ICU sedation, delirium & recovery

Nurse-led family participatory support intervention on clinical outcomes in intensive care units (ICU) patients: a prospective quasi-experimental study

Crit CarePublished Prospective quasi-experimental study

Authors' conclusion

The NFPS significantly reduced the incidence of delirium and was associated with shorter durations of mechanical ventilation, ICU-LOS, HLOS, lower hospitalization costs, without increasing the risks of ICU-AW, ICU-acquired infection, or adverse events.

Study context

Population
Adult ICU patients from three tertiary hospitals in Gansu Provincepropensity-matched
Participants
365 vs 365
Exposure
NFPS vs non-NFPS
  • NFPSn = 365
  • non-NFPSn = 365reference
Outcome
Incidence of delirium
Methodological details1:1 propensity score matching, multicentre (three tertiary hospitals)
  • 1:1 propensity score matching
  • Multicentre (three tertiary hospitals)

Main finding

As reported in the abstract

P = 0.03

Observational data: associations, not effects.

Further findings

Hospital LOS

P < 0.001

ICU-LOS

P < 0.001

Duration of mechanical ventilation

P < 0.001

Hospitalization cost

P = 0.032

6-month mortality

No significant difference (6.03% vs. 7.67%, P = 0.380)

1-year mortality

No significant difference (9.32% vs. 11.51%, P = 0.330)

Safety

ICU-acquired weakness

No significant difference (26.58% vs. 29.59%, P = 0.270)

ICU-acquired infection

No significant difference (19.45% vs. 19.73%, P = 0.930)

Adverse events

No significant difference (2.19% vs. 3.84%, P = 0.190)

Original publication

Nurse-led family participatory support intervention on clinical outcomes in ICU patients: a prospective quasi-experimental study. Crit Care. Published 18 June 2026. doi:10.1186/s13054-026-06145-z

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