Patients' perceptions of intensive care

Simini, Bruno

doi:10.1016/s0140-6736(99)02728-2

Cited by 145 publications

(64 citation statements)

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“…Wong and Arthur (2000) reported that patients in the surgical ICU in the early postoperative period not only complained of pain at the wound site, but also stated that they had back pain, and wanted to be given a massage before sleep and pillows to help with positioning. The results of studies by Simini (1999), Novaes et al (1999), and Hweidi (2005) showing that ICU patients have a widespread experience of pain are consistent with the data obtained in our study as shown in Table 1.…”

Section: Discussionsupporting

confidence: 92%

“…Our results do not show any contradictions to these previous studies. It has been observed that the lack of movement increases discomfort in critical care patients, as patients are unable to get in an appropriate position (Halm and Alpen 1993;Fontaine 1998;Simini 1999;Bucher 2004). The findings in studies conducted by Sekmen and Hatipoğlu (1999), Simini (1999), Bohrer et al (2002) and So and Chan (2004), which ICU patients' inability to move causes them discomfort, support our findings (Table 1).…”

Section: Discussionmentioning

confidence: 99%

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Patient Perception of Environmental and Nursing Factors Contributing to Sleep Disturbances in a Neurosurgical Intensive Care Unit

Uğraş

Öztekin

2007

Tohoku J. Exp. Med.

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Many factors may affect sleep in the neurosurgery intensive care unit (NSICU), including therapeutic and diagnostic procedures, medications, the underlying disease process, and noise generated in NSICU. This study was aimed to determine the factors and nursing interventions, which affect the patients' sleep in NSICU, and to ascertain future descriptive research studies in nursing. The sample consisted of 84 voluntary patients hospitalized at a university hospital. They were consecutively asked to fill out a questionnaire in face-to-face interviews, and on the same day they were transferred out of the NSICU to a neurosurgical ward. Sixty-six patients (78.6%) experienced sleep disturbances. In those patients, being kept immobile (63.6%) and being in a noisy environment (57.6%) were the factors, which most frequently disturbed sleep. Likewise, the nursing interventions were found to have profound influences on patients' sleep; namely, being asked to move an arm/leg or to keep them in the same position for neurological diagnostic reasons (43.9%), and being asked questions to determine the level of consciousness (40.9%) were identified as the common sleep disturbance factors. In conclusion, immobility, environmental noise factors, and the disturbances from implementing the nursing interventions should not be ignored. Sleep disturbance in NSICU should be addressed on the multidisciplinary care plan and in health team conference, and care should be planned to assure good quality of patients' sleep. Nurses, physicians, nursing and medical students should establish and evaluate the combined interventions required for neurological assessment to decrease the negative effects of various factors on patients' sleep.sleep; neurosurgery; intensive care unit

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Patient Perception of Environmental and Nursing Factors Contributing to Sleep Disturbances in a Neurosurgical Intensive Care Unit

Uğraş

Öztekin

2007

Tohoku J. Exp. Med.

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“…Bacterial and fungal contamination of air and surfaces was determined on days 1, 15, and 60 of each randomization period. Air contamination was assessed separately for the central corridor and individual patient's rooms with a surface air system sampler (PBI International) equipped with 36-cm 2 Petri dishes, 18 each containing culture medium specific for different strains. In each sampling procedure, 180 L air was aspirated over 120 seconds far from surfaces and human bodies at a constant height of 1.5 m from the floor.…”

Section: Data Collectionmentioning

confidence: 99%

“…2 Limited exploratory studies 3 suggested that all these factors concur to induce a sense of isolation, impair patients' communication capabilities with healthcare staff, and eventually lead, together with well-known somatic risk factors, 4,5 to an "ICU syndrome" and delirium, 6,7 a powerful predictor of ominous prognosis. 8 Hall-Lord et al 9 have conceptualized the role of readily identifiable emotional components in the acutely distressing reaction to ICU admission.…”

mentioning

confidence: 99%

Reduced Cardiocirculatory Complications With Unrestrictive Visiting Policy in an Intensive Care Unit

et al. 2006

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Background-Observational studies suggest that open visiting policies are preferred by most patients and visitors in intensive care units (ICUs), but no randomized trial has compared the safety and health outcomes of unrestrictive (UVP) and restrictive (RVP) visiting policies. The aim of this pilot, randomized trial was to compare the complications associated with UVP (single visitor with frequency and duration chosen by patient) and RVP (single visitor for 30 minutes twice a day). Methods and Results-Two-month sequences of the 2 visiting policies were randomly alternated for 2 years in a 6-bed ICU, with 226 patients enrolled (RVP/UVP, nϭ115/111). Environmental microbial contamination, septic and cardiovascular complications, emotional profile, and stress hormones response were systematically assessed. Patients admitted during the randomly scheduled periods of UVP received more frequent (3.2Ϯ0.2 versus 2.0Ϯ0.0 visits per day, meanϮSEM) and longer (2.6Ϯ0.2 versus 1.0Ϯ0.0 h/d) visits (PϽ0.001 for both comparisons). Despite significantly higher environmental microbial contamination during the UVP periods, septic complications were similar in the 2 periods. The risk of cardiocirculatory complications was 2-fold (odds ratio 2.0; 95% CI, 1.1 to 3.5; Pϭ0.03) in the RVP periods, which were also associated with a nonsignificantly higher mortality rate (5.2% versus 1.8%; Pϭ0.28). The UVP was associated with a greater reduction in anxiety score and a significantly lower increase in thyroid stimulating hormone from admission to discharge. Conclusions-Despite

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“…(12) yaptıkları çalışmalarında, yoğun bakımdan taburcu olan hastalarda görülen psikososyal sorunların nedeninin hastaların yoğun bakım deneyimleri olduğu belirtilmiştir. Hastaların yoğun bakımı nasıl algıladıklarının incelendiği bir çalışmada, yoğun bakımın yaygın olarak ağrıyı, gürültüyü, uykusuzluğu, susuzluğu, açlığı, sıcağı, soğuğu, korkuyu, anksiyeteyi, izolasyonu, fiziksel engellenmeyi, bilgi alamamayı, gün ışığının yokluğunu hatırlattığı bulunmuştur (12)(13)(14).…”

Section: Introductionunclassified

Assessment of Experiences of Patients Discharged from Intensive Care Units

Adsay¹,

Dedeli²

2016

Yoğun Bakim Derg

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Objective: The purpose of this study was to assess the experiences of patients discharged from intensive care units. Material and Methods:This descriptive and cross-sectional study was conducted with 190 patients who were hospitalized in intensive care units for 24 h and over in a university hospital and a public hospital in Manisa, Turkey. Data were collected by a demographic questionnaire and the Intensive Care Experience Scale. Mean±standard deviation, percentage, Pearson correlation coefficient, and Kruskal-Wallis and MannWhitney U tests were used in the statistical analysis.Results: The mean age of the patients was 56.6±10.8 years, and 60% of the patients were males. It was found that the patients' awareness of the environment in the intensive care unit subscale score of the Intensive Care Experience Scale was significantly different depending on gender and the length of stay in the intensive care unit (p<0.05). It was found that the patients' satisfactions levels about care the in intensive care unit subscale score of the Intensive Care Experience Scale was significantly difference depending on the type of intensive care unit and the length of stay in the intensive care unit (p<0.05). Conclusion:The results of this study show that being aware of the environment in intensive care unit was dependent the length of stay in the intensive care unit and gender and that satisfaction levels about care in the intensive care unit were affected by the length of stay in the intensive care unit and the type of intensive care unit. (Yoğun Bakım Derg 2015; 6: 90- GirişYoğun bakım üniteleri primer olarak ciddi bir hastalığı olan, yaşamı tehdit altında olan ve sürekli yoğun bakım izlemi gerektiren veya yaşamı destekleyici tedaviye bağımlı olan hastaların yaşamını sürdürmek amacına yönelik hizmet veren birimlerdir. Bireyler yaşamı tehdit eden bir hastalık ya da sağlık durumlarında ortaya çıkan ani ve ciddi değişiklikler nedeniyle yoğun bakım ünitesine yatmaktadır (1, 2).Yoğun bakım üniteleri, en ciddi tıbbi ve cerrahi hastalığı olan hastalara mümkün olan en ileri teknoloji ile bakım sağlayan birimlerdir. Belki de bunun bir sonucu olarak, bu birimler hastaların hem fiziksel hem de psikososyal açıdan birçok stresörle karşılaştığı ortamlar olarak kabul edilmektedir. Yoğun bakım ünitelerindeki stresörler fiziksel (ventilatör kullanımı, aspirasyon, iğne, stikler vb.), fizyolojik (hareket kısıtlılığı, sık muayene veya dokunulma, konfüzyon, iletişim güçlüğü vb.) ve çevre-sel (sürekli ışık ve gürültü, konforsuz yataklar, hoş olmayan görüntü ve kokular vb.) olarak tanılanmaktadır. Bu stresörlere hastanın yanıtı tıbbi tanı, prognoz, kültür, sosyal destek, aile ilişkileri, yaş, cinsiyet, gelişim düzeyi, mental durum, baş etme mekanizmaları gibi bireysel farklılıklara bağlıdır. Bireyin kendisini ve diğer kişilerle olan ilişkilerini algılaması, spiritüel değerleri, sosyal rollerinde kişisel yeterliliği stres ve hastalığa yanıtının etkilemesinde büyük bir rol oynamaktadır. Fiziksel hastalıklar, travma, cerrahi girişimlerin stres etkisi b...

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Patients' perceptions of intensive care

Cited by 145 publications

References 1 publication

Patient Perception of Environmental and Nursing Factors Contributing to Sleep Disturbances in a Neurosurgical Intensive Care Unit

Patient Perception of Environmental and Nursing Factors Contributing to Sleep Disturbances in a Neurosurgical Intensive Care Unit

Reduced Cardiocirculatory Complications With Unrestrictive Visiting Policy in an Intensive Care Unit

Assessment of Experiences of Patients Discharged from Intensive Care Units

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