METHODS: This is a prospective multi-component, mixed methods study including a randomised controlled trial. Over a 2-year study period, the two upgraded bedspaces will serve as intervention beds, while the remaining 25 bedspaces in the study ICU function as control beds. Study components encompass (1) an objective environmental assessment; (2) a qualitative investigation of the ICU environment and its impact from the perspective of patients, families, and staff; (3) sleep investigations; (4) circadian rhythm investigations; (5) delirium measurements; (6) assessment of medium-term patient outcomes; and (7) a health economic evaluation.
CONCLUSIONS: Despite growing evidence of the negative impact the ICU environment can have on patient recovery, this is an area of critical care medicine that is understudied and commonly not considered when ICUs are being designed. This study will provide new information on how an improved ICU environment impact holistic patient recovery and outcomes, potentially influencing ICU design worldwide.
BACKGROUND: ACTRN12623000541606. Registered on May 22, 2023. https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=385845&isReview=true .
方法:这是一个前瞻性的多组分,混合方法研究,包括一项随机对照试验。在2年的研究期间,两个升级的床位将用作干预床,而研究ICU中的其余25个床位用作对照床位。研究内容包括(1)客观的环境评估;(2)从患者的角度对ICU环境及其影响进行定性调查,家庭,和工作人员;(3)睡眠调查;(4)昼夜节律调查;(5)谵妄测量;(6)中期患者结果评估;和(7)健康经济学评估。
结论:尽管越来越多的证据表明ICU环境可能对患者康复产生负面影响,这是重症监护医学的一个研究不足的领域,通常在设计ICU时不考虑。这项研究将提供关于改善ICU环境如何影响患者整体康复和预后的新信息。可能影响全球ICU设计。
背景:ACTRN12623000541606。2023年5月22日注册。https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=385845&isReview=true。