Assessment of Experiences of Patients Discharged from Intensive Care Units

Adsay, Esra; Dedeli, Özden

doi:10.5152/dcbybd.2015.955

Cited by 8 publications

(11 citation statements)

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“…The stressors that have been frequently reported in previous studies include sleep deprivation, thirst, gastric tube, oxygen administration, tracheal aspiration, physical movement, isolation, nursing care applications, and inability to speak. 11,15,25,33,34 Each of these stressors was Demir et al 35 The Turkish version consists of 19 items and four subscales, that is, awareness of surroundings (5 items; 5-25 points), frightening experiences (6 items; 6-30 points), recalling of experiences (4 items; 4-20 points), and satisfaction with care (4 items; 4-20 points). In the study by Demir et al, 28 Cronbach's alpha coefficient was found to be .69 for the scale.…”

Section: Data Collection Toolsmentioning

confidence: 99%

“…They also reported a negative relation between the mental component of the quality of life and ICU experiences and a positive relation between awareness of surroundings, recall of experiences, and satisfaction with care and ICU experiences . It has also been noted in the literature that demographic features, duration of ICU stay, mechanical ventilation, pain, and communication affect the ICU experiences of patients . However, there are insufficient data on the effect of stressors on patients' ICU experiences.…”

Section: Introductionmentioning

confidence: 99%

“…What patients experience during their ICU stay comprises their ICU experiences, which affect the quality of their lives after dis- 24 It has also been noted in the literature that demographic features, duration of ICU stay, mechanical ventilation, pain, and communication affect the ICU experiences of patients. 11,[25][26][27][28][29][30][31][32] However, there are insufficient data on the effect of stressors on patients' ICU experiences. An objective evaluation of the relation between stressors and ICU experiences of patients may allow health care providers to manage stressors well and improve the quality of care.…”

Section: Introductionmentioning

confidence: 99%

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The relationship between stressors and intensive care unit experiences

Zengin¹,

Ören²,

Ustundag

2019

Nursing in Critical Care

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Background Patients in intensive care units (ICUs) face many physical and psychological stressors because of the environment of these units and their own critical conditions and experience stress in various degrees. Each stressor may affect patients' experiences in ICUs differently. Aim and objectives This study aimed to examine the relationship between stressors and patients' experiences in an ICU. Methods This descriptive, cross‐sectional study was conducted between September 2014 and June 2015 in a university hospital and included 116 patients who were admitted to the general ICU for at least 24 hours. Data were collected using the Intensive Care Experience Scale and a questionnaire that included questions about socio‐demographic and disease‐related characteristics of patients and their stressors. Results The mean age of the patients was 57.81 ± 13.81 years, and the mean duration of ICU stay was 2.28 ± 3.88 days. There was a moderate positive relation between the stressors noise (r = .534; P < .01), thirst (r = .438; P < .01), loneliness (r = .410; P < .01), and pain (r = .404; P < .01) and the subscale frightening experiences. However, there was a moderate, negative relation between the stressors inability to speak (r = −.444; P < .01), surrounding speeches (r = −.458; P < .01), equipment noise (r = −.490; P < .01), and physical exercise (r = −.546; P < .01) and the subscale satisfaction with care. Conclusions The patients associated stressors with satisfaction and frightening experiences in the early period of their discharge from the ICU. As stressors increases, so do frightening experiences, and satisfaction with care is affected negatively. Relevance to clinical practice Currently, stressors to which patients discharged from ICU are exposed during their admission to wards are not evaluated in practice. This study is important in that it can help health professionals be aware of effects of stressors on patients in the early period of their discharge.

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Section: Data Collection Toolsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The relationship between stressors and intensive care unit experiences

Zengin¹,

Ören²,

Ustundag

2019

Nursing in Critical Care

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“…[15] Hintistan ve arkadaşlarının çalışmasında yaş, cinsiyet, eğitim durumu, medeni durum, mesleğin hastaların yoğun bakım deneyimlerini etkilemediği belirlenmiştir. [13] Adsay ve Dedeli'nin çalışmasında [16] kadınların ve yoğun bakımda kalma süresinin 20 gün ve üzerinde olan hastaların yoğun bakım deneyimlerini etkilediği bulunmuştur. [16] Terzi'nin çalışmasında hastalarda cinsiyet, yaş medeni durum, eğitim durumu, meslek ve gelir durumunun yoğun bakım deneyimlerini etkilemediği belirlenmiştir.…”

Section: Hasta Bilgi Formuunclassified

“…[13] Adsay ve Dedeli'nin çalışmasında [16] kadınların ve yoğun bakımda kalma süresinin 20 gün ve üzerinde olan hastaların yoğun bakım deneyimlerini etkilediği bulunmuştur. [16] Terzi'nin çalışmasında hastalarda cinsiyet, yaş medeni durum, eğitim durumu, meslek ve gelir durumunun yoğun bakım deneyimlerini etkilemediği belirlenmiştir. [1] Yaşla birlikte çoklu kronik hastalık varlığı olmakla birlikte hastaların olumlu baş etme mekanizmaları geliştirmelerinin yaşlı hastaların yoğun bakım deneyimlerini olumlu yönde etkilediği düşünülmektedir.…”

Section: Hasta Bilgi Formuunclassified

Yoğun Bakım Ünitesinde Tedavi Gören Hastaların Deneyimlerinin Belirlenmesi

Sekmen¹

2019

J Cardiovasc Nurs

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Çalışma yoğun bakım ünitesinde tedavi gören hastaların yoğun bakım deneyimlerini ve etkileyen faktörleri belirlemek amacıyla planlandı. Yöntemler: Araştırma Edirne ilindeki bir üniversite hastanesi Koroner Yoğun Bakım Ünitesinde yatarak tedavi gören ve rastlantısal örneklem yolu ile seçilen toplam 107 hasta ile yürütüldü. Çalışmanın verileri Yoğun Bakım Deneyim Ölçeği (YBDÖ) kullanılarak elde edildi. Verilerin analizinde SPSS 19.0 programında, yüzdelik, ortalama, Mann Whitney-U testi, Kruskal-Walis H testi tekniği kullanıldı. Bulgular: Yoğun bakım hastalarının yaş ortalaması 62.07±11.4 idi. Hastaların yoğun bakım deneyim ölçeği genel toplam puan ortalamaları 67.0±8.56 (min-max: 38.0-80.0) idi. Erkek hastaların kadın hastalara oranla, genel olarak 61 yaş ve üstünde olan hastaların 60 yaş ve altında olan hastalara oranla ve bekar hastaların evli hastalara oranla, yoğun bakım deneyimlerinin daha pozitif olduğu belirlendi (p <0.05).Yoğun bakımda 1-5 gün arasında yatan ve girişimsel kardiyoloji işlemi için yatışı yapılmış yoğun bakım hastalarının yoğun bakım deneyimlerinin diğer gruplara göre daha pozitif olduğu belirlendi (p<0.05). Sonuç: Bu sonuçlar doğrultusunda hastaların yoğun bakıma yatış sırasındaki negatif deneyimlerinin azaltılmasına yönelik bireysel (yaş, cinsiyet vb.) ve hastalığa ilişkin (klinik tanı, yoğun bakımda kalma süresi) özellikler göz önünde bulundurularak hemşirelik bakımının planlanması ve uygulanmasının yoğun bakım hastalarının iyileşme düzeylerine katkı sağlayacağı düşünülmektedir. Anahtar sözcükler: Akut koroner sendrom; hemşirelik; yoğun bakım ünitesi; yoğun bakım deneyimi; yoğun bakım deneyim ölçeği. Determining the Experiences of the Patients who were being Treated in Intensive Care Unit

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Perceptions of adult intensive care unit patients regarding nursing presence and their intensive care experiences: A descriptive‐correlational study

Canbolat,

Aktas,

Aydın

2024

Journal of Clinical Nursing

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Aims and ObjectivesThis study aims to determine the relationship between perceptions of nursing presence and intensive care experiences in adult intensive care unit patients'.BackgroundIntensive care units (ICUs) are settings where patients have many negative emotions and experiences, which affect both treatment and post‐discharge outcomes. The holistic presence of nurses may help patients turn their negative emotions and experiences into positive ones.DesignA descriptive‐correlational design was used and reported according to the STROBE checklist.MethodsThe sample consisted of 182 participants. Data were collected using a personal information form, the Glasgow Coma Scale (GCS), the Intensive Care Experience Scale (ICES), and the Presence of Nursing Scale (PONS).ResultsA strong positive correlation existed between total ICES and PONS scores (r = 0.889, p < 0.001). There was a strong positive correlation between PONS total score and ICES subscales (awareness of surroundings (r = 0.751, p < 0.001), frightening experiences (r = 0.770, p < 0.001), recall of experience (r = 0.774, p < 0.001), and satisfaction with care (r = 0.746, p < 0.001)). Males (β = −0.139, p < 0.05), and patients who were university and higher education graduate (β = 0.137, p < 0.05) had higher positive ICU experiences. It was also found length of ICU stay was correlated with ICU experiences and nursing presence.ConclusionsThe more positively the patients perceive nurses, the better ICU experiences they have. Gender and education level were found determinants of adult ICU patients' experiences. ICU length of stay predicted what kind of experience patients have and how much they feel the presence of nurses.Relevance to Clinical PracticeNurses should make their presence felt completely and holistically by using their communication skills for patients have more positive intensive care experiences. Nurses should consider variables which affects patients' ICU experiences and nursing presence.

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Assessment of Experiences of Patients Discharged from Intensive Care Units

Cited by 8 publications

References 12 publications

The relationship between stressors and intensive care unit experiences

The relationship between stressors and intensive care unit experiences

Yoğun Bakım Ünitesinde Tedavi Gören Hastaların Deneyimlerinin Belirlenmesi

Perceptions of adult intensive care unit patients regarding nursing presence and their intensive care experiences: A descriptive‐correlational study

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