A Hospital Stress Rating Scale

Stress associated with hospitalization in patients with COPD: the role of social support and health related quality of life

“…The HSRS results show a lower value than the mean score of the HSRS questionnaire (range of scores: 49 to 441 points) [5]; HSRS mean score: 220.5; COPD patients mean score: 166, 4; difference: 54.1 points. COPD patients consider the items related to change of habits, loss of control, loss of autonomy and privacy, as the most stressful items during hospitalization.…”

“…Our study shows that COPD patients hospitalized in this chronic hospital perceived hospitalization as a little stressing event, contrary to prior literature findings already exposed. However, these hospitalized chronic patients were exposed to potentially stressing factors and suffered from the same effects of routine and protocols, consolidated throughout their history in these institutions [5,6] which can affect disease evolution and prognosis. Our analysis confirms that, in COPD patients, the most powerful stress factors were related to environmental factors (for example remaining in the same room and sleeping in a bed different from the habitual one); however, in previous studies, these items occupied the last positions in hospitalized patients in general hospitals [5,18,19].…”

“…Hospital Stress Rating Scale [5] (HSRS): made up of a list of 49 commonly stressful hospital events assessed by patients (9 points: 1 “not at all stressful”, 9 “extremely stressful”) as to whether he or she had experienced it. We applied the author’s score correction (items summation); range of scores was 49 to 441 points.…”

“…These effects have been described and analyzed by different authors over the past few years [1-4]. Volicer et al [5]. identified hospital experiences related to routine attention that are perceived as stressful during hospitalization, like: difficulties to obtain data concerning their own therapeutic processes, ignorance of the consequences of the disease, dangers that test involves, reduction of intimate space in the room, use of medical language, restriction of visits of own family’s members and friends, etc.…”

Afectación emocional asociada al ingreso en una Unidad de Cuidados Intensivos

“…En esta adaptación se han incluido ítems de la escala original (Richart et al, 1993) así como otros nuevos obtenidos a partir de la literatura revisada (López, Pastor, Rodríguez, Sánchez & Belmonte, 1990;Volicer & Bohanon, 1975) y de las entrevistas clínicas realizadas, con la finalidad de evaluar el grado de estrés que pueden generar distintos factores asociados al ingreso en una Unidad de Cuidados Intensivos.…”