Patients' Anxiety in Intensive Care Units and Its Related Factors

Koh, Chin Kang

doi:10.4040/jkan.2007.37.4.586

Cited by 8 publications

(6 citation statements)

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“…In this study, the mean anxiety score before the intervention was 2.44 to 2.56, indicating moderate to severe levels of stress, which is in line with the findings of Koh [5] and Fathi, [21] who measured the levels of anxiety among patients undergoing open-heart surgery. The mean uncertainty score in the present study was 2.27 to 2.40, a moderate level, which was similar to that of Lee, [22] who investigated uncertainty among patients with heart failure, and Jeon and Lee, [8] who investigated uncertainty among patients with cataracts.…”

Section: Discussionsupporting

confidence: 90%

“…[4] The level of anxiety in patients admitted to ICUs may be moderate or severe, while the anxiety in patients admitted to the cardiovascular ICUs is higher than that in any other ICU patient. [5,6] This is assumed to be because cardiac surgery usually has high vital risks, which can increase the level of preoperative anxiety in patients with heart disease. [7] The levels of environmental stress and anxiety correlate positively with the level of uncertainty.…”

Section: Introductionmentioning

confidence: 99%

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Effect of audiovisual media-based nursing information on environmental stress, anxiety, and uncertainty in patients undergoing open-heart surgery

2023

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Patients with heart disease often feel helpless and anxious because of illnesses in their vital organs. Unfamiliar environment of the intensive care unit is another factor that increases patient anxiety. This study developed audiovisual media-based information on nursing after open-heart surgery and evaluated its effect on patients’ post-surgery, with the aim of reducing patients’ environmental stress, anxiety, and uncertainty. This quasi-experimental study was conducted using a nonequivalent control group and non-synchronized pretest-posttest design to investigate the effect of audiovisual media-based nursing information provided prior to surgery on environmental stress, anxiety, and uncertainty in patients admitted to the cardiovascular intensive care unit after open-heart surgery. This study included 147 patients with heart disease who underwent open-heart surgery at a university hospital in South Korea. Dropouts in each group were caused by the following: for the control group, 2 were due to death, 9 discontinued, and 5 lost consciousness; for the experimental group, 2 were due to death, 6 discontinued, and 2 lost consciousness. The final number of participants investigated was 121 to 65 in the experimental group and 56 in the control group. Prior to surgery, the experimental group was provided with audio-visual information about nursing, whereas the control group was provided with written information about nursing. The environmental stress score was lower in the experimental group, 1.95 ± 0.51 points compared to 2.31 ± 0.51 points in the control group (t = 3.38, P < .001). There was a significant difference in anxiety between the mean pretest-posttest scores, with 0.39 ± 0.35 points in the experimental group, and −0.05 ± 0.58 points in the control group (t = 5.165, P < .001). On the other hand, there was a significant difference in uncertainty between the mean pretest-posttest scores, with 0.39 ± 0.4 points in the experimental group, and 0.24 ± 0.48 points in the control group (t = 4.541, P < .001). This finding indicates that providing audiovisual information regarding nursing before open-heart surgery is effective in reducing environmental stress, anxiety, and uncertainty in patients.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Effect of audiovisual media-based nursing information on environmental stress, anxiety, and uncertainty in patients undergoing open-heart surgery

2023

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“…국외의 경우 중환자실 환 자의 전실관련 교육에 대한 중환자실 및 병동간호사의 인식을 조사한 연구 Whittaker & Ball, 2000)나 전실스트레스를 줄이기 위한 방안으로 전실 관련 연계 프로토 콜 개발 (Cutler & Garner, 1995) (Jang, 2001;Koh, 2007;Yang, 2008) (Baldwin, Hinge, Dorsett, & Boyd, 2009;Chaboyer et al, 2005;Cutler & Garner, 1995;McGuire, Basten, Ryan, & Gallagher, 2000), 중환자실과 병동 간 물리 적 환경, 감시장치 및 의료진의 변화와 같은 환경변화 요인 (Leith, 1999;McKinney & Deeny, 2002;Odell, 2000), 전실과정 및 일반 병동에 대한 정보부족, 예정되지 않거나, 야간 전실과 같은 전실관련 특성 (Paul, Hendry, & Cabrelli, 2004;Strahan & Brown, 2005;Wesson, 1997 …”

Section: 중환자실 환자 대상의 전실스트레스 관련 연구들은 최근 20unclassified

Factors Influencing Relocation Stress Syndrome in Patients Following Transfer from Intensive Care Units

et al. 2010

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Purpose:The purpose of this study was to identify the levels of relocation stress syndrome (RSS) and influencing the stress experienced by Intensive Care Unit (ICU) patients just after transfer to general wards. Methods: A cross-sectional study was conducted with 257 patients who transferred from the intensive care unit. Data were collected through self-report questionnaires from May to October, 2009. Data were analyzed using the Pearson correlation coefficient, t-test, one-way ANOVA, and stepwise multiple linear regression with SPSS/WIN 12.0. Results: The mean score for RSS was 17.80± 9.16. The factors predicting relocation stress syndrome were symptom experience, differences in scope and quality of care provided by ICU and ward nursing staffs, satisfaction with transfer process, length of stay in ICU and economic status, and these factors explained 40% of relocation stress syndrome (F=31.61, p<.001). Conclusion: By understanding the stress experienced by ICU patients, nurses are better able to provide psychological support and thus more holistic care to critically ill patients. Further research is needed to consider the impact of relocation stress syndrome on patients' health outcomes in the recovery trajectory.

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“…In the case of open heart surgery patients, 60% show moderate or higher level of anxiety [11]. Open heart surgery is a major surgery, and as such, patients experience greater uncertainty regarding their postoperative recovery as compared to other types of surgery [12].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Video Information on Delirium, Anxiety, and Nursing Satisfaction of Heart Surgery Patients

Lee¹,

Lee

2017

IJBSBT

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Open heart surgery patients exhibit greater prevalence of delirium and moderate or higher level of anxiety. These symptoms may hinder postoperative recovery and health, and may even lead to complications. The objective of this study was to determine the effects of preoperative video information on delirium, anxiety, and nursing satisfaction of open heart surgery patients. This quasiexperimental study utilized a nonequivalent control group with a non-synchronized design, and was conducted from March 15, 2012 to December 1, 2014. The subjects consisted of 50 patients, of whom 25 comprised the experimental group and 25 the control group. On the day prior to surgery, the experimental group was provided with informative videos while the control group was provided with information through traditional medium. Delirium was diagnosed through CAM-ICU, while anxiety levels and Nursing Satisfaction were determined through STAI and questionnaire, respectively. Data was analyzed through SPSS WIN 21.0. The results showed no statistically significant difference (p=.260) in delirium incidences, but improvements were observed in anxiety levels (p=.028) and nursing satisfaction (p=.004). Thus, this study recommends the use of video information as part of nursing intervention for open heart surgery patients so as to reduce their anxiety levels and improve nursing satisfaction.

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Patients' Anxiety in Intensive Care Units and Its Related Factors

Abstract: Patients who were from the coronary care unit or had been stayed longer (up to 4 days) in the ICU were significantly associated with higher anxiety level.

Cited by 8 publications

References 0 publications

Effect of audiovisual media-based nursing information on environmental stress, anxiety, and uncertainty in patients undergoing open-heart surgery

Effect of audiovisual media-based nursing information on environmental stress, anxiety, and uncertainty in patients undergoing open-heart surgery

Factors Influencing Relocation Stress Syndrome in Patients Following Transfer from Intensive Care Units

The Effects of Video Information on Delirium, Anxiety, and Nursing Satisfaction of Heart Surgery Patients

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