eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2026 , Vol. 7 >Issue 2: 148 - 154

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.02.003

Special Planning: Improving Nursing Care Quality for ICU

The influence of flexible on-demand visiting based on the KAP model on the occurrence of delirium in ICU patients

  • FANG Yexiang ,
  • HAN Jiangying ,
  • DU Xiaoling ,
  • WU Shanshan ,
  • LI Juan ,
  • YANG Xue
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  • 1. Department of Critical Care Medicine， the First Affiliated Hospital of Anhui Medical University， Hefei 230022， China
    2. Nursing Department， the First Affiliated Hospital of Anhui Medical University， Hefei 230022， China

Received date: 2025-05-23

  Online published: 2026-02-02

Supported by

2024 Anhui Provincial Scientific Research Program Development Project(2024AH050842)

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Abstract

Objective To investigate the effect of flexible on-demand visiting intervention model based on the Knowledge，Attitudes and Practices（KAP） model on the occurrence of delirium in ICU patients. Methods Eighty patients treated in the ICU of the First Affiliated Hospital of Anhui Medical University during the time period of December 2024 to March 2025 were selected as the study subjects，and they were randomly divided into the control group and the experimental group，each with 40 cases. The control group implemented conventional nursing care，and the experimental group implemented the flexible on-demand visiting intervention model based on the KAP model. The ICU delirium scale（CAM-ICU-7） was used to compare the delirium levels of patients in the two groups 14day before and 3day，7day，and 14day after the intervention. And the nursing care satisfaction scores，adherence scores of the two groups were assessed and compared 14day before and after the intervention. Results After the intervention，the delirium score of patients in the experimental group was lower than that of the control group（P<0.001）. The nursing care adherence of patients in the experimental group was higher than that of the control group（P<0.05）. The delirium scores of patients in both groups decreased，and the patient satisfaction score of the experimental group was higher than that of the control group（P<0.001）. The levels of patient adherence and nursing satisfaction increased in both groups compared with the pre-intervention period. Conclusion Flexible on-demand visitation intervention based on the KAP model can reduce delirium level of ICU patients，improve treatment adherence，and thus enhance the nursing satisfaction of patients and their families.

Key words： Intensive Care Unit; KAP Model; Flexible On-Demand Visiting; Delirium

Cite this article

FANG Yexiang , HAN Jiangying , DU Xiaoling , WU Shanshan , LI Juan , YANG Xue . The influence of flexible on-demand visiting based on the KAP model on the occurrence of delirium in ICU patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026 , 7(2) : 148 -154 . DOI: 10.3761/j.issn.2096-7446.2026.02.003

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