Author(s)

Almeimoune Abdoulhamidou¹, Mangane Moustapha¹, Diop Madane Thierno¹, Démbele Seydou Aladji¹, Kassogue André¹, Sogoba Youssouf², Dabo Aminata¹, Diallo Daouda¹, Diallo Boubacar³, Souleymane Coulibaly⁴, Diallo H. Seybou², Maiga Youssoufa², Diango Djibo Mahamane¹

¹Department of Anesthesiology and ICU, Hôpital Gabriel Touré, Bamako, Mali.
²Department of Neurosurgery, Hôpital Gabriel Touré, Bamako, Mali.
³Department of Anesthesiology and ICU, Hôpital Point G, Bamako, Mali.
⁴Psychatric service, Hôpital Pint G, Bamako, Mali.

Introduction: Hospitalization in intensive care is a source of stress and anxiety for close to the patients. Anxio-depressive symptoms appear to be common in intensive care and their prevalence is poorly evaluated. The objective of this study was to evaluate the prevalence of anxio-depressive symptoms in families. Materials and method: Observational prospective study in families of patients hospitalized in the intensive care unit for a period of 5 months. Symptoms of anxiety and depression were measured using Hospital Anxiety and Depression Scale (HADS) during hospitalization. Anxiety and depression were defined by a score greater than 10. Factors associated with the onset of anxious-depressive symptoms were sought. The prevalence of post-traumatic stress disorder in close relatives was measured by the Impact Event Scale-Revised scale (IES-R). Results: A total of 107 patients were admitted to the intensive care unit, of which 49 families agreed to participate in our study. Overall mortality was 32.2% during this period. Fifty-eight (58) patients were not included for the following reasons: death or hospitalization of less than 48 hours, refusal of families, institution, and lack of parents speaking French. Forty-nine (49) relatives completed the HADS questionnaire. Forty-three families completed the IES-R questionnaire, a return rate of 87.7%. The prevalence of anxiety was 61.2% among parents in early hospitalization. The level of anxiety was significantly associated with male parents (p = 0.035) and those with lower education (p = 0.046). The prevalence of depressive symptoms in parents was evaluated 53% at D3. Education level (p = 0.048) and male parents (p = 0.048) appeared to be a significant depression factor. The prevalence of post-traumatic stress disorder was 55.1% among the relatives of the patients. The lack of co-morbidity in admission patients was significantly associated with the occurrence of post-traumatic stress disorder in the family. Conclusion: The prevalence of anxiety and depression symptoms was high in our study. Men were at greater risk of developing these symptoms. The parents of the patients carburized appear as a population with higher risk manifestation of psychological disorders; further research is needed in this group.

Anxiety, Depression, Resuscitation, Patient Families, Quality Approach

Abdoulhamidou, A. , Moustapha, M. , Thierno, D. , Aladji, D. , André, K. , Youssouf, S. , Aminata, D. , Daouda, D. , Boubacar, D. , Coulibaly, S. , Seybou, D. , Youssoufa, M. and Mahamane, D. (2018) Prevalence and Factors Associated with the Anxio-Depressive Symptoms of the Families of Patients in Intensive Care Unit at Gabriel Toure University Hospital, Bamako, Mali. Neuroscience and Medicine, 9, 150-158. doi: 10.4236/nm.2018.93015.