome within 3 months.
RESULTS: A total of 125 family members participated (n = 64 in the control group, n = 61 in the intervention group). After the intervention, significant differences were observed in PTSD scores (OR = 0.067; CI 0.010-0.458). This was not the case for depression or anxiety. Satisfaction with the intervention was high.
CONCLUSIONS: A structured spiritual care intervention delivered by trained community volunteers was feasible and associated with reduced psychological distress in ICU family members. This low-cost and scalable spiritual care intervention, delivered virtually by trained volunteers, demonstrates feasibility and acceptability in ICU settings, particularly in resource-limited contexts.
RELEVANCE TO CLINICAL PRACTICE: This study demonstrates that a structured, non-denominational spiritual care intervention can significantly reduce symptoms of post-traumatic stress in family members of ICU patients. By integrating generalist spiritual support into ICU family care, delivered by trained volunteers using telehealth platforms, critical care teams can offer compassionate, accessible, and scalable support that addresses emotional and existential suffering. These findings highlight the importance of integrating spiritual care into multidisciplinary approaches to prevent PICS-F and promote holistic, family-centred care in intensive care settings.