Effectiveness of spiritual care interventions among patients in the intensive care unit: A systematic review and meta-analysis.

IF 3 3区医学 Q1 NURSING

Nursing in Critical Care Pub Date : 2025-05-01 Epub Date: 2024-10-28 DOI:10.1111/nicc.13202

Lingling Li, Meng Chen, Ningning Yu, Qixia Zhang

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引用次数: 0

Abstract

Background: Spiritual care interventions can be an important source of emotional support for patients in the intensive care unit (ICU). However, there is wide variation in the literature and no quantitative assessment to synthesize the results of these studies.

Aim: To examine the effectiveness of spiritual care interventions on disease-related physiological parameter and treatment outcomes and psychosocial well-being outcomes among patients in the ICU.

Study design: A comprehensive search was conducted across 11 databases from inception to 27 May 2024. Studies involving the implementation of spiritual care interventions for patients in the ICU were included. Cochrane's bias risk tool and JBI Critical Appraisal Checklist were used to examine the methodological quality of included studies. Review Manager 5.3 was used to conduct meta-analyses.

Results: A total of 18 studies were included. Meta-analysis showed that spiritual care interventions could significantly reduce mean arterial pressure (MAP) (MD: -12.12, 95% CI: [-23.68, -0.56], p = .04), length of stay in the ICU (MD: -5.49, 95% CI: [-8.99, -2.00], p = .002), and improved consciousness (MD: 3.91, 95% CI: [1.42, 6.39], p = .002), anxiety (SMD: -1.78, 95% CI: [-3.06, -0.50], p = .006), spiritual well-being (SMD: 1.57, 95% CI: [0.05, 3.08], p = .04) and comfort (MD: 15.53, 95% CI: [10.81, 20.25], p < .01) among patients in the ICU, but had no significant effects on heart rate (HR), respiratory rate (RR), pulse rate (PR), blood pressure (BP), oxygen saturation (SpO₂), duration of ventilator use and pain.

Conclusions: Spiritual care interventions could reduce MAP and length of stay in the ICU; improve consciousness, anxiety, spiritual well-being and comfort among patients in the ICU; and are still inconclusive for HR, RR, PR, BP, SpO₂, duration of ventilator use and pain. Urgent efforts are needed to better integrate spiritual care interventions into clinical care to enhance patient well-being.

Relevance to clinical practice: Spiritual care interventions could improve well-being of patients in the ICU.

查看原文本刊更多论文

重症监护室患者精神护理干预措施的有效性：系统回顾和荟萃分析。

背景：精神护理干预可以为重症监护病房（ICU）的患者提供重要的情感支持。目的：研究精神关怀干预对重症监护室患者与疾病相关的生理参数、治疗效果和社会心理健康效果的影响：研究设计：从开始到2024年5月27日，对11个数据库进行了全面检索。研究设计：从开始到 2024 年 5 月 27 日，在 11 个数据库中进行了全面检索，纳入了对重症监护病房患者实施精神护理干预的研究。采用Cochrane偏倚风险工具和JBI批判性评估检查表对纳入研究的方法学质量进行检查。使用Review Manager 5.3进行荟萃分析：结果：共纳入 18 项研究。荟萃分析表明，精神护理干预可显著降低平均动脉压（MAP）（MD：-12.12，95% CI：[-23.68，-0.56]，p = .04）、缩短重症监护室的住院时间（MD：-5.49，95% CI：[-8.99，-2.00]，p = .002）并改善意识（MD：3.91，95% CI：[1.42，6.39]，p = .002）、焦虑（SMD：-1.78，95% CI：[-3.06，-0.50]，p = .006）、精神健康（SMD：1.57，95% CI：[0.05，3.08]，p = .04）和舒适（MD：15.53，95% CI：[10.81，20.25]，p 2）、呼吸机使用时间和疼痛：精神护理干预可降低 MAP，缩短重症监护室的住院时间；改善重症监护室患者的意识、焦虑、精神健康和舒适度；但对 HR、RR、PR、BP、SpO2、呼吸机使用时间和疼痛的影响仍不确定。当务之急是将精神护理干预更好地融入临床护理中，以提高病人的幸福感：精神护理干预可改善重症监护病房患者的福祉。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nursing in Critical Care NURSING-

CiteScore

6.00

自引率

13.30%

发文量

109

审稿时长

>12 weeks

期刊介绍： Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics. Papers published in the journal normally fall into one of the following categories: -research reports -literature reviews -developments in practice, education or management -reflections on practice