Edukasi Psikososial dan Deteksi Loneliness untuk Meningkatkan Pengetahuan Perawat Intensive Care Unit
DOI:
https://doi.org/10.56359/kolaborasi.v6i4.1032Kata Kunci:
critical care nursing, education, loneliness, psychosocial care, intensive care unitAbstrak
Introduction: Critically ill patients are vulnerable to psychosocial distress, including loneliness, because of severe illness, environmental stressors, limited social interaction, and communication barriers. Nurses are in a strategic position to recognize these needs, but psychosocial assessment may receive less attention than physiological stabilization in intensive care practice.
Objective: This community service program aimed to improve intensive care nurses’ knowledge of psychosocial aspects and the early detection of loneliness in critically ill patients.
Method: A structured educational program was delivered to 15 intensive care nurses at a tertiary referral hospital in Bandung. The main session was conducted on 23 July 2026 and included interactive education, case discussion, sharing of clinical experiences, and simple simulation. Knowledge was evaluated descriptively using pre-test and post-test scores, with categories of good (76–100), moderate (56–75), and poor (<56).
Result: The mean knowledge score increased from 68.4 before the program to 86.7 after the program, representing an 18.3-point absolute increase or 26.7% relative improvement. The proportion of participants in the good-knowledge category increased from 26.7% to 86.7%, while the poor-knowledge category decreased from 20.0% to 0%.
Conclusion: Structured education on psychosocial care and loneliness detection was followed by a meaningful improvement in participating intensive care nurses’ knowledge. Continued mentoring and integration of brief psychosocial assessment into routine nursing practice are recommended.
Unduhan
Referensi
Bulut, T. Y., Çekiç, Y., & Altay, B. (2023). The effects of spiritual care intervention on spiritual well-being, loneliness, hope and life satisfaction of intensive care unit patients. Intensive & Critical Care Nursing, 77, 103438. https://doi.org/10.1016/j.iccn.2023.103438
Chen, R. T., Truong, M., Watterson, J. R., Burrell, A., & Wong, P. (2023). The impact of the intensive care unit family liaison nurse role on communication during the COVID-19 pandemic: A qualitative descriptive study of healthcare professionals’ perspectives. Australian Critical Care, 36(1), 127–132. https://doi.org/10.1016/j.aucc.2022.09.004
Dees, M. L., Carpenter, J. S., & Longtin, K. (2022). Communication between registered nurses and family members of intensive care unit patients. Critical Care Nurse, 42(6), 25–34. https://doi.org/10.4037/ccn2022913
Digby, R., Manias, E., Haines, K. J., Orosz, J., Ihle, J., & Bucknall, T. K. (2023). Family experiences and perceptions of intensive care unit care and communication during the COVID-19 pandemic. Australian Critical Care, 36(3), 350–360. https://doi.org/10.1016/j.aucc.2022.03.003
Gunnlaugsdóttir, T., Jónasdóttir, R. J., Björnsdóttir, K., & Klinke, M. E. (2024). How can family members of patients in the intensive care unit be supported? A systematic review of qualitative reviews, meta-synthesis, and novel recommendations for nursing care. International Journal of Nursing Studies Advances, 7, 100251. https://doi.org/10.1016/j.ijnsa.2024.100251
Holm, A., Nikolajsen, L., & Dreyer, P. (2022). A multicomponent intervention to optimise nurse–patient communication in the intensive care unit: A mixed-methods acceptability and feasibility study. Australian Critical Care, 35(6), 616–622. https://doi.org/10.1016/j.aucc.2021.09.008
Jin, J., Son, Y.-J., Tate, J. A., & Choi, J. (2022). Challenges and learning needs of nurse-patients’ family communication: Focus group interviews with intensive care unit nurses in South Korea. Evaluation & the Health Professions, 45(4), 411–419. https://doi.org/10.1177/01632787221076911
Johnson, G. U., Towell-Barnard, A., McLean, C., & Ewens, B. (2025). The implementation and evaluation of a family-led novel intervention for delirium prevention and management in adult critically ill patients: A mixed-methods pilot study. Nursing in Critical Care, 30(4), e13210. https://doi.org/10.1111/nicc.13210
Joo, Y., Han, E., & Jang, Y. (2025). Educational programs to improve nursing competency of patient- and family-centered care in intensive care units: A systematic review. Nurse Education Today, 151, 106699. https://doi.org/10.1016/j.nedt.2025.106699
Kiwanuka, F., Sak-Dankosky, N., Alemayehu, Y. H., Nanyonga, R. C., & Kvist, T. (2022). The evidence base of nurse-led family interventions for improving family outcomes in adult critical care settings: A mixed method systematic review. International Journal of Nursing Studies, 125, 104100. https://doi.org/10.1016/j.ijnurstu.2021.104100
Larsen, M. H., Johannessen, G. I., & Heggdal, K. (2022). Nursing interventions to cover patients’ basic needs in the intensive care context: A systematic review. Nursing Open, 9(1), 122–139. https://doi.org/10.1002/nop2.1110
Liu, H.-M., Jin, J.-Y., Zhang, Y., Gao, J.-Y., & Ji, J.-H. (2025). Effects of a narrative nursing-based humanistic care program on psychological well-being in conscious patients in the ICU. Journal of Multidisciplinary Healthcare, 18, 4809–4818. https://doi.org/10.2147/JMDH.S530638
Nasrun, M. W., Kusumaningrum, P., & Mardhiyah, F. S. (2022). De Jong Gierveld Loneliness Scale (DJGLS) Versi Indonesia. (Patent No. EC00202208286).
Neville, T. H., Hays, R. D., Tseng, C.-H., Gonzalez, C. A., Chen, L., Hong, A., Yamamoto, M., Santoso, L., Kung, A., Schwab, K., Chang, S. Y., Qadir, N., Wang, T., & Wenger, N. S. (2022). Survival after severe COVID-19: Long-term outcomes of patients admitted to an intensive care unit. Journal of Intensive Care Medicine, 37(8), 1019–1028. https://doi.org/10.1177/08850666221092687
Özdemir, Ö., Yaman, Z., & Yilmaz, M. (2023). Last utterances of patients in Covid intensive care units: A qualitative study. Archives of Psychiatric Nursing, 42, 106–112. https://doi.org/10.1016/j.apnu.2022.12.005
Piras, I., Piazza, M. F., Piccolo, C., Azara, A., Piana, A., Finco, G., & Galletta, M. (2022). Experiences, emotions, and health consequences among COVID-19 survivors after intensive care unit hospitalization. International Journal of Environmental Research and Public Health, 19(10), 6263. https://doi.org/10.3390/ijerph19106263
Poursadeghi, Z., Miri, K., Hajiabadi, F., Mazloum, S. R., Malekzadeh, J., & Niazi, F. (2024). The impact of patient communication software app on facilitating communication with mechanically ventilated patients: A randomized clinical trial. Digital Health, 10, 20552076241299639. https://doi.org/10.1177/20552076241299639
Prats-Arimon, M., Puig-Llobet, M., Eseverri-Rovira, M., Gallart, E., Téllez-Velasco, D., Shanchez-Balcells, S., Agüera, Z., El Abidi-El Ghazouani, K., Lluch-Canut, T., Hidalgo-Blanco, M. A., & Moreno-Arroyo, M. C. (2026). A multicomponent communication intervention to reduce the psycho-emotional effects of critical illness in ICU patients related to their level of consciousness: CONECTEM. Journal of Clinical Medicine, 15(3), 1154. https://doi.org/10.3390/jcm15031154
Reifarth, E., Garcia Borrega, J., & Kochanek, M. (2023). How to communicate with family members of the critically ill in the intensive care unit: A scoping review. Intensive & Critical Care Nursing, 74, 103328. https://doi.org/10.1016/j.iccn.2022.103328
Setiawan, D. R., Kosasih, C. E., & Mirwanti, R. (2025a). Video-based communication on loneliness among verbally responsive ICU patients: A scoping review. International Journal of Advancement in Life Sciences Research, 8(1), 1–15. https://doi.org/10.31632/ijalsr.2025.v08i01.001
Setiawan, D. R., Kosasih, C. E., & Mirwanti, R. (2025b). Eksplorasi dampak kesepian pada pasien di intensive care unit (ICU): Tinjauan sistematik. Holistik Jurnal Kesehatan, 19(2), 245–253.
Shin, J. W., Choi, J., & Tate, J. (2023). Interventions using digital technology to promote family engagement in the adult intensive care unit: An integrative review. Heart & Lung, 58, 166–178. https://doi.org/10.1016/j.hrtlng.2022.12.004
Sutini, T., Emaliyawati, E., Sugiharto, F., & Abdullah, K. L. (2026). Nursing intervention to support psychological recovery among intensive care patients and their families: A systematic review with narrative synthesis. Journal of Multidisciplinary Healthcare, 19, Article 612598. https://doi.org/10.2147/JMDH.S612598
Torun, S., Bulmuş, E., & Bilgin, O. (2023). Evaluation of experiences of the patients discharged from the COVID-19 intensive care unit: A qualitative research. Scientific Reports, 13, 19577. https://doi.org/10.1038/s41598-023-46818-1
Wang, G., Antel, R., & Goldfarb, M. (2023). The impact of randomized family-centered interventions on family-centered outcomes in the adult intensive care unit: A systematic review. Journal of Intensive Care Medicine, 38(8), 690–701. https://doi.org/10.1177/08850666231173868
Yildirim, D., Akman, O., Ozturk, S., & Yakin, O. (2024). The correlation between death anxiety, loneliness and hope levels in patients treated in the cardiac intensive care unit. Nursing in Critical Care, 29(3), 486–492. https://doi.org/10.1111/nicc.13007
Unduhan
Diterbitkan
Cara Mengutip
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2026 Deris Riandi Setiawan, Fitri Sesilia, Adinda Triani Nur Hasanah, Novita Desyanti
Artikel ini berlisensi Creative Commons Attribution 4.0 International License.
