Evidence map›Paper›PMID 41947169›Full record

ArticleBMC nursing2026

Interventions to improve mental health in caregivers of adult intensive care patients: a systematic review.

Sandra Lange, Wioletta Mędrzycka-Dąbrowska, Paola Arcadi, Sawa Kwiatkowska

Abstract read
In one paragraph

Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sandra LangeDepartment of Internal and Pediatric Nursing, Medical University of Gdańsk, Dębinki 7, Gdańsk, 80-211, Poland.
Wioletta Mędrzycka-DąbrowskaDepartment of Anaesthesiology Nursing & Intensive Care, Faculty of Health Sciences, Medical University of Gdansk, Dębinki 7, Gdańsk, 80-211, Poland. wioletta.medrzycka@gumed.edu.pl.
Paola ArcadiBachelor School of Nursing, ASST Melegnano e della Martesana, University of Milan, Via Festa del Perdono 7, Milano, 20122, Italy.
Sawa KwiatkowskaDepartment of Anesthesiology and Intensive Care, University Clinical Center, Dębinki 7, Gdańsk, 80-952, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe stay of a close person at the ICU entails strong stress accompanied by anxiety, the sense of lack of control, and helplessness. Consequently, this may result in the development of a set of disorders which are described in the literature as post-intensive care syndrome–family (PICS-F). That is why interventions to improve mental health and prevent PICS-F are necessary and become more and more important.

methodsA systematic review was guided by the Joanna Briggs Institute Critical Appraisal Tools for use in JBI Systematic Reviews and was conducted following the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Four databases were searched. Studies published in English between 2014 and 2025 were included. The final database searches were performed in February 2026.

resultsA total of 46 studies met the inclusion criteria. Most of them involved supportive/educational interventions, which took various forms (direct, by phone or via mobile devices). The results assessed in caregivers were diversified, similarly to tools used to measure those results. The majority of studies indicates solely a partial improvement in the caregiver outcome. In turn, if the studies reveal a positive effect, the researchers rarely specify the size of that effect.

conclusionThe available literature describes many interventions addressed to families of ICU patients. Some of the studies indicate that there is a potential in improving mental health status. Given large methodological differences in the studies, it is difficult to state unambiguously which of interventions are most effective and bring about the most permanent effect. It is necessary to continue a top quality RCT in this field in order to identify effective interventions which may be incorporated into everyday ICU practices. IMPLICATIONS FOR CLINICAL PRACTICE: Effective communication with ICU patients’ family members and the provision of information can be crucial in clinical practice.

Indexed as

CaregiversFamily-centered careFamily membersICUMental healthPICS-FSystematic review

Identifiers

PMID41947169
PMCPMC13202924

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.