NCT07072078

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

The Effect of Video-Based Communication on Reducing Loneliness in Intensive Care Unit Patients: A Quasi-Experimental Study

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 36 (actual)
• Sponsor: Universitas Padjadjaran · Academic / Other
• Sex: All
• Age: 18 Years – 70 Years
• Healthy volunteers: Not accepted

Summary

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.

Detailed description

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.

Conditions

• Loneliness During COVID-19
• Loneliness

Interventions

Type	Name	Description
BEHAVIORAL	Video-based Communication	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.

Timeline

• Start date: 2024-12-24
• Primary completion: 2025-01-24
• Completion: 2025-01-24
• First posted: 2025-07-18
• Last updated: 2025-07-18

Locations

1 site across 1 country: Indonesia