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Determining Experiences of the Patients Staying at Coronary Intensive Care Units

Year 2010, Volume: 12 Issue: 1, 5 - 12, 01.04.2010

Abstract

Aim: The aim of this study was to determine the experiences of coronary intensive care unit patients. Methods: This descriptive study was conducted at a coronary intensive unit in a Teaching and Research Hospital located in a city of Center of Anatolia. Eighty five intensive care patients were included in the study. A questionnaire and “Intensive Care Experience Scale” were used as data collection tools. Findings: Of the patient, 57.6% were 56 years old and above, 69.4% of them were male, 70.6% of them had elementary school graduates or lower degree education and 92.9% of them were married. For the most of the patients in-put and out-put follow ups were done 81.2% , while body positions were not changed 97.6% . The more than half of the patients 55.3% received relieving practices such as allowing family members’ visiting and conversation with them. Patients’ score of intensive care experiences scale was 46.1. Female patients and patients with pain revealed significantly higher scores Total scale score: patients with pain 48.9, patients without pain 44.7; female: 51.8, male: 44.1 . The recall of intensive care experiences was higher among patients with pain scale subgroup score: 9.8 than patients without pain scale sub-group score:7.3 . Conclusions: As a conclusion, patients’ intensive care experiences were not positive, patients with pain and female patients had more positive intensive care experience.

References

  • Adamson H, Murgo M, Boyle M(2004) Memo- ries of intensive care and experiences of survivors of a critical illness: An interview study. Intensive and Cri- tical Care Nursing 20, 257-263.
  • Akgül A(2005) Tıbbi araştırmalarda istatistiksel analiz teknikleri SPSS uygulamaları. (3. Baskı) Emek Ofset, Ankara, s.54.
  • Demir Y, Korhan-Akın E, Eşer İ, Khorshid L (2009) Yoğun bakım deneyim ölçeğinin geçerlik ve güvenilirlik çalışması. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi 1(1), 1-11.
  • Engström A, Söderberg S(2004) The experien- ces of partners of critically ill persons in an intensive care unit. Intensive and Critical Care Nursing 20, 299- 308.
  • Eroğlu A(2002) Yoğun bakım hastasında destek yaklaşımlar: Yoğun bakım hastasının maliyeti ve mali- yete infeksiyonun katkısı. Yoğun Bakım Dergisi 2 (Ek1), 139-142.
  • Fredriksen ST, Ringsberg KC(2007) Living the situation stress-experiences among intensive care pati- ents. Intensive and Critical Care Nursing 23, 124-131.
  • Granja C, Lopez A, Moreira S, Dias C, Costa- Pereira A, Carneiro A(2005) Patient’s recollections of experiences in the intensive care unit may effect their quality of life. Critical Care 9(2), 96-109.
  • Hofhuis JGM, Spronk PE, Van-Stel HF, Schrjvers JP, Rommes JH, Bakker J(2008) Experi- ences of critically ill patients in the ICU. Intensive and Critical Care Nursing 24, 300-313.
  • Löf L, Berggren L, Ahltröm G(2006) Severely ill ICU patients recall of factual events and unreal ex- periences of hospital admission and ICU stay-3 and 12 months after discharge. Intensive and Critical Care 22, 154-166.
  • Maddox M, Dunn SV, Prey LE(2001) Psychoso- cial recovery following ICU: Experiences and influen- ces upon discharge to the community. Intensive and Critical Care Nursing 17, 6-15.
  • Magnus VS, Turkington L(2006) Communicati- on interaction in ICU- Patient and staff experiences and perceptions. Intensive and Critical Care Nursing 22, 167-180.
  • Matud MP(2004) Gender differences in stress and coping styles. Personality and Individual Diffe- rences 37, 1401-1415. 11
  • McKinney AA, Deeny P(2002) Leaving the in- tensive care unit: A phenomenological study of the pa- tients’ experience. Intensive and Critical Care 18, 320-331.
  • O’Connell E, Landers M(2008) The importance of critical care nurses’ caring behavior as perceived by nurses and relatives. Intensive and Critical Care Nur- sing 24, 348-358.
  • Plakas S, Cant B, Taket A(2009) The experience o families of critically ill patients in Greece: A social constructionist grounded theory study. Intensive and Critical Care Nursing 25, 10-20.
  • Price AM(2004) Intensive care nurses’ experien- ces of assessing and dealing with patients’ psychologi- cal needs. British Association of Critical Care Nurses 9(3), 134-142.
  • Rattray J, Johnston M, Wildsmith JAW(2004) The intensive care experience: Development of the ICE questionnaire. Journal of Advanced Nursing 47(1), 64-73.
  • Rotondi AJ, Chelluri L, Sirio C, Mendersohn A, Schulz R, Belle S, Im K, Donahoe M, Pinsky MR (2002) Patients’ recollections of stressful experiences while receiving prolonged mechanical ventilation in an intensive care unit. Critical Care Medicine 30(4), 746-752.
  • Stein-Parbury J, McKinley S(2000) Patients’ ex- periences of being in an intensive care unit: A select li- terature review. American Journal of Critical Care 9(1), 20-27.
  • Wahlin I, Christina E, Idvall E(2009) Empower- ment in intensive care: Patient experiences compared to next of kin and staff beliefs. Intensive and Critical Care Nursing 25, 332-340

KORONER YOĞUN BAKIMDA KALAN HASTALARIN DENEYİMLERİNİN BELİRLENMESİ

Year 2010, Volume: 12 Issue: 1, 5 - 12, 01.04.2010

Abstract

Amaç: Bu çalışmanın amacı koroner yoğun bakımda kalan hastaların yaşadığı deneyimleri belirlemektir.Yöntem: Tanımlayıcı özellikteki çalışma, İç Anadolu Bölgesi’nde bulunan birildeki eğitim ve araştırma hastanesinin koroner yoğun bakım ünitesinde yapılmıştır. Çalışma kapsamına 85 yoğun bakım hastası alınmıştır. Çalışmadaveri toplama aracı olarak anket formu ve “Yoğun Bakım Deneyim Ölçeği”kullanılmıştır. Bulgular: Çalışmamızda hastaların %57.6’sının 56 yaş ve üzerinde,%69.4’ünün erkek, %70.6’sının ilkokul ve altında eğitime sahip ve%92.9’unun evli olduğu belirlenmiştir. Hastaların çoğunluğuna aldığı-çıkardığı izlemi yapılırken %81.2 ; pozisyonlarının değiştirilmediği %97.6 ; yarıdan fazlasına %55.3 yakınları ile görüştürme ve konuşma gibi rahatlatmaya yönelik uygulamaların yapıldığı saptanmıştır. Hastaların yoğun bakımdeneyim ölçeğinden 46.1 puan aldığı bulunmuştur. Ağrısı olan hastaların vekadınların ölçek puanlarının anlamlı düzeyde yüksek olduğu saptanmıştır Total ölçek puanı: Ağrısı olan grup 48.9, ağrısı olmayan grup 44.7; kadınlar: 51.8, erkekler: 44.1 . Ağrısı olan hastalar Ölçek alt grup ortalama puan: 9.8 ağrısı olmayanlara göre Ölçek alt grup ortalama puan:7.3 yoğunbakım deneyimlerinin daha fazla hatırlamaktadır. Sonuç: Çalışma sonucunda hastaların yoğun bakım deneyimlerinin olumluolmadığı, ağrısı olan hastaların ve kadınların daha olumlu yoğun bakım deneyimine sahip olduğu saptanmıştır

References

  • Adamson H, Murgo M, Boyle M(2004) Memo- ries of intensive care and experiences of survivors of a critical illness: An interview study. Intensive and Cri- tical Care Nursing 20, 257-263.
  • Akgül A(2005) Tıbbi araştırmalarda istatistiksel analiz teknikleri SPSS uygulamaları. (3. Baskı) Emek Ofset, Ankara, s.54.
  • Demir Y, Korhan-Akın E, Eşer İ, Khorshid L (2009) Yoğun bakım deneyim ölçeğinin geçerlik ve güvenilirlik çalışması. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi 1(1), 1-11.
  • Engström A, Söderberg S(2004) The experien- ces of partners of critically ill persons in an intensive care unit. Intensive and Critical Care Nursing 20, 299- 308.
  • Eroğlu A(2002) Yoğun bakım hastasında destek yaklaşımlar: Yoğun bakım hastasının maliyeti ve mali- yete infeksiyonun katkısı. Yoğun Bakım Dergisi 2 (Ek1), 139-142.
  • Fredriksen ST, Ringsberg KC(2007) Living the situation stress-experiences among intensive care pati- ents. Intensive and Critical Care Nursing 23, 124-131.
  • Granja C, Lopez A, Moreira S, Dias C, Costa- Pereira A, Carneiro A(2005) Patient’s recollections of experiences in the intensive care unit may effect their quality of life. Critical Care 9(2), 96-109.
  • Hofhuis JGM, Spronk PE, Van-Stel HF, Schrjvers JP, Rommes JH, Bakker J(2008) Experi- ences of critically ill patients in the ICU. Intensive and Critical Care Nursing 24, 300-313.
  • Löf L, Berggren L, Ahltröm G(2006) Severely ill ICU patients recall of factual events and unreal ex- periences of hospital admission and ICU stay-3 and 12 months after discharge. Intensive and Critical Care 22, 154-166.
  • Maddox M, Dunn SV, Prey LE(2001) Psychoso- cial recovery following ICU: Experiences and influen- ces upon discharge to the community. Intensive and Critical Care Nursing 17, 6-15.
  • Magnus VS, Turkington L(2006) Communicati- on interaction in ICU- Patient and staff experiences and perceptions. Intensive and Critical Care Nursing 22, 167-180.
  • Matud MP(2004) Gender differences in stress and coping styles. Personality and Individual Diffe- rences 37, 1401-1415. 11
  • McKinney AA, Deeny P(2002) Leaving the in- tensive care unit: A phenomenological study of the pa- tients’ experience. Intensive and Critical Care 18, 320-331.
  • O’Connell E, Landers M(2008) The importance of critical care nurses’ caring behavior as perceived by nurses and relatives. Intensive and Critical Care Nur- sing 24, 348-358.
  • Plakas S, Cant B, Taket A(2009) The experience o families of critically ill patients in Greece: A social constructionist grounded theory study. Intensive and Critical Care Nursing 25, 10-20.
  • Price AM(2004) Intensive care nurses’ experien- ces of assessing and dealing with patients’ psychologi- cal needs. British Association of Critical Care Nurses 9(3), 134-142.
  • Rattray J, Johnston M, Wildsmith JAW(2004) The intensive care experience: Development of the ICE questionnaire. Journal of Advanced Nursing 47(1), 64-73.
  • Rotondi AJ, Chelluri L, Sirio C, Mendersohn A, Schulz R, Belle S, Im K, Donahoe M, Pinsky MR (2002) Patients’ recollections of stressful experiences while receiving prolonged mechanical ventilation in an intensive care unit. Critical Care Medicine 30(4), 746-752.
  • Stein-Parbury J, McKinley S(2000) Patients’ ex- periences of being in an intensive care unit: A select li- terature review. American Journal of Critical Care 9(1), 20-27.
  • Wahlin I, Christina E, Idvall E(2009) Empower- ment in intensive care: Patient experiences compared to next of kin and staff beliefs. Intensive and Critical Care Nursing 25, 332-340
There are 20 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Leyla Özdemir This is me

Publication Date April 1, 2010
Published in Issue Year 2010 Volume: 12 Issue: 1

Cite

APA Özdemir, L. (2010). KORONER YOĞUN BAKIMDA KALAN HASTALARIN DENEYİMLERİNİN BELİRLENMESİ. Hemşirelikte Araştırma Geliştirme Dergisi, 12(1), 5-12.