The aim of this quasi-experimental study is to find out whether the effectiveness of a communication intervention based on basic and assisted communication techniques improves the psycho-emotional effects of critical patients admitted to an ICU. The nurses' knowledge of BCS and CAA and their usefulness in daily practice will also be investigated. The main questions to be answered are: Does effective communication based on BCS and CAA reduce pain, anxiety and stressful impact of the critically ill in the ICU? Do nurses who apply these communication techniques believe that they are useful in their daily practice? The researchers will compare the communicative intervention called 'CONECTEM' with the usual nurse-patient communication process to observe whether CBT and CCT are effective in decreasing the psycho-emotional effects of these patients. Participants will: Participants will be classified into 3 groups according to the Glasgow Coma Scale, for each group different communicative strategies based on scientific literature will be applied. In each strategy, different theories such as Carkkuff, Light and different levels of support (no technology, low technology) will be used. The intervention has a minimum duration of 15 minutes and before and after the 3 variables studied will be evaluated. The intervention will be carried out during the first 72 hours after admission. Prior to the intervention, a formal training in BCS and ACC will be given to the nurses who will then apply the intervention.
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Level of pain
Timeframe: VAS: Pre-post intervention (0 -30 minutes), Pre-post Nursing care (0-30 minutes). Glasgow >9. BPS: Pre-post intervention (0 -30 min), Pre-post Nursing care (0-30 min). Glasgow <9
Level of anxiety for responsable patients
Timeframe: Pre post intervention 0-30 minutes, pre post nursing usual care 0-30 minutes. Glasgow >9
Level of sedation and agitation
Timeframe: Pre-post intervention 0 -30 minutes , Pre post nursing usual care 0-30 minutes ( glasgow <9)
level of post-traumatic stress symptoms
Timeframe: Pre post intervention 0-30 minutes , pre post nursing usual care 0-30 minutes. Gasgow >9
level of consciousness
Timeframe: Baseline