title: Anxiety, depression, and satisfaction in close relatives of patients in an open visiting policy intensive care unit in Brazil.
abstract: OBJECTIVE
  The purpose of the study is to evaluate the satisfaction and symptoms of anxiety and depression in family members in an open visiting intensive care unit (ICU).
  
  
  METHODS
  A prospective study conducted in a 22-bed mixed ICU in a tertiary hospital in Sao Paulo, Brazil. Family members were enrolled 2 days after admission, and they completed a modified version of Critical Care Family Needs Inventory and the Hospital Anxiety and Depression Scale (HADS).
  
  
  RESULTS
  A total of 471 families were interviewed between March 2011 and 2013. Prevalence of anxiety and depression were of 34% and 17%, respectively. We found a high satisfaction score, median of 13 (12-14), and 5% of families were dissatisfied. The daily visiting time was 12 (8-22) hours, and until 10 hours per day, there was a positive association between visiting hours and satisfaction (P = .004). Dissatisfied families reported higher rates of anxiety and depression (P < .001). Visiting hours presented negative interaction between HADS and Critical Care Family Needs Inventory. Patients' severity had a trend toward dissatisfaction (P = .08) and affected emotional disorders (P < .001).
  
  
  CONCLUSIONS
  Family members in an open visit ICU reported low rates of symptoms of anxiety and depression and high satisfaction. Visiting hours were associated with the satisfaction score and were a protective factor for family members with higher HADS score.
authors.affiliation: Intensive Care Unit, Hospital Sírio Libanês, São Paulo, 01308-050, Brazil. Electronic address: regolins@uol.com.br.
authors.forename: Renata Rego Lins
authors.initials: RR
authors.lastname: Fumis
authors.affiliation: Respiratory Intensive Care Unit, Pulmonary Division, Heart Institute, Hospital das Clínicas, University of São Paulo, São Paulo, 05403-900, Brazil.
authors.forename: Otavio T
authors.initials: OT
authors.lastname: Ranzani
authors.affiliation: Intensive Care Unit, Hospital Sírio Libanês, São Paulo, 01308-050, Brazil.
authors.forename: Priscila Paglia
authors.initials: PP
authors.lastname: Faria
authors.affiliation: Intensive Care Unit, Hospital Sírio Libanês, São Paulo, 01308-050, Brazil.
authors.forename: Guilherme
authors.initials: G
authors.lastname: Schettino
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000453:epidemiology; D001938:Brazil / Q000453:epidemiology; D003258:Consumer Behavior / Q000706:statistics & numerical data*; D003422:Critical Care; D003863:Depression / Q000453:epidemiology* / Q000523:psychology; D005190:Family / Q000523:psychology*; D005260:Female; D006760:Hospitalization; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D008297:Male; D008875:Middle Aged; D016134:Organizational Policy; D015995:Prevalence; D011368:Professional-Family Relations; D011446:Prospective Studies; D014789:Visitors to Patients / Q000523:psychology / Q000706:statistics & numerical data*
keywords: Anxiety and depression; Critical Care Family Needs Inventory; Hospital Anxiety and Depression Scale; Intensive care unit; Open visit ICU; Satisfaction