{"title":"以焦虑为中心的护理干预对神经危重症患者焦虑、认知功能和谵妄的影响：一个非随机对照设计。","authors":"Seo-Young Jang, Myung Kyung Lee","doi":"10.1111/nicc.70062","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Anxiety and cognitive dysfunction are common concerns in neurological intensive care units (ICUs) and are associated with adverse outcomes, including delirium. Addressing these issues effectively is crucial for improving patient outcomes and quality of care.</p><p><strong>Aim: </strong>To develop an anxiety-focused nursing intervention programme and investigate the effects of this programme on anxiety levels, cognitive function and the incidence of delirium among patients in a neurological ICU.</p><p><strong>Study design: </strong>A non-randomized controlled design was employed.</p><p><strong>Method: </strong>The outcome variables of experimental and control groups were compared. Sixty patients in a 1235-bed tertiary general hospital ICU in South Korea were assigned to the experimental (n = 30) or control group (n = 30), which were administered the anxiety nursing intervention and standard care, respectively. Anxiety and cognitive function were measured before and after the intervention, while the incidence of delirium was monitored throughout the study period.</p><p><strong>Results: </strong>The results showed that the experimental group exhibited significantly lower anxiety levels (t = 6.83, p < 0.001) and improved cognitive function (t = 2.56, p = 0.013) compared to that of the control group. Additionally, the incidence of delirium in the experimental group was significantly reduced (χ<sup>2</sup> = 11.28, p = 0.001) post-intervention.</p><p><strong>Conclusions: </strong>The anxiety nursing intervention programme effectively reduces anxiety, improves cognitive function and decreases the incidence of delirium in patients with neurocritical conditions.</p><p><strong>Relevance to clinical practice: </strong>These findings highlight the essential role of comprehensive nursing interventions in addressing the psychological and cognitive needs of patients with neurocritical conditions. Training nurses to implement the developed protocol is vital to improve patient outcomes in neurological intensive care settings.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70062"},"PeriodicalIF":3.0000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093422/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effects of Anxiety Focused Nursing Interventions on Anxiety, Cognitive Function and Delirium in Neurocritical Patients: A Non-Randomized Controlled Design.\",\"authors\":\"Seo-Young Jang, Myung Kyung Lee\",\"doi\":\"10.1111/nicc.70062\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Anxiety and cognitive dysfunction are common concerns in neurological intensive care units (ICUs) and are associated with adverse outcomes, including delirium. Addressing these issues effectively is crucial for improving patient outcomes and quality of care.</p><p><strong>Aim: </strong>To develop an anxiety-focused nursing intervention programme and investigate the effects of this programme on anxiety levels, cognitive function and the incidence of delirium among patients in a neurological ICU.</p><p><strong>Study design: </strong>A non-randomized controlled design was employed.</p><p><strong>Method: </strong>The outcome variables of experimental and control groups were compared. Sixty patients in a 1235-bed tertiary general hospital ICU in South Korea were assigned to the experimental (n = 30) or control group (n = 30), which were administered the anxiety nursing intervention and standard care, respectively. Anxiety and cognitive function were measured before and after the intervention, while the incidence of delirium was monitored throughout the study period.</p><p><strong>Results: </strong>The results showed that the experimental group exhibited significantly lower anxiety levels (t = 6.83, p < 0.001) and improved cognitive function (t = 2.56, p = 0.013) compared to that of the control group. Additionally, the incidence of delirium in the experimental group was significantly reduced (χ<sup>2</sup> = 11.28, p = 0.001) post-intervention.</p><p><strong>Conclusions: </strong>The anxiety nursing intervention programme effectively reduces anxiety, improves cognitive function and decreases the incidence of delirium in patients with neurocritical conditions.</p><p><strong>Relevance to clinical practice: </strong>These findings highlight the essential role of comprehensive nursing interventions in addressing the psychological and cognitive needs of patients with neurocritical conditions. 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引用次数: 0
摘要
背景：焦虑和认知功能障碍是神经重症监护病房（icu）常见的问题，并与包括谵妄在内的不良后果相关。有效地解决这些问题对于改善患者的治疗结果和护理质量至关重要。目的：制定以焦虑为中心的护理干预方案，并探讨该方案对神经内科ICU患者焦虑水平、认知功能和谵妄发生率的影响。研究设计：采用非随机对照设计。方法：比较实验组与对照组的结局变量。将韩国某1235张床位的三级综合医院ICU患者60例分为实验组（n = 30）和对照组（n = 30），分别给予焦虑护理干预和标准护理。在干预前后测量焦虑和认知功能，同时在整个研究期间监测谵妄的发生率。结果：实验组干预后焦虑水平显著降低（t = 6.83, p 2 = 11.28, p = 0.001）。结论：焦虑护理干预方案能有效降低神经危重症患者的焦虑，改善认知功能，降低谵妄的发生率。与临床实践的相关性：这些发现强调了综合护理干预在解决神经危重症患者的心理和认知需求方面的重要作用。培训护士实施制定的协议是至关重要的，以改善患者的结果在神经重症监护设置。
Effects of Anxiety Focused Nursing Interventions on Anxiety, Cognitive Function and Delirium in Neurocritical Patients: A Non-Randomized Controlled Design.
Background: Anxiety and cognitive dysfunction are common concerns in neurological intensive care units (ICUs) and are associated with adverse outcomes, including delirium. Addressing these issues effectively is crucial for improving patient outcomes and quality of care.
Aim: To develop an anxiety-focused nursing intervention programme and investigate the effects of this programme on anxiety levels, cognitive function and the incidence of delirium among patients in a neurological ICU.
Study design: A non-randomized controlled design was employed.
Method: The outcome variables of experimental and control groups were compared. Sixty patients in a 1235-bed tertiary general hospital ICU in South Korea were assigned to the experimental (n = 30) or control group (n = 30), which were administered the anxiety nursing intervention and standard care, respectively. Anxiety and cognitive function were measured before and after the intervention, while the incidence of delirium was monitored throughout the study period.
Results: The results showed that the experimental group exhibited significantly lower anxiety levels (t = 6.83, p < 0.001) and improved cognitive function (t = 2.56, p = 0.013) compared to that of the control group. Additionally, the incidence of delirium in the experimental group was significantly reduced (χ2 = 11.28, p = 0.001) post-intervention.
Conclusions: The anxiety nursing intervention programme effectively reduces anxiety, improves cognitive function and decreases the incidence of delirium in patients with neurocritical conditions.
Relevance to clinical practice: These findings highlight the essential role of comprehensive nursing interventions in addressing the psychological and cognitive needs of patients with neurocritical conditions. Training nurses to implement the developed protocol is vital to improve patient outcomes in neurological intensive care settings.
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
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