{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:08:15Z","timestamp":1791234495144,"version":"4.1.0"},"reference-count":44,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T00:00:00Z","timestamp":1747785600000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Anxiety and cognitive dysfunction are common concerns in neurological intensive care units (ICUs) and are associated with adverse outcomes, including delirium. Addressing these issues effectively is crucial for improving patient outcomes and quality of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To develop an anxiety\u2010focused nursing intervention programme and investigate the effects of this programme on anxiety levels, cognitive function and the incidence of delirium among patients in a neurological ICU.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A non\u2010randomized controlled design was employed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      The outcome variables of experimental and control groups were compared. Sixty patients in a 1235\u2010bed tertiary general hospital ICU in South Korea were assigned to the experimental (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200930) or control group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200930), which were administered the anxiety nursing intervention and standard care, respectively. Anxiety and cognitive function were measured before and after the intervention, while the incidence of delirium was monitored throughout the study period.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The results showed that the experimental group exhibited significantly lower anxiety levels (\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u20096.83,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and improved cognitive function (\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u20092.56,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013) compared to that of the control group. Additionally, the incidence of delirium in the experimental group was significantly reduced (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200911.28,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) post\u2010intervention.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The anxiety nursing intervention programme effectively reduces anxiety, improves cognitive function and decreases the incidence of delirium in patients with neurocritical conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>These findings highlight the essential role of comprehensive nursing interventions in addressing the psychological and cognitive needs of patients with neurocritical conditions. Training nurses to implement the developed protocol is vital to improve patient outcomes in neurological intensive care settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70062","type":"journal-article","created":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T06:48:08Z","timestamp":1747810088000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effects of Anxiety Focused Nursing Interventions on Anxiety, Cognitive Function and Delirium in Neurocritical Patients: A Non\u2010Randomized Controlled Design"],"prefix":"10.1111","volume":"30","author":[{"given":"Seo\u2010young","family":"Jang","sequence":"first","affiliation":[{"name":"Department of Forensic Nursing, Graduate School of Forensic and Investigative Science Kyungpook National University  Daegu South\u00a0Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2999-2299","authenticated-orcid":false,"given":"Myung Kyung","family":"Lee","sequence":"additional","affiliation":[{"name":"College of Nursing, Research Institute of Nursing Innovation Kyungpook National University  Daegu South\u00a0Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,21]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2015.01.015"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102017\u2010021083"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034\u20107167.2016690307i"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2017.05.041"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40560\u2010023\u201000658\u20105"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp\u20102018\u2010319201"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12555"},{"key":"e_1_2_15_9_1","volume-title":"Some Clinical Approaches to Psychiatric Nursing","author":"Peplau H.","year":"1963"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2016.08.005"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnc.2015.10.001"},{"issue":"1","key":"e_1_2_15_12_1","first-page":"43","article-title":"The Effects of Delirium Prevention Intervention on the Delirium Incidence Among Postoperative Patients in a Surgical Intensive Care Unit","volume":"21","author":"Shim M. Y.","year":"2015","journal-title":"Journal of Korean Clinical Nursing Research"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2019.04.009"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.34250\/jkccn.2023.16.1.71"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010006\u20100399\u20108"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afp047"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054\u2010021\u201003506\u20108"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac271"},{"key":"e_1_2_15_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643\u2010023\u201002396\u20102"},{"key":"e_1_2_15_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10091716"},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102253\u201014\u201048"},{"issue":"1","key":"e_1_2_15_22_1","first-page":"151","article-title":"Factors Related to Delirium Occurrence Among Patients in the Intensive Care Units","volume":"14","author":"Yu M. Y.","year":"2008","journal-title":"Journal of Korean Clinical Nursing Research"},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.2107138"},{"key":"e_1_2_15_24_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.842329"},{"key":"e_1_2_15_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165\u20100327(88)90072\u20109"},{"key":"e_1_2_15_26_1","volume-title":"Psychiatric Assessment Instruments","author":"Kim C.\u2010Y.","year":"2001"},{"key":"e_1_2_15_27_1","volume-title":"APA Dictionary of Psychology","author":"VandenBos G. R.","year":"2007"},{"key":"e_1_2_15_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103956(75)90026\u20106"},{"issue":"1","key":"e_1_2_15_29_1","first-page":"125","article-title":"Korean Version of Mini\u2010Mental State Examination (MMSE\u2010K) Part I: Development of the Test for the Elderly","volume":"28","author":"Kwon Y.\u2010C.","year":"1989","journal-title":"Journal of Korean Neuropsychiatric Association"},{"key":"e_1_2_15_30_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.286.21.2703"},{"key":"e_1_2_15_31_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0041\u201087812004000200002"},{"key":"e_1_2_15_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12871\u2010021\u201001403\u20104"},{"key":"e_1_2_15_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2016.03.001"},{"key":"e_1_2_15_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872\u2010023\u201003012\u20106"},{"key":"e_1_2_15_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010023\u201010155\u20101"},{"key":"e_1_2_15_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16665"},{"key":"e_1_2_15_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/00019052\u2010200202000\u201000010"},{"key":"e_1_2_15_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054\u2010022\u201004101\u20106"},{"key":"e_1_2_15_39_1","volume-title":"Multivariate Data Analysis","author":"Hair J.","year":"2010"},{"key":"e_1_2_15_40_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc10003"},{"key":"e_1_2_15_41_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102023\u2010073660"},{"key":"e_1_2_15_42_1","doi-asserted-by":"publisher","DOI":"10.4037\/ccn2021583"},{"key":"e_1_2_15_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009783.pub3"},{"key":"e_1_2_15_44_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1207760"},{"key":"e_1_2_15_45_1","doi-asserted-by":"publisher","DOI":"10.4040\/jkan.2007.37.4.586"}],"container-title":["Nursing in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70062","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nicc.70062","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70062","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T05:40:08Z","timestamp":1787895608000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nicc.70062"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":44,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1111\/nicc.70062"],"URL":"https:\/\/doi.org\/10.1111\/nicc.70062","archive":["Portico"],"relation":{},"ISSN":["1362-1017","1478-5153"],"issn-type":[{"value":"1362-1017","type":"print"},{"value":"1478-5153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"2024-09-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70062"}}