BACKGROUND: Patients admitted to the neuroscience intensive care unit often experience varying states of confusion and restlessness. The purpose of this study was to examine restlessness in acutely confused patients through use of familiar photographs. METHODS: This randomized prospective pilot study placed family photographs (photos) on the bedrail of confused patients during the night shift (8 pm to 4 am) in a neuroscience intensive care unit. Wrist actigraphy was used to examine restlessness when patients were turned to face the photos versus when they were not facing the photos. RESULTS: The 20 patients enrolled provided 34 nights worth of data during which 32 640 actigraph readings were obtained. On the first night of study, the odds of wrist movement were higher when the patient was facing the photos compared with not (odds ratio, 1.51; 95% confidence interval, 1.42-1.61). During subsequent nights, the odds of wrist movement were lower when the patient was facing the photos compared with not (odds ratio, 0.82; 95% confidence interval, 0.75-0.90). CONCLUSION: Use of familiar photos does not change restlessness, agitation, or delirium on the first night of observation. However, the use of familiar photos may decrease restlessness on the subsequent nights. There are important subjective observations from researchers and family that suggest all subjects had a noticeable response when initially seeing the familiar photos.

中文翻译：

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使用家庭照片可以减少神经重症监护患者的不安。

背景：入住神经科学重症监护室的患者经常会经历不同程度的混乱和不安。这项研究的目的是通过使用熟悉的照片来检查严重困惑的患者的焦躁情绪。方法：这项随机前瞻性试点研究将神经科学重症监护病房夜班期间（晚上 8 点至凌晨 4 点）困惑的患者的家庭照片（照片）放在床栏上。手腕活动记录仪用于检查患者面对照片和不面对照片时的躁动情况。结果：入组的 20 名患者提供了 34 个晚上的数据，期间获得了 32 640 个活动记录仪读数。在研究的第一个晚上，与不面对照片时相比，患者面对照片时手腕运动的几率更高（优势比，1.51；95% 置信区间，1.42-1.61）。在随后的夜晚，与不面对照片时相比，患者面对照片时手腕运动的几率较低（比值比，0.82；95% 置信区间，0.75-0.90）。结论：使用熟悉的照片并不能改变观察第一个晚上的不安、激动或谵妄。然而，使用熟悉的照片可能会减少接下来的夜晚的不安。研究人员和家人的重要主观观察表明，所有受试者在最初看到熟悉的照片时都有明显的反应。