Identifying the Factors Affecting Comfort and the Comfort Levels of Patients Hospitalized in the Coronary Care Unit

Abstract

Comfort, a concept associated with the art of nursing, is important for reducing the negative impact of hospitalization in a coronary care unit (CCU). Providing nursing interventions that ensure patient comfort is important for patients to respond positively to treatment. To determine the factors affecting comfort and the comfort levels of patients hospitalized in the CCU. A descriptive study. The study was conducted between December 2015 and February 2016 in the CCU of a state hospital located in Trabzon, Turkey. The sample consisted of 119 patients who complied with the criteria of inclusion for the study. Data were collected using the "Patient Information Form" and a "General Comfort Questionnaire." The mean patient comfort score was 3.22 ± 0.33, and we found significant relationships between comfort scores and age (r = -0.19; P = .03) and communication by nurses and physicians (P < .05). Regression analysis revealed that sufficient communication by physicians, education level, age, and having a companion were related to the comfort level (P < .05). Communication by nurses and physicians and having a companion could change the comfort levels of patients hospitalized in the CCU.

Patients’ perception of medical communication and their needs during the stay in the intensive care unit

“…Regarding what the patients felt, the findings of this study agree with other studies with patients admitted to the ICU, including pain and discomfort, ( 1 - 6 , 8 - 15 , 17 - 19 ) loneliness, ( 3 , 5 , 9 - 11 , 13 , 15 - 18 ) anxiety, ( 2 - 4 , 6 , 8 - 11 , 13 , 14 , 17 - 19 ) and fear. ( 1 , 3 , 5 , 8 , 9 , 13 , 15 - 19 ) Alasad et al raised concerns about the possibility of insufficient pain control in ICU patients. ( 1 ) Faria et al highlighted that pain management was the most cited measure in studies they reviewed.…”

“…While effective communication tends to be therapeutic and to create security and reduce the trauma of hospitalization, ( 3 , 5 , 9 , 11 - 13 , 16 , 17 , 19 ) its inadequacy can cause anxiety and stress. ( 17 )…”

“…Evaluating the quality of medical communication with ICU patients and understanding their needs are essential in order to promote the quality of their care. ( 1 , 3 , 9 , 13 , 17 )…”

Comparing the association of cardiovascular nursing care with blood pressure and length of stay of in-patients with coronary artery disease in Wuhan, China

“…Individuals who adjust CAD risk factors in a constructive direction can lower the risk for CAD 34 . Regardless of the fact that nurses can face time constraints and inadequate staffing, nursing practices can still be developed with technology that improves the physical environment to provide CAD patients with the opportunity to feel better about themselves 35 . Therefore, we recommend increased efforts in managing patients' stress to minimise triggering CAD attacks for promoting patients' wellbeing.…”

Determination of Correlation between the Severity of Dyspnea and General Comfort Level in Hospitalized COPD Patients

“…KOAH'lı bireylerde hastaneye yatışla birlikte ortamdan kaynaklanan fiziksel, çevresel ve psikolojik sorunlar konfor düzeyini etkileyebilmektedir. Özellikle klinik ve yoğun bakım ortamındaki gürültü, ses, ışık gibi fiziksel özellikler, hastanın evinden, alışık olduğu ortamdan ayrılması, uygulanan tedavi ve bakıma ilişkin memnuniyet, hastalık ve süreç hakkında bilgilendirilme durumu, sağlık personeli ile etkin iletişim, geçmiş hastane deneyimleri gibi bir çok faktör hasta konforunu etkileyebilmektedir (10)(11)(12). Bu nedenle, özellikle tekrarlı hastane yatışı olan ve ciddi düzeyde dispne sorunu olan ileri evre KOAH hastalarında, konfor düzeyini değerlendirme ve geliştirmeye yönelik hemşirelik girişimlerinin uygulanması daha da önem kazanmaktadır.…”