Communication Tool Evaluation on Intensive Care Patients.

Invasive mechanical ventilation is commonly used in intensive care, in sedated patients but also in perfectly conscious patients, and this on a daily basis.

For these patients, the resulting deprivation of oral expression is a major source of stress and discomfort. On the side of the caregivers, the difficulty of comprehension is a source of frustration on a daily basis.

Thus PICT'REA has been developped in order to help patients and caregivers to better understand each other during invasive ventilation.

PICT'REA is a tool in the form of a mobile app with simple pictograms allowing simple communication (Yes/No/Pain chart...).

The study will analyze the quality of communication between patients and caregivers before and after the introduction of the application:

• Before setting up the tool: control group

• Over a period of 6 months
• In the multi-purpose resuscitations of Cardio Vascular Surgery and Neurosurgery.
• After setting up the tool:

• Over a period of 6 months
• In the same departments.

The analyses consists of various questionnaires :

• the modified Ease of Communication Scale,
• a Short questionnaire in 3 questions for caregivers,
• IPREA questionnaire for patients,
• Evaluation of the usability of the system by System Usability Scale questionnaire,
• Evaluation of the attractiveness of the system by Attrackdiff questionnaire.

Inclusion criteria

• Hospitalized in intensive care or intensive care
• ventilated on a tracheostomy or an orotracheal intubation tube for> 24 hours
• not too agitated or too sedated (RASS -1 to +2) for> 24 hours
• Confusion Assessment Method (CAM) ICU negative
• Speak or read French

Exclusion criteria

Inability to use the device:

• Blind or visually impaired
• Severe paresis of the upper limbs
• No understanding of the tool.