Effect of CICARE communication nursing model combined with motivational psychological intervention in patients with postintensive care unit syndrome  

作　　者：Sun-Ju She Ying-Ying Xu 

机构地区：[1]Department of Neurosurgery,Dushu Lake Hospital Affiliated to Soochow University,Suzhou 215000,Jiangsu Province,China [2]Emergency Intensive Care Unit,Dushu Lake Hospital Affiliated to Soochow University,Suzhou 215000,Jiangsu Province,China

出　　处：《World Journal of Psychiatry》2023年第9期707-713,共7页世界精神病学杂志

摘　　要：BACKGROUND Post-intensive care syndrome(PICS)is a term used to describe a constellation of new or worsened dysfunctions in the physical,cognitive,or mental health status of critically ill patients after their discharge from the intensive care unit(ICU).These dysfunctions persist beyond the acute phase of illness and have a significant impact on both the patient and their family.Connect,Introduce,Communicate,Ask,Respond,Exit(CICARE)communication advocates that patients should be respected and accepted when receiving medical services.Clinicians should attach importance to the communication mode of feelings,including connection,introduction,communication,ask,response,and exit 6 steps.AIM To assess the impact of CICARE communication on the reduction of anxiety,depression,and post-traumatic stress disorder(PTSD)symptoms in patients transitioning from the ICU to other care settings.METHODS This prospective,randomized,controlled study was performed between October 2021 and March 2023.Intensive Care Unit Memory Tool was used to evaluate patients’ICU memory.The Hospital Anxiety and Depression Scale was employed to determine the presence of anxiety or depression symptoms.Impact of Event Scale-Revised was utilized to assess the presence of PTSD.All data were processed and analyzed using R language software version 4.1.0.The measurement data were expressed as mean±SD,and the t test was used.The count data were analyzed by theχ2 test and expressed as[n(%)].RESULTS In total,248 subjects were included in this study.Among them,206 were successfully followed up for three months after transfer from the ICU,and 42 cases were lost to follow-up.There was no significant difference in the composition of ICU memory between the two groups.The application of the CICARE communication nursing model combined with the motivational psychological intervention nursing model,as well as the adoption of only the motivational psychological intervention nursing model,demonstrated favorable effects on PICS.Both groups of patients showed a reductio

关 键 词：Connect Introduce Communicate Ask Respond Exit Post-intensive care syndrome Motivational psychological intervention 

分 类 号：R511[医药卫生—内科学] R181.3[医药卫生—临床医学]