Patients’ interactions in an intensive care unit and their memories of intensive care: A mixed method study

Meriläinen, Merja; Kyngäs, Helvi; Ala‐Kokko, Tero

doi:10.1016/j.iccn.2012.05.003

Cited by 50 publications

(75 citation statements)

References 42 publications

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“…As stress because of thirst increased, so did frightening experiences. Thirst, defined as the urgent need for drinking water, has a varying severity and negatively affects psychological well‐being . Therapeutic drugs, medical diagnostic methods, and invasive approaches can all affect it .…”

Section: Discussionmentioning

confidence: 99%

“…It was reported by most of the patients to be the fourth most severe stressor causing stress (Table ). In ICUs, pain may occur because of surgical interventions, sepsis, endotracheal intubation and extubation, diagnostic procedures, numerous invasive interventions and care practices, and patients' diseases and traumas . In a study carried out on ICU patients, it was reported that the most severe pain occurred during endotracheal aspiration .…”

Section: Discussionmentioning

confidence: 99%

“…Patients' experiences with stressors may negatively affect their recovery and return to normal life processes. The effect of stressors that patients are exposed to in ICUs and that are remembered later on may cause patients to have psychological problems such as anxiety, inability to concentrate, nightmares, difficulty sleeping, fear, and panic in their life after discharge …”

Section: Introductionmentioning

confidence: 99%

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The relationship between stressors and intensive care unit experiences

Zengin¹,

Ören²,

Ustundag

2019

Nursing in Critical Care

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Background Patients in intensive care units (ICUs) face many physical and psychological stressors because of the environment of these units and their own critical conditions and experience stress in various degrees. Each stressor may affect patients' experiences in ICUs differently. Aim and objectives This study aimed to examine the relationship between stressors and patients' experiences in an ICU. Methods This descriptive, cross‐sectional study was conducted between September 2014 and June 2015 in a university hospital and included 116 patients who were admitted to the general ICU for at least 24 hours. Data were collected using the Intensive Care Experience Scale and a questionnaire that included questions about socio‐demographic and disease‐related characteristics of patients and their stressors. Results The mean age of the patients was 57.81 ± 13.81 years, and the mean duration of ICU stay was 2.28 ± 3.88 days. There was a moderate positive relation between the stressors noise (r = .534; P < .01), thirst (r = .438; P < .01), loneliness (r = .410; P < .01), and pain (r = .404; P < .01) and the subscale frightening experiences. However, there was a moderate, negative relation between the stressors inability to speak (r = −.444; P < .01), surrounding speeches (r = −.458; P < .01), equipment noise (r = −.490; P < .01), and physical exercise (r = −.546; P < .01) and the subscale satisfaction with care. Conclusions The patients associated stressors with satisfaction and frightening experiences in the early period of their discharge from the ICU. As stressors increases, so do frightening experiences, and satisfaction with care is affected negatively. Relevance to clinical practice Currently, stressors to which patients discharged from ICU are exposed during their admission to wards are not evaluated in practice. This study is important in that it can help health professionals be aware of effects of stressors on patients in the early period of their discharge.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The relationship between stressors and intensive care unit experiences

Zengin¹,

Ören²,

Ustundag

2019

Nursing in Critical Care

View full text Add to dashboard Cite

show abstract

“…15 In a review of research studies published on patients' ICU experiences, Stein-Parbury and McKinley 16 noted that patients recalled positive experiences such as a sense of safety and negative experiences including pain, difficulty sleeping, and anxiety. These studies, [12][13][14][15][16] although informative, primarily involved focusedand potentially leading-questions on specific topics proposed by research teams and did not include the experiences of patients' family members. Studies that included patients' family members focused specifically on palliative care, 17 questions for the medical team, 18 or long-term follow-up.…”

mentioning

confidence: 99%

“…Studies that included patients' family members focused specifically on palliative care, 17 questions for the medical team, 18 or long-term follow-up. 19 Although each of these studies [12][13][14][15][16][17][18][19] provides valid information about specific research topics, none allowed patients or patients' family members to generate the basis of the research question.…”

mentioning

confidence: 99%