The Role of Nurses in Video-Based Communication to Reduce Loneliness in Intensive Care Unit Patients

N/ACompletedNCT07072078

Universitas Padjadjaran36 enrolled

Overview

This study aims to evaluate the effectiveness of video-based communication in reducing loneliness among intensive care unit (ICU) patients at Dr. Hasan Sadikin General Hospital in Bandung, Indonesia. ICU patients often experience psychological distress, particularly loneliness, due to restricted family visits and physical isolation. A quasi-experimental design with a pre-test and post-test control group is used, involving 36 participants who are randomly assigned to either the intervention or control group. The intervention group receives structured video-based communication with family members for three consecutive days, with each session lasting between 5 to 20 minutes. Nurses facilitate the intervention by ensuring patient safety, providing emotional support, and assisting with the communication process. The control group receives standard ICU care without the communication intervention. Loneliness levels are assessed using the De Jong Gierveld Loneliness Scale (DJGLS) before and after the intervention.

This study investigates the effectiveness of video-based communication in reducing loneliness among patients in the Intensive Care Unit (ICU). Loneliness is a common psychosocial issue in ICU patients, caused by physical isolation, limited visitation policies, and minimal social interaction. It is associated with increased stress, potential suppression of immune response, and extended hospitalization. The intervention provides a practical approach by enabling virtual interaction with family members, allowing emotional connection despite physical distance. The study uses a quasi-experimental design with a pre-test and post-test control group. A total of 36 patients are recruited from Dr. Hasan Sadikin General Hospital in Bandung and randomly assigned to either an intervention or control group. The intervention group receives structured video-based communication using WhatsApp for three consecutive days, with each session lasting between 5 and 20 minutes. The control group receives standard ICU care without the additional communication support. The De Jong Gierveld Loneliness Scale (DJGLS) is used to assess emotional and social loneliness levels before and after the intervention. Nurses act as primary facilitators in the intervention. Their responsibilities include ensuring clinical stability, setting up the communication devices, emotionally supporting patients during the sessions, monitoring patient responses, documenting the process, and coordinating communication with family members.

Study Type

INTERVENTIONAL

Interventions

Video-based CommunicationBEHAVIORAL

Participants received structured video-based communication sessions with their family members using the WhatsApp platform. The intervention was delivered once daily for three consecutive days, with each session lasting between 5 and 20 minutes. Communication was guided to include emotional support, positive conversations, and future-oriented discussion. The sessions were facilitated by nurses who ensured clinical stability, technical setup, and emotional readiness of the patient. This intervention aimed to reduce emotional and social loneliness among ICU patients and was integrated into standard intensive care routines without disrupting medical care.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients admitted to the intensive care unit (ICU) 2. Patients aged over 18 years with a minimum of 72 hours of care in the ICU 3. Patients who are able to understand and communicate in the Indonesian language Exclusion Criteria: 1. Patients with medical conditions such as decreased consciousness, total blindness, or severe neurological disorders 2. Patients with a history of psychiatric disorders Drop Out: 1. Patients who are discharged from the ICU of Dr. Hasan Sadikin General Hospital during the study period will be considered drop-outs 2. Patients whose health deteriorates to the extent that they are unable to continue participation in the study 3. Patients who die during the study period 4. Patients who are transferred from the ICU to general inpatient wards

Outcomes

Primary Outcomes

Change in Loneliness Score (De Jong Gierveld Loneliness Scale)

This outcome measures the change in loneliness among ICU patients before and after the intervention, using the De Jong Gierveld Loneliness Scale (DJGLS). The scale assesses both emotional and social loneliness with 11 items, validated in Indonesian. Higher scores indicate greater loneliness. The score is recorded at baseline (pre-intervention) and after 3 days of intervention (post-test). The difference in mean scores is used to assess effectiveness.

Time frame: Baseline (Day 1) to Post-Intervention (Day 3)