| Objective:The purpose of this study is to explore the influence of process-oriented CICARE communication model on migration stress level,coping style and family satisfaction of patients with traumatic craniocerebral injury during the transition period of ICU.To improve the efficiency of nurse-patient communication,improving the quality of nursing services,reducing the negative emotions of patients’ families,and provide practical basis for promoting their physical and mental health.Methods:Using the method of continuous sampling,the family members of 142 patients who met the inclusion criteria and received treatment in the neurosurgery ICU of a tertiary first-class hospital in Changchun from November 2019 to October 2020 were selected as the research objects.71 patients were randomly divided into experimental group and control group.The experimental group applied nursing intervention scheme based on CICARE communication mode on the basis of nursing routine in ICU of neurosurgery department.The control group received routine nursing in neurosurgery intensive care unit.The survey tools include basic situation questionnaire of patients’ families,migration stress assessment scale of ICU patients’ families,simple coping style scale,and Chinese version of the satisfaction scale of critically ill patients.Comparative study on migration pressure level,coping style and satisfaction of family members before and after intervention.The data were processed by IBM SPSS 24.0statistical analysis software.Results:1.Before intervention,there was no significant difference between the two groups in the total score of migration stress level and the scores of separation anxiety,environmental change,disease severity,nursing mode change,safety in the process of changing one’s major and self-efficacy of nursing ability(P>0.05).2.After intervention,the migration stress level of the family members of the experimental group was 43(41,45),while that of the family members of the control group was 55(54,57).The total score of experimental group was lower than that of control group.The scores of separation anxiety,environmental changes,severity of illness,changes in nursing mode,safety of the transfer process and self-efficacy of care ability of the experimental group were lower than those of the control group,and the difference was statistically significant(P<0.05).3.Before intervention,the scores of negative coping styles of family members of patients in both groups were higher than those of positive coping styles.There was no significant difference(P>0.05).4.After intervention,the positive coping score of the family members of the experimental group was higher than the negative coping score.The positive coping score of the family members of the control group was lower than the negative coping score.The difference was statistically significant(P<0.05).5.Before intervention,the total score of family satisfaction of patients in the experimental group was 105(101,109),while that in the control group was 103(98,109).There was no significant difference in the scores of information acquisition,illness assurance,acceptance,support and comfort between the two groups(P>0.05).6.After intervention,the total score of family satisfaction of patients in the experimental group was 116(105,119).The total score of family satisfaction of patients in control group was 105(100,108).The scores of information acquisition,illness assurance,acceptance and support in the experimental group were higher than those in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in comfort dimension between the two groups(P>0.05).Conclusions:1.The nursing intervention scheme based on the mobile communication mode effectively reduced the migration stress level of the family members of patients with brain trauma transferred from ICU.2.Based on the implementation of the nursing intervention program of mobile communication mode,the families members of patients with brain trauma transferred from ICU should be promoted to adopt positive coping styles.3.The nursing intervention scheme based on the implementation of flow communication mode is beneficial to improve the satisfaction of the families of patients with traumatic brain injury transferred from ICU to medical care services.4.The process-oriented CICARE communication mode can be integrated into the nursing routine of neurosurgery ICU,which can improve the communication efficiency between nurses and patients,improve the physical and mental state of patients’ families and improve the quality of clinical nursing services. |
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