Published online Sep 19, 2023. doi: 10.5498/wjp.v13.i9.707
Peer-review started: June 30, 2023
First decision: July 18, 2023
Revised: July 24, 2023
Accepted: August 9, 2023
Article in press: August 9, 2023
Published online: September 19, 2023
Connect, Introduce, Communicate, Ask, Respond, Exit (CICARE) communication is a kind of advocating that patients should be respected, accepted and accepted when providing medical services attach importance to the communication mode of feelings. Post-intensive care syndrome (PICS) is a series of new or aggravated dysfunction in the physical, cogni
The aim of this study was to evaluate CICARE communication whether shorten post-intensive care (ICU), affecting anxiety, depression, and post-traumatic stress disorder (PTSD) in patients transferred out of the ICU.
The object of this study as follows: (1) Assess the impact of CICARE communication combined with motivational intervention on anxiety, depression, and PTSD symptoms in PICS patients; (2) Compare outcomes between CICARE + motivational intervention and motivational intervention alone; and (3) Determine feasibility and acceptability of imple
The study employed a prospective, randomized, controlled design. Data collection occurred from October 2021 to March 2023. ICU memory was evaluated using the Intensive Care Unit Memory Tool. Anxiety and depression symptoms were assessed using Hospital Anxiety and Depression Scale, while PTSD was measured with Impact of Event Scale-Revised. Statistical analysis utilized R software (version 4.1.0). Follow-up was conducted for three months after ICU transfer.
There was no statistical difference in the composition of ICU memory between the two groups. Adopting CICARE communication nursing model combined with motivational psychological intervention nursing model and only adopting motivational psychological intervention nursing model both had good influence on PICS. Anxiety score, depression score and PTSD score of both group patients decreased after using these two nursing modes, but experiment group was better than the control group.
CICARE communication nursing mode may have good influence on relieving PICS.
Patients transferred from ICU can be adopted CICARE communication nursing model combined with motivational psychological intervention nursing model, rather than only motivational psychological intervention nursing model.