Effect of CICARE communication nursing model combined with motivational psychological intervention in patients with postintensive care unit syndrome

BACKGROUND Post-intensive care syndrome(PICS)is a term used to describe a constellation of new or worsened dysfunctions in the physical,cognitive,or mental health status of critically ill patients after their discharge from the intensive care unit(ICU).These dysfunctions persist beyond the acute phase of illness and have a significant impact on both the patient and their family.Connect,Introduce,Communicate,Ask,Respond,Exit(CICARE)communication advocates that patients should be respected and accepted when receiving medical services.Clinicians should attach importance to the communication mode of feelings,including connection,introduction,communication,ask,response,and exit 6 steps.AIM To assess the impact of CICARE communication on the reduction of anxiety,depression,and post-traumatic stress disorder(PTSD)symptoms in patients transitioning from the ICU to other care settings.METHODS This prospective,randomized,controlled study was performed between October 2021 and March 2023.Intensive Care Unit Memory Tool was used to evaluate patients’ICU memory.The Hospital Anxiety and Depression Scale was employed to determine the presence of anxiety or depression symptoms.Impact of Event Scale-Revised was utilized to assess the presence of PTSD.All data were processed and analyzed using R language software version 4.1.0.The measurement data were expressed as mean±SD,and the t test was used.The count data were analyzed by theχ2 test and expressed as[n(%)].RESULTS In total,248 subjects were included in this study.Among them,206 were successfully followed up for three months after transfer from the ICU,and 42 cases were lost to follow-up.There was no significant difference in the composition of ICU memory between the two groups.The application of the CICARE communication nursing model combined with the motivational psychological intervention nursing model,as well as the adoption of only the motivational psychological intervention nursing model,demonstrated favorable effects on PICS.Both groups of patients showed a reduction in anxiety scores,depression scores,and PTSD scores following the implementation of these two nursing models.However,it is noteworthy that the experimental group exhibited greater improvements compared to the control group.CONCLUSION Our findings suggest that CICARE communication nursing mode may have good influence on relieving PICS.

Psychological motives of code switching

Code switching is an important research topic in a selection of academic fields including sociology, psychology and linguistics. Generally speaking, code switching, a common phenomenon in language contact, permeates bilingual and multilingual society. It refers to circumstances in which a speaker uses two or more than two languages. This paper is intended to present an overall review of studies on code switching, focusing on motive. Code switching combines the social situation with the linguistic situation, in contrast to the different cultures in the speaker＇s cognitive structure. It has social functions that can change the social situation, which in turn sets up a new one. In conversation, code switching also reflects the speaker＇s psychological state and his/her attitude towards a certain language or languages. This paper will focus on the analysis of socio-psychological factors which exert strong influences upon code switching.

Intervention effect of encouraging mental and programmed nursing of patients in interventional operating room on their compliance and bad moods

BACKGROUND Patients’lack of correct understanding of cardiovascular disease and interventional therapy is often accompanied by varying degrees of fear,depression and anxiety.Negative emotion will affect the hemodynamic fluctuation of patients undergoing interventional surgery,which is not conducive to the smooth and safe operation of interventional surgery.Therefore,it is very important to implement effective nursing intervention in the operating room.AIM To explore the intervention effect of motivational psychological nursing combined with programmed nursing on compliance and bad mood of patients in interventional operating room.METHODS A total of 98 patients in the interventional operating room of our hospital from October 2019 to March 2021 were randomly divided into study group(n=49)and control group(n=49).The control group took routine nursing.However,the study group took motivational psychological nursing combined with procedural nursing on the basis of the control group.Statistics were made on rehabilitation compliance,Positive and Negative Affect Schedule of bad mood,Simplified Coping Styles Questionnaire score of coping style and satisfaction of intervention between the two groups before and after intervention.RESULTS The rehabilitation compliance of the study group(95.92%)was higher than that of the control group(81.63%)(P<0.05).After intervention,the scores of upset,fear,irritability,tension and fear in the study group were respectively,which were lower than those in the control group(P<0.05).After intervention,the score of positive coping in the study group was higher than that in the control group.However,the score of negative coping in the study group was lower than that in the control group(P<0.05).The intervention satisfaction of the study group(93.88%)was higher than that of the control group(79.59%)(P<0.05).CONCLUSION The intervention of motivational psychological nursing combined with procedural nursing can improve the rehabilitation compliance,and alleviate the bad mood.In addition,it can change their coping style to the disease,and the patients are more satisfied with the nursing work.

Embodied Emotion--Turn from Traditional to PostCognitive Perspectives

This literature review on the research of embodied emotion addresses the aspects of the concepts of embodied emotion, the various theories or theses on the embodied emotion abroad and at home, some comments based on the literature are elicited and the discussions about the future research topics on embodied emotion are proposed.

Severity of dentofacial deformity, the motivations and the outcome of surgery in skeletal Class Ⅲ patients

Objective To study the relationship between severity of skeletal Class Ⅲ malocclusion and the patient's emotional status, as well as motivation for seeking surgical correction and satisfaction with the outcome of the surgery Methods One hundred and forty consecutive Chinese patients with skeletal Class Ⅲ malocclusion who had been treated with a combined orthodontic and surgical approach were studied Sixty seven percent (40 males and 54 females) responded to a questionnaire Fifty four percent had two jaw deformities, 32% mandibular hyperplasia and 14% maxillary hypoplasia Surgical procedures: 77% received two jaw surgeries, 15% maxillary advancement and 8% mandibular setback This was a retrospective study based on questionnaires with numerical scale ranked answers (0: not at all; 1: a little; 2: moderately; 3: quite a bit; and 4: extremely) Results ANB angle was significantly negatively correlated with feelings about the nickname related to their facial problems (embarrassment: r =-0 30, P <0 01; worn out r =-0 32, P <0 01; angry r = -0 24, P <0 05) ANB angle also had a significant negative correlation with the reasons for having the surgery (pressure from their friends: r =-0 21, P <0 05, and referred by physician: r =-0 24, P <0 05) Changes in life style as a result of surgery were significantly negatively correlated with the ANB angle before treatment, positive influence on relationships with the opposite sex ( r =-0 25, P <0 05), positive influence in social activiies ( r =-0 22, P <0 05) Conclusion The psychological status before surgery and the outcome following orthognathic surgery in patients with skeletal Class Ⅲ malocclusion were closely related to severity of the malocclusion

Biological Subtypes Bridge Diagnoses and Biomarkers:A Novel Research Track for Mental Disorders

Neuroimaging has shown promise for diagnosing depression,but these diagnostic systems have not performed as well when tested in large multi-site datasets.Recently,a paper published in Nature Medicine[1]has made major progress and provided good cues about how to understand mental disorders,not limited to depression.It is well known that mental disorders are associated with numerous personal and societal costs.