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Impact of an Interactive Communication Application on the Satisfaction and Anxiety of Intubated Patients Admitted to Intensive Care Units: A Randomized Clinical Trial Publisher



Taheri M1 ; Samimi M2 ; Jackson AC3 ; Sharifi F4 ; Imanipour M5 ; Bahramnezhad F5
Authors
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Authors Affiliations
  1. 1. Department of Critical Care and Emergency Nursing, Zanjan Nursing and Midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran
  2. 2. Department of Critical Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Australian Centre for Heart Health, Melbourne, Australia
  4. 4. Elderly Health Research Center, Endocrine Population Sciences Institute, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Critical Care Nursing, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran

Source: International Journal of Critical Illness and Injury Science Published:2025


Abstract

Background: This article has examined the possibility of communicating with conscious intubated patients using an application and its effect on anxiety and satisfaction. Methods: This clinical trial study was conducted from March 5, 2021, to August 8, 2023, with the target population of conscious intubated patients hospitalized in intensive care units (ICUs) of hospitals affiliated with Qom University of Medical Sciences in Iran. Patients who met the inclusion criteria were randomly assigned to groups using a randomized block method with blocks of four (27 people in each group). Subjects completed the Hamilton Anxiety Rating Scale questionnaire along with a researcher-made questionnaire to assess satisfaction levels. After 4 days, the questionnaires were re-administered and the results were analyzed using descriptive and analytical statistics, as well as Kruskal-Wallis and t-tests with SPSS version 16. Results: Both the control and intervention groups had similar demographic characteristics. Postintervention, the satisfaction levels in the intervention group (mean 92.13 ± 16.25) significantly increased compared to the control group (mean 70.50 ± 6.06) (P = 0.001). In addition, anxiety levels after the intervention were lower in the intervention group (mean 29.12 ± 6.51) than in the control group (mean 88.49 ± 46.31) (P = 0.001). Conclusion: These results have significant implications for patients in ICU who may struggle to communicate their needs. In addition, this communication tool has the potential to enhance the quality of communication between patients and nurses, boost adherence to care plans, lower rates of re-hospitalization, and ultimately improve patient health. © 2025 International Journal of Critical Illness and Injury Science.