Afectación emocional de los pacientes ingresados en una unidad de cuidados intensivos [Psychological distress in patients admitted in an Intensive Care Unit]

Gil, Beatriz Gutiérrez; Ballester, Rafael; Gómez, Sandra Milena Mateus; Abizanda, Ricardo

doi:10.5944/rppc.vol.18.num.2.2013.12769

Cited by 10 publications

(19 citation statements)

References 31 publications

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“…En este sentido, el estado de sentir ausencia de autocontrol y limitación por la presencia de dispositivos, como tubos o sondas, obligando al paciente a permanecer encamado y/o sentado durante todo el día, ha sido considerado como un importante factor estresante representando el 57,6% en la investigación desarrollada sobre la Afectación emocional de los pacientes ingresados en una unidad de cuidados intensivos (Gil et al, 2013).…”

Section: Desorientación Temporo-espacialunclassified

Factores estresores en pacientes COVID – 19 en unidad de cuidados intensivos, revisión sistemática

Ortiz

Michuy

Plaza

et al. 2023

LATAM

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El COVID-19 no solo cambió la forma de vivir, sino también la forma de morir; una persona en unidad de cuidados intensivos es vulnerable al estrés por la asistencia altamente instrumental y el uso de fármacos que afectan la vigilia y la agudeza mental; además, la presencia de ambientes monótonos y rutinas de cuidado que irrumpen los ritmos circadianos; el temor ante lo desconocido conlleva al límite de una conducta estresante, que entorpece la recuperación del paciente, prolongando su estancia hospitalaria, y con ello el deterioro de su calidad de vida, pudiendo incluso equipararse con empeorar su enfermedad. La investigación pretende identificar los principales factores estresores presentes en pacientes con COVID – 19 en la unidad de cuidados intensivos, de carácter descriptivo, exploratorio, con abordaje cualitativo; sustentada en la revisión bibliográfica de literatura científica disponible. Posterior a la revisión se concluye que los factores estresores frecuentes como; el dolor, ruido, la dificultad para comunicarse, inmovilidad, ausencia de autocontrol, la incertidumbre, la desorientación temporo-espacial, ausencia de un familiar cercano, la limitación por presencia de dispositivos invasivos en pacientes COVID-19 que permanecen en la UCI.

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Section: Desorientación Temporo-espacialunclassified

Factores estresores en pacientes COVID – 19 en unidad de cuidados intensivos, revisión sistemática

Ortiz

Michuy

Plaza

et al. 2023

LATAM

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“…Various studies assess anxiety and depression in critically-ill patients, as well as the different stressors that can be manifested in them (16,18) . However, there is no validated questionnaires to quantify so concrete Nursing care aspects such as the sensations generated by daily hygiene.…”

Section: One Of the Rights Of Patients Admitted To Intensivementioning

confidence: 99%

Emotional response of critically-ill cardiac patients during hygiene procedures in intensive care: a prospective and descriptive study

Pérez-Ortega,

Vallés,

Barrera

et al. 2023

Rev. Latino-Am. Enfermagem

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Objective: to analyze the emotional response of critically-ill conscious patients during daily hygiene procedures in a Cardiology Intensive Care Unit and to compare it based on the existence of previous experiences or not. Method: a prospective and descriptive study. A 30-item ad hoc survey based on the first-day hygiene procedures was applied to 148 patients. Questions are asked about the feelings during the hygiene procedures and about positive and negative aspects of the experience. The patients are compared based on whether they had been already subjected to hygiene procedures or not. Results: 67.6% were men and their mean age was 67±15 years old; 45.9% proved to be satisfied, 27% felt embarrassment and 86.3% were grateful to the professionals for talking to them during the hygiene procedures. 33.1% of the patients had never been subjected to hygiene procedures in bed, were significantly younger and single, and presented a lower cleanliness sensation. 32% stated that they would like for a family member to collaborate in the hygiene procedures. Conclusion: the patients do not feel that their intimacy is invaded when they are subjected to hygiene procedures and appreciate communication with the health personnel while this care is provided. Those who had never been subjected to hygiene procedures in bed are younger, feel more embarrassed and are more disturbed by interruptions, in addition to being more aware of them.

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“…The American Psychiatric Association in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) classifies ICU admission as a traumatic stressor that exposes patients to the threat of death and disrupts their usual roles. 1,2 The psychological impact of this experience may have a negative impact during the patient's recovery, 3 as evidenced by the fact that anxiety, depression, and post-traumatic stress disorder (PTSD) symptoms are more prevalent among critical care survivors than in the general population. 4 Technological and pharmacological advances have led to increased survival rates among critical care patients.…”

Section: Introductionmentioning

confidence: 99%

“…11 Analgosedation is a necessary practice in ICUs to achieve patient comfort and pain relief, reduce their anxiety, and allow them to rest without interfering with medical and nursing care. 1 However, adequate levels of sedation are not always easy to achieve in all critically ill patients, and sedation misuse could impact negatively on their outcome during and after ICU admission. 12 In 2008, the analgosedation working group of the Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC), defined the term "difficult sedation" (DS) as situations of tolerance, therapeutic failure (the inability to obtain the desired sedation level after the maximum dosage allowed), or withdrawal symptoms to the sedatives used (this can lead to symptoms such as restlessness, muscle shaking, insomnia, anxiety, and in extreme cases, hallucinations and delirium) establishing clear criteria to achieve its diagnosis.…”

Section: Introductionmentioning

confidence: 99%

“…Analgosedation is a necessary practice in ICUs to achieve patient comfort and pain relief, reduce their anxiety, and allow them to rest without interfering with medical and nursing care 1 . However, adequate levels of sedation are not always easy to achieve in all critically ill patients, and sedation misuse could impact negatively on their outcome during and after ICU admission 12 .…”

Section: Introductionmentioning

confidence: 99%

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Psychological symptoms in difficult‐to‐sedate critical care survivors

Gil-Castillejos

Rubio

Ferre

et al. 2021

Nursing in Critical Care

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BackgroundCritical care survivors often experience symptoms of anxiety, depression, or post‐traumatic stress disorder (PTSD).AimsTo determine the prevalence and severity of psychological symptoms during the first 6 months after discharge from the intensive care unit (ICU) and to evaluate its association with patients who are difficult to sedate during admission.DesignDescriptive, prospective analysis of psychological symptoms in survivors from medicosurgical ICU over a 2‐year period.MethodsAll ICU survivors who required mechanical ventilation (MV) for more than 24 hours were followed for 6 months after their ICU discharge. ICU outcome and complications as well as the presence of psychological symptoms, 1 to 3 to 6 months after discharge were prospectively evaluated through phone interviews comparing the incidence and intensity of patients who were difficult to sedate during their ICU stay with those who were not. Descriptive analysis and multivariate logistic regression were performed.ResultsData were obtained for 195 patients, of whom 30% experienced difficult sedation (DS). Difficult‐to‐sedate patients were younger (P = .001), less critically ill (APACHE II score P = .002), and more likely to engage in harmful use of alcohol (P = .001) and psychoactive/psychotropic drug abuse. They also spent longer times on MV and in the ICU (P = .001). Anxiety incidence at 1 to 3 to 6 months post‐discharge was significantly higher in DS patients than in those who were not (87.7% vs 45.4%, 75.5% vs 29.0%, and 70.8% vs 23.7%; P < .01), respectively. Depression incidence was also significantly higher in the DS group (82.4% vs 43.1%, 66% vs 33.9%, and 60.4% vs 27.2%; [P = .001]) at 1 to 3 to 6 months, respectively. A higher percentage of patients in the DS group reported symptoms of PTSD at 1 month (28.1% vs 11.5%) (P = .007) when compared with non‐DS group.ConclusionsCritical care survivors who are difficult to sedate during their ICU stay are more likely to present psychological sequelae. Early identification of at‐risk patients is necessary to implement appropriate preventive strategies.Relevance to clinical practicePatients who are difficult to sedate in the ICU may develop psychological disorders upon discharge, which may negatively affect their recovery. The prevention of DS and the early detection of psychological disorders are essential to minimize its subsequent impact.

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Afectación emocional de los pacientes ingresados en una unidad de cuidados intensivos [Psychological distress in patients admitted in an Intensive Care Unit]

Cited by 10 publications

References 31 publications

Factores estresores en pacientes COVID – 19 en unidad de cuidados intensivos, revisión sistemática

Factores estresores en pacientes COVID – 19 en unidad de cuidados intensivos, revisión sistemática

Emotional response of critically-ill cardiac patients during hygiene procedures in intensive care: a prospective and descriptive study

Psychological symptoms in difficult‐to‐sedate critical care survivors

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