Enfermeria Intensiva最新文献

{"title":"Experiencia de cuidado de cuidadores y niños entre 12 y 17 años brindado por personal de salud durante la hospitalización en cuidado intensivo pediátrico","authors":"Herly Ruth Alvarado-Romero RN, MSc ,&nbsp;Carlos Yecid Bernal-Cárdenas RN, PhD ,&nbsp;Diana Norella Córdoba-Rojas RN, MSc ,&nbsp;Alba Deyanira Quiñonez-López MD ,&nbsp;Camila Yesenia Ruiz-Matore RN ,&nbsp;Paola Torres-Giraldo RN, MSN","doi":"10.1016/j.enfi.2025.500582","DOIUrl":"10.1016/j.enfi.2025.500582","url":null,"abstract":"<div><h3>Introduction</h3><div>Caring for children hospitalized in Pediatric Intensive Care Units is a complex and multidimensional process. This process includes specialized care, as well as emotional and psychological support for both patients and their caregivers. These caregivers play an essential role in the hospitalization experience, facing a range of emotions due to the severity of the children's illness and the connotations of being hospitalized.</div></div><div><h3>Objective</h3><div>Describe the caregiving experience of caregivers and children between the ages of 12 and 17 provided by healthcare personnel during hospitalization in the unit at an institution in Bogotá in 2023.</div></div><div><h3>Methodology</h3><div>Qualitative study with a phenomenological design, using in-depth semi-structured interviews with caregivers and children hospitalized in an Intensive Care Unit in Bogotá in 2023.</div></div><div><h3>Results</h3><div>Twenty-seven interviews were conducted to achieve data saturation. Most of the caregivers were women. The predominant socioeconomic status was 3 and the educational level was high school. Four categories and thirteen subcategories were identified: Environment and dynamics, interaction with healthcare personnel, recognition of healthcare personnel, and feelings and experience upon admission to the unit.</div></div><div><h3>Conclusion</h3><div>Nurses working in Pediatric Intensive Care Units play a fundamental role, as they are in constant contact with children and their caregivers, who often experience high levels of anxiety and fear due to the seriousness of the environment. To provide comprehensive and humanized care, it is essential that these professionals have specific scientific knowledge about children's health, as well as disciplinary skills to guide their interventions. In this way, they contribute to the child's recovery and the creation of a more humane care environment, even in a highly technical context.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500582"},"PeriodicalIF":1.0,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145747397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence, characteristics, and associated factors of dyskalemia in Moroccan intensive care units over a 28-month period: A cross-sectional correlational study","authors":"Kamal Takhdat RAN, PhD ,&nbsp;Salma El Hamdou REN, BSN ,&nbsp;Houda El Bannaoui REN, BSN ,&nbsp;Ahmed Rhassane El Adib MD","doi":"10.1016/j.enfi.2025.500570","DOIUrl":"10.1016/j.enfi.2025.500570","url":null,"abstract":"<div><h3>Introduction</h3><div>Dyskalemia disturbs electrophysiological homeostasis and even cause several life-threatening conditions. Improved understanding of dyskalemia risk factors is clinically relevant for prompt and effective dyskalemia treatment. This study aims to analyze dyskalemia prevalence and risk factors in two adult medical and surgical intensive care units (ICUs) in a Moroccan university hospital.</div></div><div><h3>Methods</h3><div>A retrospective cross-sectional study was conducted from January 1st 2022 to April 30, 2024. A total of 1274 patients’ medical records were examined, yielding for 549 dyskalemic patients. Single-factor and multi-factor logistic regression analyses were conducted to investigate associations between dyskalemia and the risk factors related to patients’ characteristics, comorbidities, and therapeutic agents.</div></div><div><h3>Results</h3><div>The prevalence of dyskalemia was found at 43%, with a dyskalemic patients’ mean age of 48.3 (±18.6). Over 62% of them developed dyskalemia during ICU stay. Multivariable analyses showed that the risk of hypokalemia was associated to female gender, diabetic ketoacidosis, anticancer drugs, heparin (LMWH), and insulin. However, the risk of hyperkalemia was associated with male gender, chronic kidney failure, metabolic acidosis, burns, blood transfusion, and propofol as a sedative agent.</div></div><div><h3>Conclusion</h3><div>Several associated factors of the risk of dyskalemia were identified. Critical care nurses should pay particular attention to high-risk patients of dyskalemia and be proactive in identifying early signs of dyskalemia in order to achieve targeted risk assessment, improve early diagnosis, and management of the patients’ conditions.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500570"},"PeriodicalIF":1.0,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145747394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between ICU nursing care and functional outcomes in survivors of critical COVID-19: Longitudinal study","authors":"Raví P. Pereira RN, MSN ,&nbsp;Vanessa F. Bonatto RN, MSN ,&nbsp;Luísa B. Santana RN ,&nbsp;Isis M. Severo RN, PhD ,&nbsp;Michele D. Santarem RN, PhD ,&nbsp;Augusto Savi PT, PhD ,&nbsp;Cassiano Teixeira MD, PhD ,&nbsp;Karina de O. Azzolin RN, PhD","doi":"10.1016/j.enfi.2025.500579","DOIUrl":"10.1016/j.enfi.2025.500579","url":null,"abstract":"<div><h3>Introduction</h3><div>The evaluation of long-term functional disabilities and factors associated with decline following COVID-19-related critical illness in low- and middle-income countries remains underexplored in current literature. Addressing this gap is essential for healthcare professionals, particularly nurses, to develop targeted interventions aimed at reducing the risk of functional decline after critical illness during pandemics.</div></div><div><h3>Objectives</h3><div>To analyze ICU nursing care factors associated with functional outcomes in survivors of critical illness due to COVID-19, six months after ICU discharge.</div></div><div><h3>Methods</h3><div>A prospective longitudinal study was conducted. Adults (≥18 years) discharged from the ICU after viral pneumonia, confirmed by RT-PCR for SARS-CoV-2, with a minimum ICU stay of 72<!--> <!-->h, were included. Follow-up was conducted via telephone interviews at one, three, and six months to collect sociodemographic data and assess functional status using the Barthel Index. Data were analyzed using Generalized Estimating Equations.</div></div><div><h3>Results</h3><div>The study included 400 participants (mean age: 52.41<!--> <!-->±<!--> <!-->13.680 years; median ICU stay: 15.0 days, IQR: 8.0–26.0). Functional decline was observed in 43% of patients at one month, 28.4% at three months, and 20.4% at six months. Delirium and skin ulcers during ICU stay were modifiable factors associated with post-critical care functional disability.</div></div><div><h3>Conclusions</h3><div>Exploring targeted nursing interventions, such as delirium and pressure ulcer prevention, is essential to promote recovery and prevent long-term disability after critical illness.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500579"},"PeriodicalIF":1.0,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145691377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiencias percibidas por las madres y padres sobre la lactancia materna de un recién nacido prematuro en una unidad de cuidados intensivos neonatales","authors":"Èlia Santiveri-Camacho RN, MSc ,&nbsp;Alejandro Bosch-Alcaraz RN, PNP, MSc, PhD ,&nbsp;Mariela Patricia Aguayo-González RN, MSc, PhD ,&nbsp;M. Ángeles Saz-Roy RN, PNP, MSc, PhD","doi":"10.1016/j.enfi.2025.500571","DOIUrl":"10.1016/j.enfi.2025.500571","url":null,"abstract":"<div><h3>Introduction</h3><div>A premature birth involves stress derived from the context of the NICU where the baby is cared for. In addition, the separation between mother and father/couple and child involves an interruption of the biological process of breastfeeding. The experiences lived in this process between mother and father/couple are unequal, which entails different care needs to be covered by the health professional through informative and educational activities.</div></div><div><h3>Objective</h3><div>To explore the experiences of mothers and fathers/couple breastfeeding PTNB during their stay in the NICU.</div></div><div><h3>Design and methods</h3><div>A qualitative phenomenological study was carried out. The population studied were mothers and fathers/couple of PTNB in a neonatal unit who were breastfeeding. Using purposive convenience sampling and the principle of information saturation, the participants were 5 mothers and 4 fathers. Semi-structured interviews were conducted and organized into the following thematic areas: knowledge, environment, feelings, coping strategies and challenges.</div></div><div><h3>Results</h3><div>The mothers’ and fathers’/couples’ experiences are grouped into four themes: previous lack of knowledge about the breastfeeding process, BF as a personal challenge, barriers and facilitators during the process of breastfeeding a PTNB, and the feelings of the families.</div></div><div><h3>Conclusions</h3><div>From the perceptions and feelings reported by breastfeeding mothers and fathers/couples of PTNB, changes can be made to improve nursing care in the NICU. Improving early expressing within the first hour, developing specific protocols for breastfeeding in PTNB and updated training for nursing staff are aspects that emerge from the study and could help to priorities and meet the expressed needs for breastfeeding support in the NICU.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500571"},"PeriodicalIF":1.0,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occurrence of adverse events with arterial catheters and their contributing factors: A cross-sectional study","authors":"Patriny Marcelle Mariano-Gomes ,&nbsp;Adriana Ouverney-Braz RN, PhD ,&nbsp;Graciele Oroski-Paes RN, PhD","doi":"10.1016/j.enfi.2025.500575","DOIUrl":"10.1016/j.enfi.2025.500575","url":null,"abstract":"<div><h3>Introduction</h3><div>The insertion of an arterial line is one of the most important invasive procedures in intensive care, but it may still pose risks to patients.</div></div><div><h3>Objectives</h3><div>To determine the prevalence and analyze the association of contributing factors with the occurrence of adverse events related to the use of arterial catheters.</div></div><div><h3>Method</h3><div>Cross-sectional, retrospective, analytical and quantitative study. The sample included all reports of adverse events involving arterial catheters over the past five years. The hospital's electronic and physical medical records were used to supplement the patients’ clinical data. Descriptive and inferential analysis was carried out using frequency calculations and association tests, including Chi-square and Fisher's exact test. A significance level of up to 10% (<em>p</em>-value<!--> <!-->&lt;<!--> <!-->0.1) was used for all analyses. The study adhered to the STROBE Checklist guidelines (a checklist of items recommended for reports of cross-sectional studies).</div></div><div><h3>Results</h3><div>Between 2019 and 2023, 3104 arterial catheters were inserted in the hospital's intensive care units. 39 reports of adverse events with these catheters were included, with an occurrence rate of 1.25% (95% confidence interval). The most prevalent incident was inadvertent loss (41%), followed by pseudoaneurysm and/or hematoma formation (25.6%), and obstruction (20.51%). Human resources (<em>p</em>-value 0.069), need for sedation (<em>p</em>-value 0.011) and insertion site (<em>p</em>-value 0.074) were factors that were associated with accidental device loss. Factors related to the patient (<em>p</em>-value 0.079) and the puncture method (<em>p</em>-value 0.079) were related to the formation of pseudoaneurysms and hematomas. Human resources (<em>p</em>-value 0.001), the use of vasoactive amines (<em>p</em>-value 0.032) and the insertion site (<em>p</em>-value 0.012) were associated with system obstruction.</div></div><div><h3>Conclusion</h3><div>The results elucidated potential weaknesses that could compromise the safety of critically ill patients using blood pressure monitoring, such as the method of puncture, circuit management and the clinical characteristics of the patients. In addition to the negative impact on patients and costs, litigation can also result from failures in healthcare safety.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500575"},"PeriodicalIF":1.0,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors and preventive measures for corneal injury in the intensive care unit: Scoping review","authors":"Felicialle Pereira-da-Silva RN, PhD ,&nbsp;Joana Estefanny de França-Oliveira RN ,&nbsp;Raphael Alves da-Silva RN ,&nbsp;Emanuela Batista Ferreira-e-Pereira RN, PhD ,&nbsp;Maria Eduarda Ximenes-do-Rego RN ,&nbsp;Yure Rodrigues-Silva RN ,&nbsp;Beatriz Mendonça Morais-Alves RN ,&nbsp;Camilla Ribeiro Lima-de-Farias RN, PhD ,&nbsp;Isabel Cristina Ramos Vieira-Santos RN, PhD","doi":"10.1016/j.enfi.2025.500580","DOIUrl":"10.1016/j.enfi.2025.500580","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the risk factors and the main preventive measures in scientific literature related to the development of corneal injury in critically ill patients.</div></div><div><h3>Methods</h3><div>This is a scoping review, with a protocol previously registered on the Open Science Framework platform. The study was guided by the methodological guidelines of the Joanna Briggs Institute and followed the PRISMA-ScR framework. The research question was developed based on the PCC strategy. The search was conducted in the LILACS, PubMed, and SciELO databases, and in the gray literature via the CAPES Periodicals portal, with no language or time restrictions. The following descriptors were used: Corneal Injuries, Patient Care, Nursing, and Intensive Care Units. Two independent reviewers, with a third reviewer involved in case of disagreements, performed Screening and selection of studies. The steps followed the methodological recommendations for scoping reviews, aiming to map evidence on risk factors and preventive measures for corneal injuries in patients hospitalized in intensive care units.</div></div><div><h3>Results</h3><div>The studies analyzed indicate that the main risk factors for the development of ophthalmological injuries are higher among critically ill patients on mechanical ventilation, those under sedation and those with a decreased level of consciousness. Simple, effective nursing interventions are essential to the prevention of corneal injuries, contributing to the maintenance of ocular integrity of the patient.</div></div><div><h3>Conclusion</h3><div>Increasing the knowledge and training of nurses concerning ophthalmological care can contribute to greater awareness of the relevance of corneal injuries in critically ill patients, which is a crucial aspect of nursing care.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500580"},"PeriodicalIF":1.0,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relación entre estrés percibido, apoyo social percibido y satisfacción familiar en familiares de una unidad de cuidados intensivos adulto","authors":"Valentina Nilo-González RN, MSN,&nbsp;Noelia Rojas-Silva RN, MSN,&nbsp;Cristóbal Padilla-Fortunatti RN, MSN, PhD","doi":"10.1016/j.enfi.2025.500573","DOIUrl":"10.1016/j.enfi.2025.500573","url":null,"abstract":"<div><h3>Introduction</h3><div>In intensive care units (ICU), stress experienced by family members can negatively impact their family satisfaction. The literature describes social support as a stress neutralizer. However, evidence regarding the influence of stress and social support on family satisfaction in ICU is limited.</div></div><div><h3>Objective</h3><div>To explore the relationship between perceived stress, social support, and family satisfaction in family members of ICU patients.</div></div><div><h3>Methods</h3><div>Descriptive correlational study conducted in an ICU of a private hospital in Santiago, Chile. Family members of patients with a stay of ≥48<!--> <!-->hours were included. Family participants completed three questionnaires to assess perceived stress, perceived social support, and family satisfaction. Sociodemographic and clinical data were also collected from the patients. The association between perceived stress, perceived social support, and family satisfaction was explored using Spearman's rho correlations.</div></div><div><h3>Results</h3><div>Fifty family members were included, 70% of whom were women. Perceived stress was (<em>r</em> <!-->=<!--> <!-->–.41; <em>P</em>&lt;.05), satisfaction with patient and family care (<em>r</em> <!-->=<!--> <!-->–.39; <em>P</em>&lt;.01), and satisfaction with communication (<em>r</em> <!-->=<!--> <!-->–.34; <em>P</em>=.02), while with satisfaction with decision making, the association was not significant (<em>P</em>&gt;.05). No significant association was observed between social support and family satisfaction (<em>P</em>&gt;.05).</div></div><div><h3>Conclusions</h3><div>Findings of this study add to the evidence on the negative impact of stress on family satisfaction and its dimensions in family members of ICU patients. Further studies are needed to explore the role of social support in family members of ICU patients and its possible influence on family satisfaction.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500573"},"PeriodicalIF":1.0,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145546702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inteligencia artificial en UCI: los nuevos retos pasan por el debate bioético","authors":"Anna Falcó-Pegueroles PhD, MSc, RN","doi":"10.1016/j.enfi.2025.500574","DOIUrl":"10.1016/j.enfi.2025.500574","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 4","pages":"Article 500574"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145525307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultura organizacional y seguridad del paciente en cuidados intensivos","authors":"Judith Guerra-Turco RN ,&nbsp;Esther Chávez-Cachay RN ,&nbsp;Esther Isabel Camacho-Palomino RN ,&nbsp;Joel Almonte-Burgos RN ,&nbsp;Emilio Flores-Mamani RN","doi":"10.1016/j.enfi.2025.500565","DOIUrl":"10.1016/j.enfi.2025.500565","url":null,"abstract":"<div><h3>Objective</h3><div>Establish the relationship between organizational culture and patient safety in nursing in Intensive Care of a Health Institute.</div></div><div><h3>Method</h3><div>Quantitative, non-experimental, cross-sectional and correlational study, carried out with 96 healthcare nurses from a Health Institute in Lima, Peru. The survey technique and two questionnaires were used, one created by Nizama (2012) and validated by the Health Ministry; the other prepared by the Agency for Healthcare Research and Quality (AHRQ), using the version adapted to Spanish by Alvarado (2014). The results were processed by SPSS version 25, presented in statistical tables. The relationship between the variables was established with Spearman's Rho test (<em>P</em>&lt;.001).</div></div><div><h3>Results</h3><div>A moderate level of the dimensions of the organizational culture and patient safety variables is shown; a significant relationship between the dimensions visible artifacts, business environment, communication system, management system, belief value system, and patient safety, with a Spearman's Rho value equal to 0.682, 0.659, 0.650, 0.602 and 0.665 (<em>P</em>&lt;.001), respectively. The relationship between organizational culture and patient safety had a Spearman's Rho value of 0.752 (<em>P</em>&lt;.001).</div></div><div><h3>Conclusion</h3><div>There is a significant relationship between organizational culture and patient safety, with a moderate level predominating in its dimensions, especially visible artifacts, the communication system and the system of values and beliefs</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 4","pages":"Article 500565"},"PeriodicalIF":1.0,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of need-based educational interventions on anxiety, resilience, and satisfaction among relatives of ICU patients: A randomized controlled trial","authors":"Lale Monjezi MSN ,&nbsp;Reza Moshfeghinia MD ,&nbsp;Fereshteh Dehghanrad MSN","doi":"10.1016/j.enfi.2025.500569","DOIUrl":"10.1016/j.enfi.2025.500569","url":null,"abstract":"<div><h3>Background</h3><div>Relatives of intensive care units (ICUs) patients often experience high levels of anxiety, which can impact their resilience and satisfaction with care. This randomized controlled trial investigates the effectiveness of need-based educational interventions on reducing anxiety and enhancing resilience and satisfaction among relatives of ICU patients, aiming to provide evidence for improved support and care in critical care settings.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted at Namazi Hospital, Iran, involving family members of ICU patients. Participants were assigned to intervention (<em>n</em> <!-->=<!--> <!-->20) and control groups (<em>n</em> <!-->=<!--> <!-->20) based on specific criteria. The intervention included personalized educational sessions and telephone support for seven days. Data analyzed with SPSS-26 software, focusing on Beck's Anxiety Inventory-II (BAI), the Connor-Davidson Resilience Scale (CD-RISC), and the Family Satisfaction in the Intensive Care Unit (FS-ICU).</div></div><div><h3>Results</h3><div>The study involved 40 participants, with one withdrawal from the case group. Baseline characteristics revealed no significant age differences between the intervention group (mean age 39.3 years) and control group (mean age 37.9 years). However, by day seven post-intervention, anxiety scores significantly decreased in the intervention group compared to the control group (<em>p</em> <!-->&lt;<!--> <!-->0.001). While resilience scores did not differ significantly, the intervention group showed a gradual increase. Additionally, satisfaction levels were significantly higher in the intervention group by day seven (<em>p</em> <!-->=<!--> <!-->0.004).</div></div><div><h3>Conclusion</h3><div>Need-based educational interventions significantly reduced anxiety and increased satisfaction among ICU patients’ relatives, highlighting their potential benefits, though resilience levels showed no significant change; further research is recommended.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 4","pages":"Article 500569"},"PeriodicalIF":1.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}