Patient stress in intensive care: comparison between a coronary care unit and a general postoperative unit

Dias, Douglas de Sá; Resende, Mariane Vanessa; Diniz, Gisele do Carmo Leite Machado

doi:10.5935/0103-507x.20150005

Cited by 25 publications

(32 citation statements)

References 23 publications

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“…However, spending more days at the hospital increases the likelihood of building illusory memories, such as hallucinations, nightmares, or thinking that people want to harm them. The degree of complexity of care that limits the number of stressors (Dias, Resende, & Diniz, 2015), because, in a consistent way with the main causes of morbidity and mor-tality worldwide, the unit from which most data were obtained was the coronary ICU, which is specialized in cardiovascular problems and provides intermediate care. For this reason, monitoring, therapeutic measures, and life support are less aggressive and invasive; hence, our study contradicts other studies where there is a preponderance of physical factors such as thirst, not being able to sleep, restraint, limitation of movement, and having tubes in the nose or mouth (Bernal Ruiz & González Consuegra, 2015).…”

Section: Discussionmentioning

confidence: 99%

Stressors in patients admitted to adult intensive care units

Ruiz¹,

Consuegra²,

Ruiz³

2018

Rev. Enf. Ref.

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Background: Intensive care units (ICU) are stress-generating settings given the environment and the biomedical approach that is practiced there. Objectives: To identify the perception and level of stress that the situations that occur in the ICU generate on the patients and determine the sociodemographic characteristics influencing stress. Methodology: Observational, cross-sectional study with an analytical approach in which the Escala de Factores Estresantes Experimentados por los Pacientes en UCI was applied. Results: In this sample, 13% of respondents had a moderate or high level of stress. The most stressful situations included being concerned about their health and its consequences, not being able to go to the bathroom, not being able to fulfill their role in the family, not having control over their activities, and feeling pain. The analysis of the sociodemographic data showed that education (p = 0.028): basic (p = 0.028; OR = 16) and university (p = 0.027 ; OR = 17) influenced the level of stress. Conclusion: For most of the interviewees, ICU stay was not stressful or mildly stressful. The educational level predisposes to stress perception. The most stressful situations are emotional situations.

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Section: Discussionmentioning

confidence: 99%

Stressors in patients admitted to adult intensive care units

Ruiz¹,

Consuegra²,

Ruiz³

2018

Rev. Enf. Ref.

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“…Among the cardiovascular diseases is Acute coronary syndrome (ACS), characterized by unstable angina (UA) and acute myocardial infarction (AMI), with or without ST elevation, (Piegas et al., ). The acute phase after ACS (Schiza et al., ), and the subsequent hospitalization (Dias, Resende, & Diniz, ; Magalhães, de Jesus, Gois, & LLapa‐Rodríguez, ; Membrive et al., ), can lead to psychological and physiological dysfunctions in the individual, such as poor quality and quantity of sleep. The additional stressors within the hospital environment, in addition to the disease itself, can contribute to sleep issues; therefore, nurses should consider whether these patients’ responses might indicate nursing diagnoses (ND) related to impaired sleep.…”

Section: Problem Identificationmentioning

confidence: 99%

Diagnostic Accuracy of the Disturbed Sleep Pattern in Patients with Acute Coronary Syndrome

Manzoli

Correia

Botelho

et al. 2019

Int J of Nursing Knowl

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OBJECTIVE To clinically validate the nursing diagnosis, disturbed sleep pattern (00198), in patients with acute coronary syndrome. DATA COLLECTION A clinical validation study using the patient history, Visual Analog Sleep scale, and diagnostic inference. Accuracy techniques were performed. SYNTHESIS OF DATA There were 75 patients: 76.00% were men, and 82.66% had a myocardial infarction. The defining characteristic, changes in sleep pattern, presented a sensitivity of 0.900 and specificity of 0.9714. CONCLUSION Changes in sleep pattern was a predictor of the nursing diagnosis. IMPLICATIONS FOR PRACTICE Results will contribute to the identification of sleep disturbances, by nurses, emphasizing the importance of improving sleep during hospitalization. OBJETIVO Validar clinicamente o Diagnóstico de Enfermagem Padrão de Sono Prejudicado (00198) em pacientes com Síndrome Coronariana Aguda. MÉTODOS Estudo de validação clínica, utilizando Histórico de Enfermagem, Escalas Visuais Análogas do Sono e inferência diagnóstica. Realizada medidas de acurácia. RESULTADOS 75 pacientes, 76,00% homens e 82,66% com Infarto do Miocárdio. A característica definidora Alteração do Padrão de Sono teve 0,900 de Sensibilidade e 0,9714 de Especificidade. CONCLUSÕES Alteração do padrão de sono foi preditora do diagnóstico de enfermagem. IMPLICAÇÕES PARA A PRÁTICA Contribuirá na identificação de distúrbios do sono, pelos enfermeiros, ressaltando a importância da melhoria do sono durante a internação.

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“…Likewise, vigilant monitoring from nursing staff and separation from the family are perceived as the stressor for CHD respondents who were treated in ICU [4]. These may cause the patient to feel lost control and under the scrutiny of health care professionals.…”

Section: Introductionmentioning

confidence: 99%

“…Psychological stressors include anxiety, perceived life threatening condition and ICU environment [4], [5]. Likewise, vigilant monitoring from nursing staff and separation from the family are perceived as the stressor for CHD respondents who were treated in ICU [4].…”

Section: Introductionmentioning

confidence: 99%

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Mind-Body-Spiritual Nursing Care in Intensive Care Unit

Kurniawati¹,

Suharto²,

Nursalam³

2017

Proceedings of the 8th International Nursing Conference on Education, Practice and Research Development in Nursing (INC 2017)

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Abstract-The fast-paced and high technology environment coupled with high acuity and life-threatening patient conditions in intensive care unit (ICU) have led the nurse focused on professional competence and technical skills to maintain a stable physiological condition. This may result in negligence of other aspects of caring i.e. psychological and spiritual aspects. This study aimed at revealing the nurses and patients' experience on mind-body and spiritual nursing care at ICUs. The study was conducted at two hospitals: a university hospital and a private hospital in Surabaya used a phenomenological approach. The population of the study was both patients and nurses in intensive care units who were selected using purposive sampling technique. Fourteen nurses and nine patients were recruited as participants. Data collection took place from September to December 2016 by In-depth interview. Data obtained were processed and analyzed using methods of Colaizzi. Seven themes were generated from the data: patients' and nurses' perception of nursing care, patient issues, hospital environment, family support, and how patients cope with the stressors. Mind-body-spiritual nursing care is important for the patient in critical care setting to cope with the stressors. In addition to the nursing care, the patient stressors, ICU environment, family support, and experience also affect patient coping. A further study is required to establish which stimulus is significant for patient coping and what model of mind-body-spiritual nursing care is best to meet the patient need in ICU.

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Patient stress in intensive care: comparison between a coronary care unit and a general postoperative unit

Cited by 25 publications

References 23 publications

Stressors in patients admitted to adult intensive care units

Stressors in patients admitted to adult intensive care units

Diagnostic Accuracy of the Disturbed Sleep Pattern in Patients with Acute Coronary Syndrome

Mind-Body-Spiritual Nursing Care in Intensive Care Unit

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