Impact of a nurse-driven patient empowerment intervention on the reduction in patients' anxiety and depression during intensive care unit discharge: a randomized clinical trial
Objectives: To assess the impact of a nurse-driven patient empowerment intervention on anxiety and depression of patients during ICU discharge. Design: A prospective, multicenter, randomized clinical trial. Setting: Three ICUs (1 medical, 1 medical and surgical, and 1 coronary) of three tertiary hos...
| Autores: | , , , , , , , , , , , , |
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| Formato: | artículo |
| Estado: | Versión aceptada para publicación |
| Fecha de publicación: | 2022 |
| País: | España |
| Recursos: | Universidad de Oviedo (UNIOVI) |
| Repositorio: | Dipòsit Digital de la UB |
| OAI Identifier: | oai:diposit.ub.edu:2445/225574 |
| Acesso em linha: | https://hdl.handle.net/2445/225574 |
| Access Level: | acceso abierto |
| Palavra-chave: | Ansietat Infermeria en cures intensives Unitats de cures intensives Malalts en estat crític Anxiety Intensive care nursing Intensive care units Critically ill |
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Impact of a nurse-driven patient empowerment intervention on the reduction in patients' anxiety and depression during intensive care unit discharge: a randomized clinical trialCuzco, CeciliaCastro Rebollo, PedroMarín Pérez, RaquelRuiz García, SamuelNúñez Delgado, Ana IsabelRomero García, MartaMartínez Momblán, Ma. AntoniaBenito-Aracil, LlúciaCarmona Delgado, InmaculadaCanalias Reverter, MontseNicolás, José M.Martínez Estalella, GemmaDelgado-Hito, PilarAnsietatInfermeria en cures intensivesUnitats de cures intensivesMalalts en estat críticAnxietyIntensive care nursingIntensive care unitsCritically illObjectives: To assess the impact of a nurse-driven patient empowerment intervention on anxiety and depression of patients during ICU discharge. Design: A prospective, multicenter, randomized clinical trial. Setting: Three ICUs (1 medical, 1 medical and surgical, and 1 coronary) of three tertiary hospitals. Patients: Adults admitted to the ICU greater than 18 years old for greater than or equal to 48 hours with preserved consciousness, the ability to communicate and without delirium, who were randomized to receive the nurse-driven patient empowerment intervention (NEI) (intervention group [IG] or standard of care [control group (CG)] before ICU discharge. Intervention: The NEI consisted of an individualized intervention with written information booklets, combined with verbal information, mainly about the ICU process and transition to the ward, aimed at empowering patients in the transition process from the ICU to the general ward. Measurements and results: Patients completed the Hospital Anxiety and Depression Scale before and after (up to 1 wk) ICU discharge. IG (n = 91) and CG (n = 87) patients had similar baseline characteristics. The NEI was associated with a significant reduction in anxiety and depression (p < 0.001) and the presence of depression (p = 0.006). Patients with comorbidities and those without family or friends had greater reductions in anxiety and depression after the NEI. After the intervention, women and persons with higher education levels had lower negative outcomes. Conclusions: We found that a NEI before ICU discharge can decrease anxiety and depression in critically ill survivors. The long-term effect of this intervention should be assessed in future trials.Lippincott, Williams & Wilkins2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://hdl.handle.net/2445/225574Articles publicats en revistes (Infermeria Fonamental i Clínica)reponame:Dipòsit Digital de la UBinstname:Universidad de Oviedo (UNIOVI)InglésVersió postprint del document publicat a: https://doi.org/10.1097/CCM.0000000000005676Critical Care Medicine, 2022, vol. 50, num.12, p. 1757-1767https://doi.org/10.1097/CCM.0000000000005676(c) Society of Critical Care Medicine, 2022info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2255742026-05-27T06:46:51Z |
| dc.title.none.fl_str_mv |
Impact of a nurse-driven patient empowerment intervention on the reduction in patients' anxiety and depression during intensive care unit discharge: a randomized clinical trial |
| title |
Impact of a nurse-driven patient empowerment intervention on the reduction in patients' anxiety and depression during intensive care unit discharge: a randomized clinical trial |
| spellingShingle |
Impact of a nurse-driven patient empowerment intervention on the reduction in patients' anxiety and depression during intensive care unit discharge: a randomized clinical trial Cuzco, Cecilia Ansietat Infermeria en cures intensives Unitats de cures intensives Malalts en estat crític Anxiety Intensive care nursing Intensive care units Critically ill |
| title_short |
Impact of a nurse-driven patient empowerment intervention on the reduction in patients' anxiety and depression during intensive care unit discharge: a randomized clinical trial |
| title_full |
Impact of a nurse-driven patient empowerment intervention on the reduction in patients' anxiety and depression during intensive care unit discharge: a randomized clinical trial |
| title_fullStr |
Impact of a nurse-driven patient empowerment intervention on the reduction in patients' anxiety and depression during intensive care unit discharge: a randomized clinical trial |
| title_full_unstemmed |
Impact of a nurse-driven patient empowerment intervention on the reduction in patients' anxiety and depression during intensive care unit discharge: a randomized clinical trial |
| title_sort |
Impact of a nurse-driven patient empowerment intervention on the reduction in patients' anxiety and depression during intensive care unit discharge: a randomized clinical trial |
| dc.creator.none.fl_str_mv |
Cuzco, Cecilia Castro Rebollo, Pedro Marín Pérez, Raquel Ruiz García, Samuel Núñez Delgado, Ana Isabel Romero García, Marta Martínez Momblán, Ma. Antonia Benito-Aracil, Llúcia Carmona Delgado, Inmaculada Canalias Reverter, Montse Nicolás, José M. Martínez Estalella, Gemma Delgado-Hito, Pilar |
| author |
Cuzco, Cecilia |
| author_facet |
Cuzco, Cecilia Castro Rebollo, Pedro Marín Pérez, Raquel Ruiz García, Samuel Núñez Delgado, Ana Isabel Romero García, Marta Martínez Momblán, Ma. Antonia Benito-Aracil, Llúcia Carmona Delgado, Inmaculada Canalias Reverter, Montse Nicolás, José M. Martínez Estalella, Gemma Delgado-Hito, Pilar |
| author_role |
author |
| author2 |
Castro Rebollo, Pedro Marín Pérez, Raquel Ruiz García, Samuel Núñez Delgado, Ana Isabel Romero García, Marta Martínez Momblán, Ma. Antonia Benito-Aracil, Llúcia Carmona Delgado, Inmaculada Canalias Reverter, Montse Nicolás, José M. Martínez Estalella, Gemma Delgado-Hito, Pilar |
| author2_role |
author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
Ansietat Infermeria en cures intensives Unitats de cures intensives Malalts en estat crític Anxiety Intensive care nursing Intensive care units Critically ill |
| topic |
Ansietat Infermeria en cures intensives Unitats de cures intensives Malalts en estat crític Anxiety Intensive care nursing Intensive care units Critically ill |
| description |
Objectives: To assess the impact of a nurse-driven patient empowerment intervention on anxiety and depression of patients during ICU discharge. Design: A prospective, multicenter, randomized clinical trial. Setting: Three ICUs (1 medical, 1 medical and surgical, and 1 coronary) of three tertiary hospitals. Patients: Adults admitted to the ICU greater than 18 years old for greater than or equal to 48 hours with preserved consciousness, the ability to communicate and without delirium, who were randomized to receive the nurse-driven patient empowerment intervention (NEI) (intervention group [IG] or standard of care [control group (CG)] before ICU discharge. Intervention: The NEI consisted of an individualized intervention with written information booklets, combined with verbal information, mainly about the ICU process and transition to the ward, aimed at empowering patients in the transition process from the ICU to the general ward. Measurements and results: Patients completed the Hospital Anxiety and Depression Scale before and after (up to 1 wk) ICU discharge. IG (n = 91) and CG (n = 87) patients had similar baseline characteristics. The NEI was associated with a significant reduction in anxiety and depression (p < 0.001) and the presence of depression (p = 0.006). Patients with comorbidities and those without family or friends had greater reductions in anxiety and depression after the NEI. After the intervention, women and persons with higher education levels had lower negative outcomes. Conclusions: We found that a NEI before ICU discharge can decrease anxiety and depression in critically ill survivors. The long-term effect of this intervention should be assessed in future trials. |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion |
| format |
article |
| status_str |
acceptedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/2445/225574 |
| url |
https://hdl.handle.net/2445/225574 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
Versió postprint del document publicat a: https://doi.org/10.1097/CCM.0000000000005676 Critical Care Medicine, 2022, vol. 50, num.12, p. 1757-1767 https://doi.org/10.1097/CCM.0000000000005676 |
| dc.rights.none.fl_str_mv |
(c) Society of Critical Care Medicine, 2022 info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
(c) Society of Critical Care Medicine, 2022 |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.publisher.none.fl_str_mv |
Lippincott, Williams & Wilkins |
| publisher.none.fl_str_mv |
Lippincott, Williams & Wilkins |
| dc.source.none.fl_str_mv |
Articles publicats en revistes (Infermeria Fonamental i Clínica) reponame:Dipòsit Digital de la UB instname:Universidad de Oviedo (UNIOVI) |
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Universidad de Oviedo (UNIOVI) |
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Dipòsit Digital de la UB |
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Dipòsit Digital de la UB |
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