{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T17:04:31Z","timestamp":1788973471293,"version":"build-2803163510"},"reference-count":40,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T00:00:00Z","timestamp":1748995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aims and Objective<\/jats:title><jats:p>Many systematic reviews (SRs) and meta\u2010analyses (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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This overview of SRs was conducted in accordance with the preferred reporting items for overviews of reviews statement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>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\u2010Analyses 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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 \u201cYes\u201d 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\u2010quality evidence, 2 results were moderate\u2010quality evidence, 26 results were low\u2010quality evidence and 45 results were very low\u2010quality evidence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>ICU diaries can improve patients' psychological outcomes and quality of life, and whether there are advantages for their relatives needs to be further explored. However, the methodological quality of the studies was low and the risk of migration was high, reducing its reliability. Therefore, these conclusions should be treated with caution. High\u2010quality studies with large sample sizes are needed to provide stronger and more scientific evidence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>Our paper presents an overview of systematic reviews, and therefore, such specific details may not be relevant to our study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial Registration<\/jats:title><jats:p>PROSPERO: CRD42023448359<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.17832","type":"journal-article","created":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T06:38:27Z","timestamp":1749019107000},"page":"4899-4914","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The Effect of <scp>ICU<\/scp> Diaries on Psychological Outcomes and Quality of Life of Patients and Relatives: Overview of Systematic Reviews"],"prefix":"10.1111","volume":"34","author":[{"given":"Juntao","family":"Zuo","sequence":"first","affiliation":[{"name":"Chongqing Mental Health Center  Chongqing China"},{"name":"Medical School Nanjing University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaqi","family":"Li","sequence":"additional","affiliation":[{"name":"Medical School Nanjing University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina","family":"Cai","sequence":"additional","affiliation":[{"name":"Medical School Nanjing University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hengyu","family":"Zhen","sequence":"additional","affiliation":[{"name":"Medical School Nanjing University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao","family":"Xu","sequence":"additional","affiliation":[{"name":"School of Nursing Bengbu Medical College  Bengbu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Sun","sequence":"additional","affiliation":[{"name":"School of Nursing Bengbu Medical College  Bengbu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2980-1824","authenticated-orcid":false,"given":"Xianghong","family":"Ye","sequence":"additional","affiliation":[{"name":"Nanjing Jinling Hospital, Affiliated Hospital of Medical School Nanjing University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc13164"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054\u2010019\u20102678\u20100"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010009\u20101396\u20105"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3181fd66e5"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2013.07.001"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2021.103121"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCC.0000000000000539"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054\u2010016\u20101248\u2010y"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1819"},{"key":"e_1_2_11_11_1","unstructured":"Huang M. 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