Talebi Ali, Ravari Ali, Mirzaei Tayebeh, Moghadam Ahmadi Amir, Zakeri Mohammad Ali, Hermis Alaa Hamza, Al-Jabri Mohammed Musaed
Geriatric Care Nursing Master of Science Student, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
BMC Anesthesiol. 2025 May 10;25(1):240. doi: 10.1186/s12871-025-03071-5.
Various sensory stimuli, including verbal communication, can influence patients' consciousness level, pain perception, and agitation in intensive care units (ICU). This study aimed to explore the impact of verbal communication on the consciousness level, pain, and agitation of anesthetized patients admitted to ICU.
In this randomized controlled clinical trial (RCT), participants were randomly assigned to two groups: an intervention group (n = 35) and a control group (n = 35). Patients in the intervention group received verbal communication twice a day for 10 days, while the control group received routine care. The level of consciousness, pain, and agitation of patients in both groups were assessed before and 15 min after verbal communication. Demographic questionnaires and Glasgow Coma Scale (GCS), Behavior Pain Scale and Richmond Agitation-Sedation Scale were used to collect data. Data were analyzed by SPSS 25 using t-test, Chi-square and repeated measures ANCOVA test.
No significant differences were found between the two groups (verbal communication and control) concerning demographic variables (p > 0.05). Before the intervention, no significant difference was observed between the groups in terms of pain (P = 0.17). However, significant differences were noted in agitation and the level of consciousness (P < 0.05). Comparing the 10-day intervention period, a significant difference in the variables of level of consciousness, pain, and agitation was observed between the verbal communication and control groups (P < 0.001).
The findings of this study indicate that verbal communication had a positive impact on the level of consciousness, pain, and agitation of anesthetized patients in ICUs. Implementing verbal communication as an intervention by nurses can be an effective approach in medical centers.
IR.RUMS.REC.1398.189.
IRCT20150519022320N22; 8/05/2020.
包括言语交流在内的各种感觉刺激会影响重症监护病房（ICU）患者的意识水平、疼痛感知和躁动情况。本研究旨在探讨言语交流对入住ICU的麻醉患者意识水平、疼痛和躁动的影响。
在这项随机对照临床试验（RCT）中，参与者被随机分为两组：干预组（n = 35）和对照组（n = 35）。干预组患者每天接受两次言语交流，持续10天，而对照组接受常规护理。在言语交流前和交流后15分钟对两组患者的意识水平、疼痛和躁动情况进行评估。使用人口统计学问卷、格拉斯哥昏迷量表（GCS）、行为疼痛量表和里士满躁动镇静量表收集数据。数据采用SPSS 25进行分析，使用t检验、卡方检验和重复测量协方差分析。
两组（言语交流组和对照组）在人口统计学变量方面无显著差异（p > 0.05）。干预前，两组在疼痛方面无显著差异（P = 0.17）。然而，在躁动和意识水平方面存在显著差异（P < 0.05）。比较10天的干预期，言语交流组和对照组在意识水平、疼痛和躁动变量方面存在显著差异（P < 0.001）。
本研究结果表明，言语交流对ICU中麻醉患者的意识水平、疼痛和躁动有积极影响。护士将言语交流作为一种干预措施实施，可能是医疗中心的一种有效方法。
IR.RUMS.REC.1398.189。
IRCT20150519022320N22；2020年5月8日。
