Discussion: Mental Health Factors

Mental Health Factors

Background Communication is key to understanding the emotional state of critical care patients.

Objective To analyze the effectiveness of the communi- cative intervention known as CONECTEM, which incorpo-

rates basic communication skills and augmentative

alternative communication, in improving pain, anxiety,

and posttraumatic stress disorder symptoms in critical

care patients transported by ambulance.

Methods This study had a quasi-experimental design with intervention and control groups. It was carried out at 4

emergency medical centers in northern Spain. One of the

centers served as the intervention unit, with the other 3

serving as control units. The nurses at the intervention cen-

ter underwent training in CONECTEM. Pretest and posttest

measurements were obtained using a visual analog scale to

measure pain, the short-version State-Trait Anxiety Inven-

tory to measure anxiety, and the Impact of Event Scale to

measure posttraumatic stress disorder symptoms.

Results In the comparative pretest-posttest analysis of the groups, significant differences were found in favor of

the intervention group (Pillai multivariate, F 2,110

= 57.973,

P < .001). The intervention was associated with improve- ments in pain (mean visual analog scale score, 3.3 pre- test vs 1.1 posttest; P < .001) and posttraumatic stress disorder symptoms (mean Impact of Event Scale score, 17.8 pretest vs 11.2 posttest; P < .001). Moreover, the per- centage of patients whose anxiety improved was higher in the intervention group than in the control group (62% vs 4%, P < .001). Conclusion The communicative intervention CONECTEM was effective in improving psychoemotional state among critical care patients during medical transport. (American Journal of Critical Care. 2021;30:45-54) A COMMUNICATIVE INTERVENTION TO IMPROVE THE PSYCHOEMOTIONAL STATE OF CRITICAL CARE PATIENTS TRANSPORTED BY AMBULANCE By Marta Prats Arimon, PhD, BD, RN, Montserrat P

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