The Effect of ICU Diaries on Psychological Outcomes and Quality of Life of Patients and Relatives: Overview of Systematic Reviews

作者：Juntao Zuo, Jiaqi Li, Lina Cai, Hengyu Zhen, Xu Yao, Ting Sun, Xianghong Ye · 发表于：Journal of Clinical Nursing · 年份：2025 · DOI：10.1111/jocn.17832 · 被引用次数：3 · 研究领域：Family and Patient Care in Intensive Care Units、Intensive Care Unit Cognitive Disorders、Maternal Mental Health During Pregnancy and Postpartum

AIMS AND OBJECTIVE: Many systematic reviews (SRs) and meta-analyses (MAs) have reported the potential advantages and risks of ICU diary psychotherapy in patients and relatives, but the results remain uncertain and their quality has not yet been adequately assessed. We summarise existing SRs/MAs and assess their quality and level of evidence. DESIGN: This overview of SRs was conducted in accordance with the preferred reporting items for overviews of reviews statement. METHODS: We conducted a detailed and comprehensive search of eight Chinese and English electronic databases from inception until March 2025. The Assessment of Multiple Systematic Reviews 2 (AMSTAR 2), the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 (PRISMA 2020), and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) were used to assess methodological quality, reporting quality and evidence quality for inclusion in SRs/MAs, respectively. RESULTS: Fifteen published SRs/MAs met the inclusion criteria and were included in the study. The results of the AMSTAR 2 assessment showed that the methodological quality of the included studies was critically low. In the PRISMA 2020 assessment, the response rate of "Yes" for items 7, 14, 15, 16, 21, 22, 24, 25 and 27 was less than 50%. The GRADE assessment showed that no results were high-quality evidence, 2 results were moderate-quality evidence, 26 results were low-quality evidence and 45 results were very low-quality evi...