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

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.