She SJ, Xu YY. Effect of CICARE communication nursing model combined with motivational psychological intervention in patients with post-intensive care unit syndrome. World J Psychiatry 2023; 13(9): 707-713 [PMID: 37771643 DOI: 10.5498/wjp.v13.i9.707]
Corresponding Author of This Article
Ying-Ying Xu, RN, Nurse, Emergency Intensive Care Unit, Dushu Lake Hospital Affiliated to Soochow University, No. 9 Chongwen Road, Suzhou Industrial Park, Suzhou 215000, Jiangsu Province, China. 17940134@qq.com
Research Domain of This Article
Psychology
Article-Type of This Article
Randomized Controlled Trial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Psychiatry. Sep 19, 2023; 13(9): 707-713 Published online Sep 19, 2023. doi: 10.5498/wjp.v13.i9.707
Effect of CICARE communication nursing model combined with motivational psychological intervention in patients with post-intensive care unit syndrome
Sun-Ju She, Ying-Ying Xu
Sun-Ju She, Department of Neurosurgery, Dushu Lake Hospital Affiliated to Soochow University, Suzhou 215000, Jiangsu Province, China
Ying-Ying Xu, Emergency Intensive Care Unit, Dushu Lake Hospital Affiliated to Soochow University, Suzhou 215000, Jiangsu Province, China
Author contributions: She SJ and Xu YY contributed equally to this work; Xu YY designed the study; She SJ contributed to the analysis of the manuscript; She SJ and Xu YY involved in the data and writing of this article; and all authors have read and approved the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Dushu Lake Hospital Affiliated to Soochow University Institutional Review Board.
Clinical trial registration statement: The study was registered at the Clinical Trial Center (www.researchregistry.com) with registration number (researchregistry9376).
Informed consent statement: All subjects have signed the consent form.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ying-Ying Xu, RN, Nurse, Emergency Intensive Care Unit, Dushu Lake Hospital Affiliated to Soochow University, No. 9 Chongwen Road, Suzhou Industrial Park, Suzhou 215000, Jiangsu Province, China. 17940134@qq.com
Received: June 30, 2023 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 Processing time: 77 Days and 1.7 Hours
Abstract
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 the χ2 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 reduction in anxiety scores, depression scores, and PTSD scores following the implementation of these two nursing models. However, it is noteworthy that the experimental group exhibited greater improvements compared to the control group.
CONCLUSION
Our findings suggest that CICARE communication nursing mode may have good influence on relieving PICS.
Core Tip: Post-intensive care syndrome (PICS) is a series of new or aggravated dysfunctions in the physical, cognitive or mental health status of a critically ill patient after discharge from intensive care unit. Connect, Introduce, Communicate, Ask, Respond, Exit (CICARE) communication advocates that patients should be respected and accepted during the provision of medical services. CICARE communication nursing mode may have good influence on relieving PICS.
