ArticleWorld journal of psychiatry2023
Effect of CICARE communication nursing model combined with motivational psychological intervention in patients with post-intensive care unit syndrome.
Article in World journal of psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Effects of a Reflection-Integrated CICARE Program on Empathy and Clinical Judgment in Nursing Students: A Quasi-Experimental Study.Nursing reports (Pavia, Italy) · 2026Article
- Psychological intervention as an adjunct to sedation and analgesia: benefits for emotional state, resilience, and postoperative recovery among emergency multiple trauma patients.American journal of translational research · 2026Article
- Humanistic nursing care management strategies: from formulation to implementation.Frontiers in public health · 2025Article
- CICARE based communication technique: A passage to faster and smoother visual rehabilitation in post cataract surgery patients.World journal of clinical cases · 2024Article
- Effect of sequential nursing care combined with communication intervention on visual recovery and pain after cataract ultrasound emulsification.World journal of clinical cases · 2024Article
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2 authors.
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Abstract
backgroundPost-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.
aimTo 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.
methodsThis 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
resultsIn 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.
conclusionOur findings suggest that CICARE communication nursing mode may have good influence on relieving PICS.
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