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The Relationship Between Intensive Care Experience and State Anxiety in Patients Treated in Coronary Intensive Care Units

Year 2024, Volume: 14 Issue: 1, 205 - 211, 28.03.2024
https://doi.org/10.33808/clinexphealthsci.1254121

Abstract

Objective: This study aimed to determine the correlation between the intensive care experience and the state anxiety of patients hospitalized in the coronary intensive care unit.
Methods: This descriptive cross-sectional study included 192 patients from the coronary intensive care unit of a university hospital. Data were collected using a Patient Information Form, the Intensive Care Experience Scale (ICE), and the Spielberger State Anxiety Inventory (STAI-I). The analysis was conducted using SPSS software version 25.0. Descriptive statistics were reported as counts, percentages, means, and standard deviations. A p-value of less than 0.05 was considered to indicate statistical significance.
Results: Among the participants, 38% were aged 65 and older, 76.6% were male, 93.2% were married, 63% were admitted to the intensive care unit from the emergency room, and 88.5% had prior experience in an intensive care unit. The total and sub-dimension scores of the ICE and STAI-I were moderate. We found a weak positive correlation between the STAI-I total score and the ICE total score (r= 0.320). There was a very strong positive correlation between pessimistic experiences in the intensive care unit and the STAI-I total score (r=0.907). Additionally, there was a moderate negative correlation between satisfaction with care received in the intensive care unit and the sub-dimensions of memory of experiences (Awareness of Surroundings, Satisfaction with the Care, Recollection of Experiences) (r=0.252, r=-0.489, r=-0.496).
Conclusion: The study found that pessimistic experiences in the intensive care unit can significantly impact patients' state anxiety.

References

  • Dias DDS, Resende MV, Diniz GDCLM. Patient stress in intensive care: Comparison between a coronary care unit and a general postoperative unit. Rev Bras Ter Intensiva. 2015;27(1):18-25. DOI: 10.5935/0103-507X.20150005
  • Novaes MAFP, Aronovich A, Ferraz MB, Knobel E. Stressors in ICU: Patients’ evaluation. Intensive Care Med. 1997;23(12):1282-1285. DOI:10.1007/s001340050500.
  • Costa JBD, Felicetti CR, Costa CRL, Miglioranza DC, Osaku EF, Versa GLG, Solstoski, Joanito s, Duaerte PAD, Duarte ST, Ogasawara SM, Taba S. Fatores estressantes para familiares de pacientes criticamente enfermos de uma unidade de terapia intensiva. J Bras Psiquiatr. 2010;59(3):182-189. DOI:10.1590/S0047-20852010000300003
  • Williams CMA. The identification of family members’ contribution to patients’ care in the intensive care unit: A naturalistic inquiry. Nurs Crit Care. 2005;10(1):6–14. DOI:10.1111/j.1362-1017.2005.00092.x.
  • Gądek-Michalska A, Tadeusz J, Rachwalska P, Bugajski, J. Cytokines, prostaglandins and nitric oxide in the regulation of stress-response systems. Pharmacol Rep. 2013; 65(6): 1655-1662. DOI:10.1016/s1734-1140(13)71527-5
  • Demirçelik MB, Çakmak M, Nazlı Y, Şentepe E, Yiğit D, Keklik M, Arslan M, Çetin M, Eryonucu B. Effects of multimedia nursing education on disease-related depression and anxiety in patients staying in a coronary intensive care unit. Appl Nurs Res .2016; 29:5-8. DOI: 10.1016/j.apnr.2015.03.014
  • Williams JB, Alexander KP, Morin JF, Langlois Y, Noiseux N, Perrault LP, Smolderen K, Arnold VS, Eisenberg MJ, Pilote L, Monette J, Bergman H, Smith PK, Afilalo J. Preoperative anxiety as a predictor of mortality and major morbidity in patients aged >70 years undergoing cardiac surgery. JACC Adv. 2013;111(1):137-142. DOI: 10.1016/j.amjcard.2012.08.060
  • Williams H, Gow J, Rana R, Rouse A, Chinthamuneedi M, Beccaria G, Nicholas RB. Measuring the intensive care experience: A cross‐sectional survey of patient and family experiences of critical care. J Clin Nurs. 2021;30(23-24):3623-3633. DOI: 10.1111/jocn.15884
  • Aitken LM, Castillo MI, Ullman A, Engström Å, Cunningham K, Rattray J. What is the relationship between elements of ICU treatment and memories after discharge in adult ICU survivors? Aust Crit Care. 2016;29(1):5-14 DOI: 10.1016/j.aucc.2015.11.004
  • Rattray J, Johnston M, Wildsmith JAW. The intensive care experience: development of the ICE questionnaire. J Adv Nurs. 2004;47(1):64-73. DOI: 10.1111/j.1365-2648.2004.03066.x.
  • Demir Y, Korhan E, Eser İ, Khorshid L. Yoğun Bakım Deneyim Ölçeği’nin geçerlik ve güvenirlik çalışması. Türkiye Klinikleri J Nurs Sci. 2009;1(1): 1-11. (Turkish)
  • Spielberger CD, Gorsuch RL, Lushene RE. Stai. Manual for the State-Trait Anxiety Inventory (Self Evaluation Questionnaire). Palo Alto California: Consulting Psychologist. 1970; 22:1-24.
  • Öner N, Le Compte A. Süreksiz (Durumluk) Sürekli Kaygı Envanteri El Kitabı. İstanbul: Boğaziçi Üniversitesi Yayınevi; 1998. (Turkish)
  • Tabachnick BG, Fidell LS. Using Multivariate Statistics (sixth ed.) Pearson, Boston. 2013.
  • Holt RI, Phillips DI, Jameson KA, Cooper C, Dennison EM, Peveler RC. The relationship between depression, anxiety and cardiovascular disease: Findings from the Hertfordshire Cohort Study. J Affect Disord. 2013;150(1):84-90. DOI: 10.1016/j.jad.2013.02.026.
  • Martens EJ, Nyklícek I, Szabó BM, Kupper N. Depression and anxiety as predictors of heart rate variability after myocardial infarction. Psychol Med. 2008;38(3):375-383. DOI: 10.1017/S0033291707002097
  • Foxwell R, Morley C, Frizelle D. Illness perceptions, mood and quality of life: A systematic review of coronary heart disease patients. J Psychosom Res. 2013;75(3):211-222. DOI: 10.1016/j.jpsychores.2013.05.003.
  • Cserép Z, Losoncz E, Balog P, Szili-Török T, Husz A, Juhász B, Kertai MD, Gál J, Székely A. The impact of preoperative anxiety and education level on long-term mortality after cardiac surgery. J Cardiothorac Surg. 2012;7:86. DOI: 10.1186/1749-8090-7-86
  • Nemati MH, Astaneh B. The impact of coronary artery bypass graft surgery on depression and anxiety. J Cardiovasc Med (Hagerstown). 2011;12(6): 401-404. DOI: 10.2459/JCM.0b013e32834358e9.
  • Adsay E, Dedeli Ö. Yoğun bakım ünitesinden taburcu olan hastaların yoğun bakım deneyimlerinin değerlendirilmesi. Yoğun Bakım Dergisi 2015;6(3):90-97. (Turkish)
  • Tekin E, Özlü İ, Çakmak F, Bayramoğlu A. Acil servis yoğun bakımda yatan hastaların memnuniyet ve kaygı düzeylerini etkileyen etmenlerin belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2020;23(2):277-286. DOI: 10.17049/ataunihem.628040. (Turkish)
  • Dinlegör SI, Ünsar S. Yoğun bakım ünitesinde tedavi gören hastaların deneyimlerinin belirlenmesi. Turk J Cardiovasc Nurs. 2018; 9(20): 113-119. DOI: 10.5543/khd.2019.20982. (Turkish)
  • Sarıgül E, Kavurmacı M. Koroner yoğun bakımda hasta deneyimleri ve etkileyen faktörlerin saptanması. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2022;11(1): 212-219. DOI: 10.37989/gumussagbil.887452. (Turkish)
  • Price AM. Intensive care nurses’ experiences of assessing and dealing with patients’ psychological needs. Nurs Crit Care. 2004; 9(3):134-142. DOI: 10.1111/j.1362-1017.2004.00055.x.
  • Minton C, Batten L, Huntington A. A multicase study of prolonged critical illness in the intensive care unit: Families' experiences. Intensive Crit Care Nurs. 2019; 50:21-27. DOI: 10.1016/j.iccn.2018.08.010
  • Türker E, Bedük T. Koroner anjiyografi yapılan hastaların ve eşlerinin anksiyete düzeylerinin belirlenmesi. Avrasya Sağlık Bilimleri Dergisi. 2021;4(2):80-90. (Turkish)
Year 2024, Volume: 14 Issue: 1, 205 - 211, 28.03.2024
https://doi.org/10.33808/clinexphealthsci.1254121

Abstract

References

  • Dias DDS, Resende MV, Diniz GDCLM. Patient stress in intensive care: Comparison between a coronary care unit and a general postoperative unit. Rev Bras Ter Intensiva. 2015;27(1):18-25. DOI: 10.5935/0103-507X.20150005
  • Novaes MAFP, Aronovich A, Ferraz MB, Knobel E. Stressors in ICU: Patients’ evaluation. Intensive Care Med. 1997;23(12):1282-1285. DOI:10.1007/s001340050500.
  • Costa JBD, Felicetti CR, Costa CRL, Miglioranza DC, Osaku EF, Versa GLG, Solstoski, Joanito s, Duaerte PAD, Duarte ST, Ogasawara SM, Taba S. Fatores estressantes para familiares de pacientes criticamente enfermos de uma unidade de terapia intensiva. J Bras Psiquiatr. 2010;59(3):182-189. DOI:10.1590/S0047-20852010000300003
  • Williams CMA. The identification of family members’ contribution to patients’ care in the intensive care unit: A naturalistic inquiry. Nurs Crit Care. 2005;10(1):6–14. DOI:10.1111/j.1362-1017.2005.00092.x.
  • Gądek-Michalska A, Tadeusz J, Rachwalska P, Bugajski, J. Cytokines, prostaglandins and nitric oxide in the regulation of stress-response systems. Pharmacol Rep. 2013; 65(6): 1655-1662. DOI:10.1016/s1734-1140(13)71527-5
  • Demirçelik MB, Çakmak M, Nazlı Y, Şentepe E, Yiğit D, Keklik M, Arslan M, Çetin M, Eryonucu B. Effects of multimedia nursing education on disease-related depression and anxiety in patients staying in a coronary intensive care unit. Appl Nurs Res .2016; 29:5-8. DOI: 10.1016/j.apnr.2015.03.014
  • Williams JB, Alexander KP, Morin JF, Langlois Y, Noiseux N, Perrault LP, Smolderen K, Arnold VS, Eisenberg MJ, Pilote L, Monette J, Bergman H, Smith PK, Afilalo J. Preoperative anxiety as a predictor of mortality and major morbidity in patients aged >70 years undergoing cardiac surgery. JACC Adv. 2013;111(1):137-142. DOI: 10.1016/j.amjcard.2012.08.060
  • Williams H, Gow J, Rana R, Rouse A, Chinthamuneedi M, Beccaria G, Nicholas RB. Measuring the intensive care experience: A cross‐sectional survey of patient and family experiences of critical care. J Clin Nurs. 2021;30(23-24):3623-3633. DOI: 10.1111/jocn.15884
  • Aitken LM, Castillo MI, Ullman A, Engström Å, Cunningham K, Rattray J. What is the relationship between elements of ICU treatment and memories after discharge in adult ICU survivors? Aust Crit Care. 2016;29(1):5-14 DOI: 10.1016/j.aucc.2015.11.004
  • Rattray J, Johnston M, Wildsmith JAW. The intensive care experience: development of the ICE questionnaire. J Adv Nurs. 2004;47(1):64-73. DOI: 10.1111/j.1365-2648.2004.03066.x.
  • Demir Y, Korhan E, Eser İ, Khorshid L. Yoğun Bakım Deneyim Ölçeği’nin geçerlik ve güvenirlik çalışması. Türkiye Klinikleri J Nurs Sci. 2009;1(1): 1-11. (Turkish)
  • Spielberger CD, Gorsuch RL, Lushene RE. Stai. Manual for the State-Trait Anxiety Inventory (Self Evaluation Questionnaire). Palo Alto California: Consulting Psychologist. 1970; 22:1-24.
  • Öner N, Le Compte A. Süreksiz (Durumluk) Sürekli Kaygı Envanteri El Kitabı. İstanbul: Boğaziçi Üniversitesi Yayınevi; 1998. (Turkish)
  • Tabachnick BG, Fidell LS. Using Multivariate Statistics (sixth ed.) Pearson, Boston. 2013.
  • Holt RI, Phillips DI, Jameson KA, Cooper C, Dennison EM, Peveler RC. The relationship between depression, anxiety and cardiovascular disease: Findings from the Hertfordshire Cohort Study. J Affect Disord. 2013;150(1):84-90. DOI: 10.1016/j.jad.2013.02.026.
  • Martens EJ, Nyklícek I, Szabó BM, Kupper N. Depression and anxiety as predictors of heart rate variability after myocardial infarction. Psychol Med. 2008;38(3):375-383. DOI: 10.1017/S0033291707002097
  • Foxwell R, Morley C, Frizelle D. Illness perceptions, mood and quality of life: A systematic review of coronary heart disease patients. J Psychosom Res. 2013;75(3):211-222. DOI: 10.1016/j.jpsychores.2013.05.003.
  • Cserép Z, Losoncz E, Balog P, Szili-Török T, Husz A, Juhász B, Kertai MD, Gál J, Székely A. The impact of preoperative anxiety and education level on long-term mortality after cardiac surgery. J Cardiothorac Surg. 2012;7:86. DOI: 10.1186/1749-8090-7-86
  • Nemati MH, Astaneh B. The impact of coronary artery bypass graft surgery on depression and anxiety. J Cardiovasc Med (Hagerstown). 2011;12(6): 401-404. DOI: 10.2459/JCM.0b013e32834358e9.
  • Adsay E, Dedeli Ö. Yoğun bakım ünitesinden taburcu olan hastaların yoğun bakım deneyimlerinin değerlendirilmesi. Yoğun Bakım Dergisi 2015;6(3):90-97. (Turkish)
  • Tekin E, Özlü İ, Çakmak F, Bayramoğlu A. Acil servis yoğun bakımda yatan hastaların memnuniyet ve kaygı düzeylerini etkileyen etmenlerin belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2020;23(2):277-286. DOI: 10.17049/ataunihem.628040. (Turkish)
  • Dinlegör SI, Ünsar S. Yoğun bakım ünitesinde tedavi gören hastaların deneyimlerinin belirlenmesi. Turk J Cardiovasc Nurs. 2018; 9(20): 113-119. DOI: 10.5543/khd.2019.20982. (Turkish)
  • Sarıgül E, Kavurmacı M. Koroner yoğun bakımda hasta deneyimleri ve etkileyen faktörlerin saptanması. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2022;11(1): 212-219. DOI: 10.37989/gumussagbil.887452. (Turkish)
  • Price AM. Intensive care nurses’ experiences of assessing and dealing with patients’ psychological needs. Nurs Crit Care. 2004; 9(3):134-142. DOI: 10.1111/j.1362-1017.2004.00055.x.
  • Minton C, Batten L, Huntington A. A multicase study of prolonged critical illness in the intensive care unit: Families' experiences. Intensive Crit Care Nurs. 2019; 50:21-27. DOI: 10.1016/j.iccn.2018.08.010
  • Türker E, Bedük T. Koroner anjiyografi yapılan hastaların ve eşlerinin anksiyete düzeylerinin belirlenmesi. Avrasya Sağlık Bilimleri Dergisi. 2021;4(2):80-90. (Turkish)
There are 26 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases Nursing​, Nursing (Other)
Journal Section Articles
Authors

Esra Türker 0000-0003-3323-6880

Eda Özge Yazgan 0000-0002-4886-1577

Early Pub Date March 23, 2024
Publication Date March 28, 2024
Submission Date February 21, 2023
Published in Issue Year 2024 Volume: 14 Issue: 1

Cite

APA Türker, E., & Yazgan, E. Ö. (2024). The Relationship Between Intensive Care Experience and State Anxiety in Patients Treated in Coronary Intensive Care Units. Clinical and Experimental Health Sciences, 14(1), 205-211. https://doi.org/10.33808/clinexphealthsci.1254121
AMA Türker E, Yazgan EÖ. The Relationship Between Intensive Care Experience and State Anxiety in Patients Treated in Coronary Intensive Care Units. Clinical and Experimental Health Sciences. March 2024;14(1):205-211. doi:10.33808/clinexphealthsci.1254121
Chicago Türker, Esra, and Eda Özge Yazgan. “The Relationship Between Intensive Care Experience and State Anxiety in Patients Treated in Coronary Intensive Care Units”. Clinical and Experimental Health Sciences 14, no. 1 (March 2024): 205-11. https://doi.org/10.33808/clinexphealthsci.1254121.
EndNote Türker E, Yazgan EÖ (March 1, 2024) The Relationship Between Intensive Care Experience and State Anxiety in Patients Treated in Coronary Intensive Care Units. Clinical and Experimental Health Sciences 14 1 205–211.
IEEE E. Türker and E. Ö. Yazgan, “The Relationship Between Intensive Care Experience and State Anxiety in Patients Treated in Coronary Intensive Care Units”, Clinical and Experimental Health Sciences, vol. 14, no. 1, pp. 205–211, 2024, doi: 10.33808/clinexphealthsci.1254121.
ISNAD Türker, Esra - Yazgan, Eda Özge. “The Relationship Between Intensive Care Experience and State Anxiety in Patients Treated in Coronary Intensive Care Units”. Clinical and Experimental Health Sciences 14/1 (March 2024), 205-211. https://doi.org/10.33808/clinexphealthsci.1254121.
JAMA Türker E, Yazgan EÖ. The Relationship Between Intensive Care Experience and State Anxiety in Patients Treated in Coronary Intensive Care Units. Clinical and Experimental Health Sciences. 2024;14:205–211.
MLA Türker, Esra and Eda Özge Yazgan. “The Relationship Between Intensive Care Experience and State Anxiety in Patients Treated in Coronary Intensive Care Units”. Clinical and Experimental Health Sciences, vol. 14, no. 1, 2024, pp. 205-11, doi:10.33808/clinexphealthsci.1254121.
Vancouver Türker E, Yazgan EÖ. The Relationship Between Intensive Care Experience and State Anxiety in Patients Treated in Coronary Intensive Care Units. Clinical and Experimental Health Sciences. 2024;14(1):205-11.

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