Application Of CICARE Communication Mode In Uncertainty Of Illness Of Children’s Family Members After PICU

Objectives1.To understand the current situation of uncertainty of illness in family members of children after PICU.2.To explore the application effect of CICARE communication mode in the uncertainty of illness of children’s family members after PICU,and to provide new ideas for clinical nursing communication.3.Clarify the influence of CICARE communication mode on the satisfaction of family members of children after PICU.4.To explore the effective methods to reduce the uncertainty of illness and improve the satisfaction of family members of children after PICU.MethodsBy convenient sampling method,84 family members of postoperative children in PICU of a children’s Hospital in Dalian city from January 2020 to November 2020 were selected as the research objects,42 family members of postoperative children from January to April 2020 were selected as the control group,and 42 family members of postoperative children from May to November 2020 were selected as the experimental group In order to analyze the current situation of uncertainty of illness of family members of children after PICU,the level of uncertainty of illness and satisfaction of family members of children with two communication modes were compared.General information questionnaire,Chinese version of Uncertainty Scale for illness(for parents)and Chinese version of family satisfaction scale for critically ill patients(C-CCFSS)were used.SPSS 23.0 was used to process and analyze the data.The statistical methods used included descriptive statistical analysis,chi square test and two independent samples test.Results1.There was no significant difference between the two groups in general information(PICU stay time,relationship with children,whether they are the main caregiver,religious belief,residence,monthly family income,education level,payment method)(P > 0.05).2.The uncertainty level of illness of the family members of the two groups were(71.68± 15.23)and(70.88 ± 17.50),and the score of uncertainty of illness of the family members of the two groups was about 50% of the total score,which was on the high side;There was no significant difference in the total score and each dimension(uncertainty,lack of clarity,lack of information,unpredictability)between the two groups(P > 0.05).3.In the control group,there were significant differences in the total score and each dimension(uncertainty,lack of clarity,lack of information)scores of the disease uncertainty level of the family members of the children when they entered the Department and when they left the Department(P < 0.05);In the unpredictability dimension,the difference was not statistically significant(P > 0.05).4.There were significant differences in the total score and each dimension(uncertainty,lack of clarity,lack of information,unpredictability)between the two groups(P < 0.05).5.The total score and uncertainty,lack of clarity,lack of information of the two groups were lower than those of the control group,the difference was statistically significant(P< 0.05);in the unpredictability dimension,the difference was not statistically significant(P > 0.05).6.The total score and each dimension(access to information,condition assurance,acceptance,support and comfort)score of the family members of the two groups were higher than those of the control group,the difference was statistically significant(P <0.05).Conclusion1.The level of illness uncertainty of the family members of the children after PICU is high,which needs the attention and guidance of the medical staff.2.Routine nursing education communication mode can reduce the total score and uncertainty,lack of clarity and lack of information of family members of children after PICU.3.CICARE communication mode can reduce the overall level of illness uncertainty of children’s family members after PICU.4.CICARE communication mode can be used as an effective communication method to reduce the uncertainty of illness of children’s family members after PICU,which is worthy of further promotion and application in clinic.5.CICARE communication mode can improve the satisfaction of family members of children after PICU.