Perception of intensive care unit stressors by patients in Malaysian Federal Territory hospitals

Soh, Kim Lam; Ahmad, Zaiton; Raman, Rosna Abdul; Japar, Salimah

doi:10.5172/conu.673.31.1.86

Cited by 23 publications

(16 citation statements)

References 22 publications

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“…This result is similar to those found in the studies carried out by Soh, Soh, Ahmad, Abdul Raman, and Japar (2008), Fernandes da Cruz, Machado, Fernandes da Cruz, and Salazar Posso (2013) which found no high levels of stress. This result confirms that there are no universally stressful events, they only exist when a person defines them as such.…”

Section: Discussionsupporting

confidence: 92%

Stressors in patients admitted to adult intensive care units

Ruiz¹,

Consuegra²,

Ruiz³

2018

Rev. Enf. Ref.

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Background: Intensive care units (ICU) are stress-generating settings given the environment and the biomedical approach that is practiced there. Objectives: To identify the perception and level of stress that the situations that occur in the ICU generate on the patients and determine the sociodemographic characteristics influencing stress. Methodology: Observational, cross-sectional study with an analytical approach in which the Escala de Factores Estresantes Experimentados por los Pacientes en UCI was applied. Results: In this sample, 13% of respondents had a moderate or high level of stress. The most stressful situations included being concerned about their health and its consequences, not being able to go to the bathroom, not being able to fulfill their role in the family, not having control over their activities, and feeling pain. The analysis of the sociodemographic data showed that education (p = 0.028): basic (p = 0.028; OR = 16) and university (p = 0.027 ; OR = 17) influenced the level of stress. Conclusion: For most of the interviewees, ICU stay was not stressful or mildly stressful. The educational level predisposes to stress perception. The most stressful situations are emotional situations.

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Section: Discussionsupporting

confidence: 92%

Stressors in patients admitted to adult intensive care units

Ruiz¹,

Consuegra²,

Ruiz³

2018

Rev. Enf. Ref.

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“…Good pain control decreases these complications (12). In Malaysia, Soh et al (13) found that pain was the most frequent complaint of patients. In our study, although 51% of the patients were postoperative, pain was ranked 5th among stress factors.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of stressors in intensive care units

et al. 2018

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“…22,23 Pain increases secretion of cortisol and production of proinflammatory cytokines, and these increases may be deleterious to muscle. 24 Administration of morphine for pain management decreases the serum level of inflammatory cytokines, suggesting that managing pain may be muscle protective.…”

Section: Setting and Samplementioning

confidence: 99%

Physiological Responses to Passive Exercise in Adults Receiving Mechanical Ventilation

Amidei

Sole

2013

American Journal of Critical Care

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A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Identify the impact of mobilization on patient outcomes. 2. Discuss the undesirable outcomes when patients are not mobilized. 3. Analyze the effect of mobilization on pain. Objective To assess physiological responses to an early standardized passive exercise protocol to prevent muscle weakness in adults receiving mechanical ventilation. Methods A quasi-experimental within-subjects repeatedmeasures design was used. Within 72 hours of intubation, 30 patients had 20 minutes of bilateral passive leg movement delivered by continuous-passive-motion machines at a standardized rate and flexion-extension. Heart rate, mean blood pressure, oxygen saturation, and cytokine levels were measured before, during, and after the intervention. The Behavioral Pain Scale was used to measure patients' comfort. Repeatedmeasures analysis of variance was used to analyze the effect of the exercise on independent variables. Results Patients were mostly white men with a mean age of 56.5 years (SD, 16.9) with moderate mortality risk and illness severity. Heart rate, mean blood pressure, and oxygen saturation did not differ from baseline at any time measured. Pain scores were significantly reduced (F 2.43,70.42 = 4.08; P = .02) 5 and 10 minutes after exercise started and remained reduced at the end of exercise and 1 hour later. Interleukin 6 levels were significantly reduced (F 1.60,43.1 = 4.35; P = .03) at the end of exercise but not after the final rest period. Interleukin 10 levels did not differ significantly. Ratios of interleukin 6 to interleukin 10 decreased significantly (F 1.61,43.38 = 3.42; P = .05) at the end of exercise and again after 60 minutes' rest. Conclusion The exercise was well tolerated, and comfort improved during and after the intervention. Cytokine levels provided physiological rationale for benefits of early exercise.

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Perception of intensive care unit stressors by patients in Malaysian Federal Territory hospitals

Cited by 23 publications

References 22 publications

Stressors in patients admitted to adult intensive care units

Stressors in patients admitted to adult intensive care units

Evaluation of stressors in intensive care units

Physiological Responses to Passive Exercise in Adults Receiving Mechanical Ventilation

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