Intervention effects of ICU diaries in patients with acute stress disorder in ICU

Abstract:

Objective To explore the intervention effects of intensive care unit（ICU） diaries in patients with acute stress disorder（ASD） in ICU.Methods Fifty-two patients in ICU were selected and randomly divided into experimental group and control group. The control group received conventional nursing approaches，while the experimental group had ICU diary intervention in addition to the nursing approaches of the control group. The two groups were compared in the incidence of ASD，the Stanford Acute Stress Reaction Questionnaire（SASRQ） score，and the scores of SASRQ dimensions on day 3，7，and 21 after intervention.Results On day 3，there were no significant differences between the experimental group and the control group in the SASRQ score and the incidence of ASD（P=0.075，P=0.471）；the experimental group showed significantly lower scores of dissociation and functional impairment dimensions than the control group（P=0.035，P=0.016），with no significant differences in the three dimensions of re-experience，avoidance，and irritation（P=0.320，P=0.140，P=0.137）. On day 7，significant differences were observed between the two groups in the SASRQ score（49.77±12.16 vs. 76.88±17.56），the incidence of ASD（69.23% vs. 96.15%），and the score of each SASRQ dimension（P=0.000，P=0.028，P=0.000）. On day 21，the two groups also showed significant differences in the SASRQ score（35.92±5.54 vs. 75.23±17.28），the incidence of ASD（38.46% vs. 76.92%），and each SASRQ dimension score（P=0.000，P=0.005，P=0.000）. On days 7 and 21，the SASRQ score，the incidence of ASD，and SASRQ dimension scores were all significantly lower in the experimental group than in the control group.Conclusion ICU diaries can help reduce the symptoms and incidence of ASD in ICU patients.