Nursing in Critical Care最新文献

{"title":"Soulful support: Exploring critical care nurses' spiritual caregiving towards end-of-life scenario.","authors":"Ayman Mohamed El-Ashry, Sameh Eltyebani, Shimmaa Mohamed Elsayed, Mahmoud Abdelwahab Khedr, Mona Metwally El-Sayed, Mohamed Adel Ghoneam, Haitham Mokhtar Mohamed Abdallah","doi":"10.1111/nicc.70026","DOIUrl":"https://doi.org/10.1111/nicc.70026","url":null,"abstract":"<p><strong>Background: </strong>Critical care nursing often involves providing care in environments where mortality is prevalent. Nurses' attitudes towards death significantly influence their approach to spiritual caregiving, which addresses patients' emotional, psychological and spiritual needs. Understanding this relationship is crucial for improving holistic care and patient outcomes.</p><p><strong>Aim: </strong>Investigates how spiritual caregiving affects critical care nurses' attitudes towards death.</p><p><strong>Study design: </strong>A descriptive correlational research design was used. The study included a convenient sample of 931 critical care nurses from four hospitals. Data were collected using the death attitude profile and the Arabic version of the Spiritual Caregiving Scale.</p><p><strong>Results: </strong>Nurses showed a positive attitude towards spiritual caregiving, with mean scores ranging from 3.89 to 4.24 across spiritual subscales. However, high levels of fear (mean = 4.48, SD = 1.32) and death avoidance (mean = 4.66, SD = 1.29) were prevalent, particularly among younger, male and urban nurses. A significant positive correlation was found between spiritual caregiving and acceptance of death (r = 0.266, p < 0.001, 95% CI [0.198, 0.334]), while a negative correlation was observed with fear of death (r = -0.109, p < 0.001, 95% CI [-0.182, -0.036]) and death avoidance (r = -0.010, p = 0.755, 95% CI [-0.083, 0.063]). Multivariate regression indicated that deeper engagement in spiritual caregiving predicted more positive or neutral attitudes towards death (B = -0.390, p < 0.001, 95% CI [-0.467, -0.313], R² = 0.117).</p><p><strong>Conclusion: </strong>Spiritual caregiving was associated with more positive death attitudes among critical care nurses, indicating its potential to enhance holistic care in critical settings.</p><p><strong>Relevance to clinical practice: </strong>Integrating spiritual caregiving into clinical practice enhances holistic care by addressing patients' emotional, psychological and spiritual needs while helping nurses manage their fear and avoidance of death. This approach promotes emotional resilience, job satisfaction and compassionate care, ultimately improving patient outcomes and supporting critical care nurses in delivering high-quality care in demanding, mortality-prevalent environments.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70026"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of a prediction model for in-hospital mortality in patients with sepsis.","authors":"Wen Shi, Mengqi Xie, Enqiang Mao, Zhitao Yang, Qi Zhang, Erzhen Chen, Ying Chen","doi":"10.1111/nicc.70015","DOIUrl":"10.1111/nicc.70015","url":null,"abstract":"<p><strong>Background: </strong>Sepsis, a life-threatening condition marked by organ dysfunction due to a dysregulated host response to infection, involves complex physiological and biochemical abnormalities.</p><p><strong>Aim: </strong>To develop a multivariate model to predict 4-, 6-, and 8-week mortality risks in intensive care units (ICUs).</p><p><strong>Study design: </strong>A retrospective cohort of 2389 sepsis patients was analysed using data captured by a clinical decision support system. Patients were randomly allocated into training (n = 1673) and validation (n = 716) sets at a 7:3 ratio. Least Absolute Shrinkage and Selection Operator (LASSO) regression identified variables incorporated into a multivariate Cox proportional hazards regression model to construct a prognostic nomogram. The area under the receiver operating characteristic curve (AUROC) assessed model accuracy, while performance was evaluated for discrimination, calibration and clinical utility.</p><p><strong>Results: </strong>A risk score was developed based on 11 independent predictors from 35 initial factors. Key predictors included minimum Acute Physiology and Chronic Health Evaluation II (APACHE II) score as having the greatest impact on prognosis, followed by days of mechanical ventilation, number of vasopressors, maximum and minimum Sequential Organ Failure Assessment (SOFA) scores, infection sources, Gram-positive or Gram-negative bacteria and malignancy. The nomogram demonstrated superior discriminative ability, with AUROC values of 0.882 (95% confidence interval [CI], 0.855-0.909) and 0.851 (95% CI, 0.804-0.899) at 4 weeks; 0.836 (95% CI, 0.798-0.874) and 0.820 (95% CI, 0.761-0.878) at 6 weeks; and 0.843 (95% CI, 0.800-0.887) and 0.794 (95% CI, 0.720-0.867) at 8 weeks for training and validation sets, respectively.</p><p><strong>Conclusion: </strong>A validated nomogram and web-based calculator were developed to predict in-hospital mortality in ICU sepsis patients. Targeting identified risk factors may improve outcomes for critically ill patients.</p><p><strong>Relevance to clinical practice: </strong>The developed prediction model and nomogram offer a tool for assessing in-hospital mortality risk in ICU patients with sepsis, potentially aiding in nursing decisions and resource allocation.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70015"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extending the interval for changing flushing solutions for central venous and arterial line systems in the intensive care unit: An evidence-based quality improvement project.","authors":"Junel Padigos, Lauren Murray, Olivia Bredhauer, Jenny Jaspers, Sue Bethune","doi":"10.1111/nicc.70034","DOIUrl":"10.1111/nicc.70034","url":null,"abstract":"<p><strong>Background: </strong>Central venous lines (CVLs) and arterial lines (ALs) are commonly used for patients in the intensive care units (ICUs) to facilitate the administration of medications and haemodynamic monitoring. In an ICU in Queensland, Australia (AU), saline (sodium chloride 0.9%) flush bags used for these lines were routinely changed every 24 h following organizational policy that all intravenous fluid bags are to be changed within a 24-h period.</p><p><strong>Aim: </strong>This quality improvement (QI) project aimed to evaluate current practice guided by the Plan-Do-Study-Act (PDSA) model of QI and implementation science. Benchmarking practices with other ICUs was conducted.</p><p><strong>Study design: </strong>A narrative literature review focused on evaluating the safe interval for changing flush solutions every 24 h was performed using EBSCO Medline, CINAHL, Cochrane Library, Embase and Google Scholar databases for citations up to November 2022. Bloodstream infection rates attributed to CVLs and/or ALs were monitored. Economic analysis was performed. End-user feedback was sought. A change of practice was implemented for a 1-year study period (March 2023 - March 2024) to extend dwell times of flushing solutions for CVLs and ALs from every 24 h to every 96 h.</p><p><strong>Results: </strong>One-year post-implementation, no bloodstream infections were linked to CVLs or ALs. A simplified economic analysis was performed based on costs of 0.9% sodium chloride 500-mL fluid bags, which revealed that changing the fluid bags once every 96 h resulted in a per patient saving of AU$3.21 for any individual AL or CVL and up to AU$6.42 per patient where both an AL and CVL are in situ, based on fluid bag cost at AU$1.07 per bag. This saving excludes potential savings from reduced nursing time, infection-related costs and recycling costs.</p><p><strong>Conclusion: </strong>A sustainable practice change based on evidence was implemented in the local ICU. The use of the PDSA model of the QI process and the principles of implementation science strengthened the buy-in and implementation of the project.</p><p><strong>Relevance to clinical practice: </strong>This practice change was examined through lenses of evidence-based practice, environmental sustainability (minimizing environmental footprint by limiting plastic bag usage), patient safety, cost minimization, and reduced nursing workload.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70034"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical trial protocol for continuous glucose monitoring in critical care at Hospital Clinic of Barcelona (CGM-UCI23).","authors":"Marc Pañero-Moreno, Eva Maria Guix-Comellas, Alberto Villamor-Ordozgoiti","doi":"10.1111/nicc.13198","DOIUrl":"10.1111/nicc.13198","url":null,"abstract":"<p><strong>Background: </strong>Hyperglycaemia is common in intensive care units (ICUs), with a prevalence of up to 86.2%, increasing mortality. Technology has evolved towards continuous glucose monitoring (CGM), and its use in ICUs began especially during the coronavirus pandemic (COVID-19). Various studies have evaluated the reliability of CGM, indicating that it is safe for use in critically ill patients.</p><p><strong>Aim: </strong>The aim of this study was to compare the use of CGM with point-of-care glucose (POC-G) testing in ICU. Specific objectives include evaluating the glycaemic control, the frequency of POC-G measurements, the incidence of hyperglycaemia, hypoglycaemia and morbidity and mortality at 90 days.</p><p><strong>Study design: </strong>An experimental, controlled and randomized clinical trial with a single-blind design will be conducted at Hospital Clinic of Barcelona (HCB). A sample size of 376 participants will be recruited and randomly assigned to two groups: an experimental group, where glycaemic management will be based on CGM; and a control group, where glucose will be managed through POC-G testing, with a blinded CGM.</p><p><strong>Results: </strong>The primary variable considered will be time in range (TIR), with secondary outcomes including, time above range (TAR), time below range (TBR), number of POC-G measurements, incidence of hyperglycaemia and hypoglycaemia, and mortality. Hypothesis testing will use the Kolmogorov-Smirnov test to assess data normality, with appropriate statistical tests applied, considering a p-value <.05.</p><p><strong>Relevance to clinical practice: </strong>The results obtained will help us understand the impact of CGM on critically ill patients. CGM could potentially reduce the workload of nurses and improve the efficiency of decision-making by the ICU team, enabling early identification and treatment of glucose complications, thereby enhancing safety. Patient safety, a reduction in patient fingerstick and a decreased care burden are the criteria that add value to this research.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13198"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of oral mucosal pressure injuries in children with orotracheal intubation in intensive care units: An observational study.","authors":"Yueyue Zhao, Jie Guo, Jie Ma, Yanjun Ge, Junna Wang, Conghui Li, Caixiao Shi","doi":"10.1111/nicc.13174","DOIUrl":"10.1111/nicc.13174","url":null,"abstract":"<p><strong>Background: </strong>Tracheal intubation can be used for ventilation to ensure an unobstructed respiratory tract, and it is the most common respiratory support technique used in paediatric intensive care unit (PICU) patients. Orotracheal intubation is usually the preferred method of tracheal intubation. However, it can cause stress-related damage to the oral mucosa. Identifying the factors that cause oral mucosal pressure injury (OMPI) can prevent its occurrence in children with oral endotracheal intubation.</p><p><strong>Aim: </strong>To examine the characteristics of OMPI in children who underwent orotracheal intubation in the PICU and to assess their influencing factors.</p><p><strong>Study design: </strong>An observational, prospective study. Data were gathered from the PICU of a tertiary hospital in China between January 2023 and October 2023. The patient data were obtained from the 'General Information Questionnaire', 'Paediatric Critical Illness Score', 'STRONGkids Scale' and 'OMPI Staging and Assessment Tools'. Data analysis was subsequently performed using univariate and logistic regression analyses.</p><p><strong>Results: </strong>A total of 187 children who underwent orotracheal intubation were analysed. During the observation period, 44.92% (n = 84) of the children developed OMPI. It comprised 63.10% (n = 53) of stage I injuries, 33.33% (n = 28) of stage II injuries and 3.57% (n = 3) of stage III injuries. The common injury sites were the lower jaw (48.81%), upper jaw (29.76%), tongue (20.24%) and joints (10.71%). The logistic regression analysis results revealed that high critical illness (OR = 0.835, 95% CI: 0.726-0.961), long intubation time (OR = 1.043, 95% CI: 1.021-1.067), prone ventilation (OR = 6.708, 95% CI: 1.421-31.670), hypothermia (OR = 5.831, 95% CI: 1.208-28.149), use of dental pads (OR = 5.520, 95% CI: 1.150-26.487) and low albumin levels (OR = 6.238, 95% CI: 1.285-30.281) were the main contributing factors for OMPI in children with orotracheal intubation (p < .05).</p><p><strong>Conclusions: </strong>The occurrence of OMPI in children who underwent orotracheal intubation in the PICU was notable and was predominantly observed in stages I and II. Consequently, clinical nursing personnel should proactively recognize risk factors and administer timely interventions to mitigate the occurrence of OMPI in such children.</p><p><strong>Relevance to clinical practice: </strong>The incidence of OMPI in children who underwent orotracheal intubation was relatively high. Nurses and doctors should closely monitor the risk factors for orotracheal intubation in children to prevent the occurrence of OMPI.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13174"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between laboratory data-based frailty index and clinical health outcomes in critically ill older patients: A retrospective correlational study.","authors":"Hyunju Ji, Jae Jun Lee, Kyung Hee Lee","doi":"10.1111/nicc.13222","DOIUrl":"https://doi.org/10.1111/nicc.13222","url":null,"abstract":"<p><strong>Background: </strong>Although frailty assessment is crucial for understanding critically ill patients' prognosis, traditional frailty measures require substantial efforts and time from health care professionals. To address this limitation, the laboratory frailty index (FI-LAB) based on laboratory clinical data was developed. However, knowledge regarding its correlation with health outcomes among critically ill older patients is limited.</p><p><strong>Aim: </strong>To identify the association between the FI-LAB and acute, mid- and long-term outcomes among critically ill older adults.</p><p><strong>Study design: </strong>This retrospective correlational study used electronic health records of 2106 older patients who were admitted to the intensive care unit at a tertiary hospital in Seoul, Korea. Acute and mid-term outcomes included occurrence of delirium and in-hospital mortality, and the long-term outcome included 1-year mortality. Logistic regression was used to explore the relationships across FI-LAB, delirium, and in-hospital mortality, while Cox proportional hazard regression was used to analyse the relationship between FI-LAB and 1-year mortality.</p><p><strong>Results: </strong>Frailty assessed by FI-LAB was significantly associated with increased risk of delirium (odds ratio [OR] = 6.21, 95% confidence interval [CI] = 2.31-25.39, p = .009), in-hospital mortality (OR = 2.38, 95% CI = 1.15-5.79, p = .014), and 1-year mortality (hazard ratio = 2.47, 95% CI = 1.16-5.25, p = .019) after controlling for covariates.</p><p><strong>Conclusions: </strong>The study highlighted the importance of using FI-LAB for screening frailty in critically ill older adults. Health care providers can improve patients' acute, mid- and long-term outcomes to develop more individualised management plans based on FI-LAB scores.</p><p><strong>Relevance to clinical practice: </strong>The FI-LAB score calculated from routine laboratory data can be used by nurses as a screening tool to identify frail older adults in critical care. Early detection of frailty would allow for closer monitoring and the implementation of interventions to reduce delirium and mortality.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e13222"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First clinical practice experiences of nursing students in intensive care unit: A qualitative study.","authors":"Ezgi Yıldız, Zuhal Gülsoy, Şerife Karagözoğlu","doi":"10.1111/nicc.70017","DOIUrl":"10.1111/nicc.70017","url":null,"abstract":"<p><strong>Background: </strong>Nursing students' practice experiences in the intensive care unit will greatly influence their acquisition of professional skills and the development of their future nursing roles.</p><p><strong>Aim: </strong>This study aimed to determine nursing students' first clinical practice experiences in the intensive care unit.</p><p><strong>Study design: </strong>The type of research is qualitative research. The study data were collected from 14 students who were doing clinical practice in the anaesthesia intensive care unit of a university hospital. Face-to-face individual interviews were conducted with each student. A semi-structured interview guide was used in the interviews. Data were analysed with MAXQDA Analytics Pro 2020. This study adhered to the COREQ checklist for reporting.</p><p><strong>Results: </strong>Four main themes were reached: 'First Emotions in the Intensive Care Unit', 'Experiences Related to the Perception of Profession', 'Experiences Related to Patient Care' and 'Experiences Related to Personal Development'. It was determined that the most prominent feelings in these clinical practice experiences of the students were fear in patient care, satisfaction and professional image in professional acquisition, and making life more meaningful in their perspective on life.</p><p><strong>Conclusions: </strong>Students evaluated the intensive care clinical practice as beneficial in terms of professional and personal development. It is recommended that an orientation program be organized for students before intensive care clinical practice.</p><p><strong>Relevance to clinical practice: </strong>Qualified critical care nurses of the future are a product of a qualified nursing clinical education today.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70017"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overcoming barriers to infection prevention and control compliance in intensive care units: A call for strategic change.","authors":"Noor Hasmee, Bhupendra Singh, Vinod Arora, Kumari Sangam, Mamita Gurung","doi":"10.1111/nicc.70012","DOIUrl":"10.1111/nicc.70012","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70012"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of nursing care based on Comfort Theory of Kolcaba on comfort, satisfaction and sleep quality of intensive care patients.","authors":"Ebubekir Kaplan, Aylin Özakgül","doi":"10.1111/nicc.70033","DOIUrl":"10.1111/nicc.70033","url":null,"abstract":"<p><strong>Background: </strong>It has been reported that factors such as immobility, pain, invasive interventions, separation from family, presence of unfamiliar people, constant noise and frequent sleep interruptions in intensive care units cause deterioration in comfort and sleep problems associated with deterioration in comfort, high levels of anxiety and restlessness.</p><p><strong>Aim: </strong>The aim of this randomized controlled trial was to investigate the effect of nursing care based on Kolcaba's Comfort Theory on the comfort, satisfaction and sleep quality of intensive care unit patients.</p><p><strong>Study design: </strong>The sample of the study consisted of 40 experimental and 40 control group patients who agreed to participate in the study between April 2023 and July 2023. The data were collected by the Patient Information Form, General Comfort Questionnaire (GCQ), Newcastle Satisfaction with Nursing Scale (NSNS), Richard-Campbell Sleep Questionnaire (RCSQ) and Comfort Behaviour Checklist (CBC). Patients in the control group received conventional care by intensive care nurses. Patients in the experimental group received individualized nursing care based on the Comfort Theory of Kolcaba during their stay in the intensive care unit. The SPSS 26 program was used for statistical analyses of the data.</p><p><strong>Results: </strong>The experimental and control groups were homogeneous in terms of demographic and disease characteristics, and no significant difference was found between the groups in terms of pre-test GCQ, NSNS, RCSQ, CBC and pain level mean scores. Compared with the pre-test evaluation of the experimental group, the post-test GCQ, NSNS, RCSQ and CBC total scores increased (p < 0.001). There was a significant difference in GCQ, NSNS, RCSQ and CBC levels between the experimental and control groups (p < 0.001). There was a significant decrease in pain scores between the experimental and control groups (p < 0.001).</p><p><strong>Conclusions: </strong>As a result of this study, it was found that nursing care based on Comfort Theory of Kolcaba had a positive effect on the comfort, satisfaction and sleep quality of intensive care patients.</p><p><strong>Relevance to clinical practice: </strong>Nursing care based on the Comfort Theory can be considered an appropriate method in clinical practice, especially in improving the quality of care of patients in the coronary intensive care unit.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70033"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of listening to the voice recording of relatives on chest pain, anxiety and depression in patients hospitalized in the coronary intensive care unit: A randomized controlled trial.","authors":"Yasemin Kalkan Uğurlu, Dilek Küçük Alemdar","doi":"10.1111/nicc.13199","DOIUrl":"10.1111/nicc.13199","url":null,"abstract":"<p><strong>Background: </strong>After acute myocardial infarction, the prevalence of anxiety and depression is quite high in patients because of severe chest pain, distance from relatives, unfamiliar environment and orientation problems.</p><p><strong>Aim: </strong>To assess the effect of listening to the voice recordings of relatives of patients with acute myocardial infarction who were treated in the coronary intensive care unit (ICU) on chest pain, anxiety and depression parameters of the patients.</p><p><strong>Study design: </strong>In the study, which was conducted as a randomized controlled trial, voice recordings of the family members of the patients were created and played to the patients through a music pillow. The study was carried out with 60 patients, 30 experimental and 30 control groups. Three tests were applied to the patients 15 min before, and 15 and 30 min after the application. The data of the study were collected using the Patient Introduction Form, Hospital Anxiety Depression Scale, Visual Analogue Scale and Patient Follow-up Form.</p><p><strong>Results: </strong>It was found that there was a significant decrease in the anxiety level of the patients in the intervention group after listening to the audio recording (p < .001, 95% CI: -3.796; -0.070). However, there was no significant difference between the pain and depression scores of the control and intervention groups (p > .05).</p><p><strong>Conclusions: </strong>In the ICUs of patients with acute myocardial infarction, it may be recommended to play audio recordings of their relatives to reduce the severity of anxiety.</p><p><strong>Relevance to clinical practice: </strong>In the intensive care setting, the use of voice recordings of relatives can be used as an effective, non-pharmacological intervention to reduce anxiety in patients with acute myocardial infarction. This approach may potentially improve overall recovery by reducing patient anxiety in the intensive care setting.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13199"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}