Stress Clinical Trial
Official title:
The Effects of a Psycho-cognitive Nursing Intervention on Clinical and Psychological Outcomes of Critically Ill Patients: A Randomized Controlled Trial
The purpose of this study is to investigate whether a psycho-cognitive nursing intervention including relaxation, guided imagery, touch and music listening can improve the clinical and psychological outcome of critically ill patients. The investigators hypothesize that, patients who receive the proposed psycho-cognitive nursing intervention will report lower stress, less pain and have altered level of stress neuropeptides in peripheral blood, lower levels of inflammatory molecules, less complications and better self reported lived experience than patients who receive standard care alone.
In previous research on the impact of stress on physiology, it has been shown that stress
and its molecules may contribute to derangements prevalent in critical illness, including
systemic inflammation, cellular stress, oxidative damage, endothelial dysfunction and
coagulopathies which precipitate high mortality and morbidity. Investigators will examine
whether a Psycho-cognitive nursing intervention to induce relaxation can improve patients
outcomes.
Sixty ICU patients with or without SIRS will be randomized to receive either standard care
or a brief Psycho-cognitive Nursing Intervention, plus standard care, up to 5 days during
ICU stay.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Caregiver, Outcomes Assessor), Primary Purpose: Treatment
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