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
ARTICLE HIGHLIGHTS
Research background
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, cognitive or mental health status of a critically ill patient after discharge, which continues to affect the patient or his or her family.
Research motivation
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.
Research objectives
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 implementing CICARE communication in PICS care.
Research methods
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.
Research results
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.
Research conclusions
CICARE communication nursing mode may have good influence on relieving PICS.
Research perspectives
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.
