]>
IRCT2013053013523N1 IRCT 2013-08-26 Shiraz University of Medical Sciences The Impacts of Liaison Nurse Services on ICU Discharged Patients' Physical and Psychological Status The Impacts of Liaison Nurse Services on ICU Discharged Patients' Physical and Psychological Status in Rajaee Hospital – Shiraz - 2013 2013-06-22 anticipated 208 Complete https://irct.ir/trial/13360 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A circulatory and respiratory status. Intervention 1: In this study, the patients in the intervention group are visited by the ICU liaison nurse at least once a day, the necessary interventions will be performed, and their physical as well as mental status will be recorded. Based on the studies conducted on the issue, an ICU liaison nurse acts in 4 fields as follows: 1. Training the ward nurses regarding the patients’ care requirements and supporting them. In this regard, The nurse will be informed about the process of patient care in ICU The patient’s body systems, such as the respiratory, cardiovascular, nervous, and gastrointestinal systems, will be reviewed by the responsible nurse, the nurse will be trained regarding the patient’s needs in the ward, and the essential points will be put in the patient’s kardex in form of a pamphlet. The medicines that will be given to the patient in the ward will be reviewed with the responsible nurse. The liaison nurse’s phone number will be given to the ward nurses to contact her/him if necessary. 2. Creating relationship between the ward and ICU and preparing the two units for the transfer process: Informing the ICU nurses about the ward facilities Encouraging the ICU nurses to give complete and clear reports about the patients to the responsible nurses of the ward Preparing appropriate room, bed, and facilities in the ward for the patients discharged from ICU before and after they are transferred to the ward Trying to inform the ward personnel regarding the patients’ transfer and status at least 2-3 hours before the transfer. Also, attempts should be made to avoid patient transfer at inconvenient hours. 3. Training and physically and psychologically supporting the patients: Obtaining the patients’ reports of psychical and mental status during ICU stay and reviewing their records at the beginning of the intervention Explaining the reason for transfer, the facilities, and the number of ward personnel to the patients Physically and emotionally supporting the patients since they are informed about being discharged ICU liaison nurse visiting the patients every day, assessing their physical and mental status, and providing them with the necessary care Training the patients to care about themselves both physically and mentally 4. Training and supporting the patients’ families: Providing the patient’s family with the information about his/her transfer to the ward as well as the ward facilities Explaining the patient’s present status and improvement process to his/her family Training the families regarding supporting the patients in the ward to decrease both the patients’ and the families’ stress. Intervention 2: On the other hand, the control group patients are transferred to the ward with no interventions. Then, their physical and mental status will be investigated and recorded at the time of transfer and 24 and 72 hours after being transferred to the ward.
public Dr. Marzieh Momennasab
Fatemeh Nursing and Midwifery College
Shiraz Iran (Islamic Republic of) 13119–71936 +98 71 1727 7445 momennasab@sums.ac.ir - mnasab48@yahoo.com Shiraz University of Medical Sciences scientific Dr. Marzieh Momennasab
Fatemeh Nursing and Midwifery College
Shiraz Iran (Islamic Republic of) 13119–71936 +98 71 1727 7445 mnasab48@yahoo.com - momennasab@sums.ac.ir Shiraz University of Medical Sciences Iran (Islamic Republic of) The inclusion criteria of the study: Age above 18 years; willingness to take part in the study; Ability to communicate either verbally or non-verbally; The first admission in ICU; Having been in ICU for at least 72 hours; Not having the history of critical physical diseases and known psychological disorders before being hospitalized in ICU. The exclusion criteria of the study: Unwillingness to cooperate or disruption of the patient’s cooperation for any reason; Being transferred to another hospital; Being transferred to the ward on Friday or between 8 P.M. and 8 A.M. 18 years 100 years Both R00-R09 Symptoms and signs involving the circulatory and respiratory systems Other Other In this study, the patients in the intervention group are visited by the ICU liaison nurse at least once a day, the necessary interventions will be performed, and their physical as well as mental status will be recorded. Based on the studies conducted on the issue, an ICU liaison nurse acts in 4 fields as follows: 1. Training the ward nurses regarding the patients’ care requirements and supporting them. In this regard, The nurse will be informed about the process of patient care in ICU The patient’s body systems, such as the respiratory, cardiovascular, nervous, and gastrointestinal systems, will be reviewed by the responsible nurse, the nurse will be trained regarding the patient’s needs in the ward, and the essential points will be put in the patient’s kardex in form of a pamphlet. The medicines that will be given to the patient in the ward will be reviewed with the responsible nurse. The liaison nurse’s phone number will be given to the ward nurses to contact her/him if necessary. 2. Creating relationship between the ward and ICU and preparing the two units for the transfer process: Informing the ICU nurses about the ward facilities Encouraging the ICU nurses to give complete and clear reports about the patients to the responsible nurses of the ward Preparing appropriate room, bed, and facilities in the ward for the patients discharged from ICU before and after they are transferred to the ward Trying to inform the ward personnel regarding the patients’ transfer and status at least 2-3 hours before the transfer. Also, attempts should be made to avoid patient transfer at inconvenient hours. 3. Training and physically and psychologically supporting the patients: Obtaining the patients’ reports of psychical and mental status during ICU stay and reviewing their records at the beginning of the intervention Explaining the reason for transfer, the facilities, and the number of ward personnel to the patients Physically and emotionally supporting the patients since they are informed about being discharged ICU liaison nurse visiting the patients every day, assessing their physical and mental status, and providing them with the necessary care Training the patients to care about themselves both physically and mentally 4. Training and supporting the patients’ families: Providing the patient’s family with the information about his/her transfer to the ward as well as the ward facilities Explaining the patient’s present status and improvement process to his/her family Training the families regarding supporting the patients in the ward to decrease both the patients’ and the families’ stress On the other hand, the control group patients are transferred to the ward with no interventions. Then, their physical and mental status will be investigated and recorded at the time of transfer and 24 and 72 hours after being transferred to the ward. Physical status. Timepoint: Time of transfer and 24 and 72 hours after being transferred to the ward. Method of measurement: According to MEWS(Modified early warning score)- Measurment of vital sign- Document return ( readmission ) to icu - Document death and etc . Psychological status. Timepoint: Time of transfer and 24 and 72 hours after being transferred to the ward. Method of measurement: Hospital Anxiety and Depression Scale ( HADS ). Return ( readmission ) to icu. Timepoint: 24 and 72 hours after being transferred to the ward. Method of measurement: Return ( readmission ) to icu and not return. Shiraz University of Medical Sciences Approved 2013-04-21 Shiraz Univesity of Medical Sciences Shiraz Univesity of Medical Sciences, Zand st, Shiraz Shiraz Iran (Islamic Republic of)