Nursing Interventions to Reduce Stress in Families of Critical Care Patients: An Integrative Review

Lebel, Valérie; Charette, Sylvie

doi:10.4037/ccn2021188

Cited by 10 publications

(6 citation statements)

References 51 publications

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“…After the knee arthroscopy, patients often experience limb pain and swelling several hours after surgery. At this time, the orthopedic clinical nurses cannot be “inactive.” After the pain and swelling have occurred on the patient, they passively ask the doctor for corresponding symptomatic treatment (such as oral administration, intramuscular injection, and intravenous infusion of analgesics), which increases the pain of the patient imperceptively [ 17 , 18 ]. At this point, the clinical nurse should be proactive in assessing pain and swelling.…”

Section: Experiments and Analysismentioning

confidence: 99%

Nursing Methods and Experience of Local Anesthesia Patients under Arthroscope

Zhang

JingWang²,

Gao³

et al. 2022

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In order to solve the nursing problems of local anesthesia patients under arthroscopy, a nursing method and experience based on local anesthesia patients under arthroscopy was proposed. From June 2019 to May 2021, 478 patients who underwent knee arthroscopy under spinal anesthesia or local anesthesia were retrospectively investigated, including 186 cases (38.9%) under local anesthesia and 292 cases (61.1%) under spinal anesthesia. 2% lidocaine plus epinephrine was injected locally and intra-articular in patients with local anesthesia, and 0.75% bupivacaine in patients with spinal anesthesia. It was found that in the local anesthesia group and spinal anesthesia group, 94.1% (175/186) and 98.3% (287/292) patients did not feel pain during operation. 93.0% (173/186 cases) and 96.2% (281/292 cases) of patients in the two groups were satisfied or very satisfied with the effect of anesthesia, respectively. The experimental results showed that local anesthesia was a simple and effective anesthesia method for knee arthroscopy, which was more reliable and safer than spinal anesthesia. Local anesthesia could be used for knee arthroscopy or cleaning and rinsing, free body removal, or even common meniscinoplasty.

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Section: Experiments and Analysismentioning

confidence: 99%

Nursing Methods and Experience of Local Anesthesia Patients under Arthroscope

Zhang

JingWang²,

Gao³

et al. 2022

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“…Comme l'infirmier.ère est au chevet de la personne durant l'ensemble des soins prodigués, elle établit rapidement un lien de confiance avec la personne soignée et la famille, ce qui lui permet d'accueillir et d'accompagner cette dernière et lui permettre de verbaliser ses craintes et poser ses questions. Elle a un rôle clé pour aider les membres de la famille de la personne ventilée mécaniquement à gérer le stress important généré par la situation de santé précaire de leur proche (51). À cet effet, l'infirmière doit favoriser le rôle actif de la famille auprès de la personne ventilée mécaniquement, valoriser la collaboration avec celle-ci et maintenir une communication ouverte et franche avec les membres de la famille (51,52).…”

Section: La Familleunclassified

L’intubation à l’urgence : le rôle infirmier lorsqu’une personne adulte est ventilée mécaniquement (partie 2)

Paquette,

Peguero-Rodriguez,

Lemieux

et al. 2023

soinsurgence

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À l’urgence, le personnel infirmier doit régulièrement prendre soin de personnes sous ventilation mécanique. Selon les délais, la personne soignée peut demeurer à l’urgence pendant plusieurs heures avant d’avoir un lit dans une unité de soins intensifs. L’équipe soignante de l’urgence doit donc être en mesure d’évaluer, d’assurer une surveillance et d’initier promptement des interventions afin de favoriser des soins optimaux pour la personne ventilée mécaniquement. Dans ces circonstances, des connaissances sur le fonctionnement du respirateur, sur les complications associées et sur la surveillance clinique sont nécessaires à des soins de qualité. Ainsi, cet article couvrira les buts de la ventilation mécanique, les paramètres et les modes ventilatoires, les surveillances et les interventions infirmières, ainsi que les activités de surveillance et de prévention des complications liées à la ventilation mécanique.

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“…Hospitalization of critically ill patients requiring intensive care is challenging for family members who could experience stress, anxiety, depression, sleep disturbances and symptoms of posttraumatic stress disorder 13 . Just as the presence of the family is important for patients, both personal and virtual or remote contact is equally important for the family members themselves, as it enables them to cope with a difficult situation 14 .…”

Section: Introductionmentioning

confidence: 99%

The spectrum of psychological disorders in family members of patients suffering from delirium associated with critical illness: a prospective, observational study

Kotfis,

Maj,

Szylińska

et al. 2024

Sci Rep

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During intensive care unit admission, relatives of critically ill patients can experience emotional distress. The authors hypothesized that families of patients who are diagnosed with intensive care unit (ICU) delirium experience more profound depression and anxiety disorders related to stress than do families of patients without delirium. We performed a prospective observational single-center study including families of adult patients (age above 18 years) hospitalized in a 17-bed ICU of a university hospital for at least 48 h who completed research questionnaires at day 2 after admission and day 30 after initial evaluation using dedicated questionnaires (HADS, CECS, IES, PTSD-C). A total of 98 family members of patients hospitalized in the ICU were included in the final analysis (50 family members whose relatives were CAM-ICU positive (DEL+), and 48 family members of patients without delirium (DEL−)). No statistically significant differences in demographics and psychosocial data were found between the groups. In the follow-up 30 days after the first conversation with a family member, the mean PTSD score for the relatives of patients with delirium was 11.02 (Me = 13.0; SD = 5.74), and the mean score for nondelirious patients' family members was 6.42 (Me = 5.5; SD = 5.50; p < 0.001). A statistically significant increase in IES scores for family members of patients with delirium was observed for total PTSD (p = 0.001), IES—intrusion (p < 0.001), and IES—hyperarousal (p = 0.002). The prevalence of anxiety symptoms, depression, and posttraumatic stress disorder (PTSD) was higher in families of patients diagnosed with ICU delirium within 48 h of admission to the ICU. No factors increasing the depth of these disorders in family members of patients with ICU delirium were identified. Taking appropriate actions and thus providing families with appropriate support will contribute to the understanding of unfavorable emotional states, including anxiety, stress, depression, anger, agitation, or avoidance.

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Nursing Interventions to Reduce Stress in Families of Critical Care Patients: An Integrative Review

Cited by 10 publications

References 51 publications

Nursing Methods and Experience of Local Anesthesia Patients under Arthroscope

Nursing Methods and Experience of Local Anesthesia Patients under Arthroscope

L’intubation à l’urgence : le rôle infirmier lorsqu’une personne adulte est ventilée mécaniquement (partie 2)

The spectrum of psychological disorders in family members of patients suffering from delirium associated with critical illness: a prospective, observational study

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