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YOĞUN BAKIM HASTALARININ EMOSYONEL DURUMUNUN DEĞERLENDİRİLMESİ

Year 2014, Volume: 28 Issue: 2, 69 - 73, 01.10.2014

Abstract

Amaç: Psikolojik problemlere kritik hastalarda sıklıkla rastlanılır. Bu çalışmanın amacı; mekanik ventilasyon gereksinimi sona eren hastaların duygusal deneyimini değerlendirmek ve klinik ve demografik parametreler ile bu deneyim arasındaki ilişkiyi belirlemektir. Yöntem ve Gereç: Mekanik ventilasyon uygulanmış ve yoğun bakım ünitesinden (YBÜ) taburcu edilebilecek hastalar çalışmaya dahil edildi. Tüm hastalardan demografik veri formu ve hastane anksiyete depresyon (HAD) ölçeğini okuması ve cevaplaması istendi. Zihinsel kapasite, işbirliği veya eğitim düzeyi yeterli olmayan ve psikiyatrik sorunları olan hastalar çalışmaya alınmadı. Sonra, anksiyete ve depresyon puanları hesaplandı ve klinik ve demografik parametreler ile ilişkisi değerlendirildi. Bulgular: Medyan yaş 52 (23-78)olan yirmi iki hasta değerlendirildi. % 31.8 (n: 7) hastada (ortalama skor: 7.27) anksiyete tespit edildi ve% 45.5 (n: 10) hastada (ortalama skor: 7.13) depresyon saptandı. Hastaların anksiyete ve depresyon sıklığı ve demografik özellikleri, yoğun bakım yatış günü ve mekanik ventilasyon süresi arasında anlamlı fark saptanmadı (p> 0.05). Sonuç: Bu çalışmanın verileri YBÜ hastalarında anlamlı anksiyete ve depresyon olduğunu işaret etmiştir. Parametreler ile anksiyete ve depresyon arasında bir ilişki saptanmadı.Kritik hastalarda anksiyete ve depresyon sık görülen psikiyatrik bozukluklar olması sebebiyle akılda tutulmalıdır.

References

  • 1. Chlan LL. Description of anxiety levels by individual differences and clinical factors in patients receiving mechanical ventilatory support. The Journal of Acute and Critical Care. 2003; 275-282.
  • 2. Tobin MJ.Long term outcomes after mechanical ventilation. Principles&Practice of mechanical ventilation. Second edition 2006; 70: 1377.
  • 3. Chlan LL.Relationship between two anxiety instruments in patients receiving mechanical ventilatory support.J Adv Nurs 2004; 48(5): 493-9.
  • 4. Üskül B., Selvi A., Melikoğlu A.Göğüs Hastalıkları Kliniğinde Yatan Hastaların Anksiyete ve Depresyon Düzeylerinin Sosyodemografik Faktörlerin ve Hastalık Tanılarının İlişkisi. Akciğer Arşivi 2006; 7:11-15.
  • 5. Zigmond A.S, Snaith R.P.The Hospital Anxiety and Depression Scale.Acta Psychiatr Scand 1983;67:361-370.
  • 6. Aydemir Ö. Hastane Anksiyete ve Depresyon Ölçeği Türkçe Formunun Geçerlilik ve Güvenilirlik Çalışması.Türk Psikiyatri Dergisi 1997; 8(4): 280-287.
  • 7. Yazıcı K,Tot Ş. Hastanede yatan tıbbi hastalarda anksiyete ve depresyon düzeyleri ile sosyo demografik faktörlerin ilişkisi. Yeni Symposium2003; 41(3): 120-124.
  • 8. Lam CLK, Pan PC. Can the Hospital Anxiety and Depression (HAD) Scale be used on Chinese elderly in general practice? Family Practice1995;12: 149-154.
  • 9. Beausang P, Syyed R. Screening for anxiety and depression in adult general medicine inpatients in a Scottish District General Hospital. Scott Med J 1998; 43: 177-180.
  • 10. Cuthbertson BH, Rattray J. A pragmatic randomized, controlled trial of intensive care follow up programmes in improving longer term outcomes from critical illnes. The PRACTICAL study. BMC Health Services 2007;23(7):116.
  • 11. Jones C. Evaluation of the effect of prospective patient diaries on emotional well-being in intensive care unit survivors:a randomized control trial. Nursing in Critical Care2009; 14(3): 155-156
  • 12. Gustad LT, Chaboyer W. Performance of the faces anxiety scale in patients transferred from the ICU. Intensive and Critical Care Nursing 2005; 21:355-360.
  • 13. Michopoulos I, Douzenis A. Hospital Anxiety and Depression Scale (HADS): validation in a Greek general hospital sample. Annals of General Physciatry2008;7:4.
  • 14. Snaith RP. The Hospital Anxiety and Depression Scale. Health and Quality of Life Outcomes 2003; 1:29.
  • 15. Vora A, Parikh M. Role of Hospital Anxiety& Depression scale in reducing need of a formal psychiatric referral in cancer patients. Journal of Clinical Oncology 2005; 23(16S): 8037.
  • 16. Soares-Filho GL, Freire RC. Use of hospital anxiety and depression scale (HADS) in a cardiac emergency room-chest pain unit Clinics 2009; 64(3): 209-14.
  • 17. Maurer J, Rebbapragada V. Anxiety and depression in COPD. Chest 2008; 134: 43S-56S.

EVALUATION OF EMOTIONAL EXPERIENCE IN INTENSIVE CARE UNIT (ICU) PATIENTS

Year 2014, Volume: 28 Issue: 2, 69 - 73, 01.10.2014

Abstract

Aim: Psycholocigal problems are commonly encountered in critically ill patients. The aim of this study was to evaluate the emotional experience of patients during the period when mechanical ventilation requirement ended and determine the relationship of this experience with clinical and demographic parameters. Material and Methods: Patients who had undergone mechanical ventilation and could be discharged from intensive care unit (ICU) were included in the study. All patients were asked to read and answer the demographic data sheet and hospital anxiety depression (HAD) scale. Patients who could not be able to answer these questionarries due to lack of mental capacity, cooperation or educational level and patients who had psychiatric problems were excluded. Then, anxiety and depression scores were calculated, and the relationship with clinical and demographic parameters were evaluated. Results: Twenty two patients with a median age of 52 (23-78) were evaluated. 31.8 % (n:7) of the patients were determined anxiety (median score: 7.27), and 45.5 % (n: 10) of the patients were determined depression (median score: 7.13). There were no significant differences between the frequency of the anxiety and depression and the demographic features, ICU days, and the duration of mechanical ventilation (p>0.05). Conclusion: The datas of this study have pointed that ICU patients significantly have anxiety and depression. There was no relationship between the parameters and anxiety and depression. We should keep in mind depression and anxiety are common psychiatric disorders critically ill patients in ICU.

References

  • 1. Chlan LL. Description of anxiety levels by individual differences and clinical factors in patients receiving mechanical ventilatory support. The Journal of Acute and Critical Care. 2003; 275-282.
  • 2. Tobin MJ.Long term outcomes after mechanical ventilation. Principles&Practice of mechanical ventilation. Second edition 2006; 70: 1377.
  • 3. Chlan LL.Relationship between two anxiety instruments in patients receiving mechanical ventilatory support.J Adv Nurs 2004; 48(5): 493-9.
  • 4. Üskül B., Selvi A., Melikoğlu A.Göğüs Hastalıkları Kliniğinde Yatan Hastaların Anksiyete ve Depresyon Düzeylerinin Sosyodemografik Faktörlerin ve Hastalık Tanılarının İlişkisi. Akciğer Arşivi 2006; 7:11-15.
  • 5. Zigmond A.S, Snaith R.P.The Hospital Anxiety and Depression Scale.Acta Psychiatr Scand 1983;67:361-370.
  • 6. Aydemir Ö. Hastane Anksiyete ve Depresyon Ölçeği Türkçe Formunun Geçerlilik ve Güvenilirlik Çalışması.Türk Psikiyatri Dergisi 1997; 8(4): 280-287.
  • 7. Yazıcı K,Tot Ş. Hastanede yatan tıbbi hastalarda anksiyete ve depresyon düzeyleri ile sosyo demografik faktörlerin ilişkisi. Yeni Symposium2003; 41(3): 120-124.
  • 8. Lam CLK, Pan PC. Can the Hospital Anxiety and Depression (HAD) Scale be used on Chinese elderly in general practice? Family Practice1995;12: 149-154.
  • 9. Beausang P, Syyed R. Screening for anxiety and depression in adult general medicine inpatients in a Scottish District General Hospital. Scott Med J 1998; 43: 177-180.
  • 10. Cuthbertson BH, Rattray J. A pragmatic randomized, controlled trial of intensive care follow up programmes in improving longer term outcomes from critical illnes. The PRACTICAL study. BMC Health Services 2007;23(7):116.
  • 11. Jones C. Evaluation of the effect of prospective patient diaries on emotional well-being in intensive care unit survivors:a randomized control trial. Nursing in Critical Care2009; 14(3): 155-156
  • 12. Gustad LT, Chaboyer W. Performance of the faces anxiety scale in patients transferred from the ICU. Intensive and Critical Care Nursing 2005; 21:355-360.
  • 13. Michopoulos I, Douzenis A. Hospital Anxiety and Depression Scale (HADS): validation in a Greek general hospital sample. Annals of General Physciatry2008;7:4.
  • 14. Snaith RP. The Hospital Anxiety and Depression Scale. Health and Quality of Life Outcomes 2003; 1:29.
  • 15. Vora A, Parikh M. Role of Hospital Anxiety& Depression scale in reducing need of a formal psychiatric referral in cancer patients. Journal of Clinical Oncology 2005; 23(16S): 8037.
  • 16. Soares-Filho GL, Freire RC. Use of hospital anxiety and depression scale (HADS) in a cardiac emergency room-chest pain unit Clinics 2009; 64(3): 209-14.
  • 17. Maurer J, Rebbapragada V. Anxiety and depression in COPD. Chest 2008; 134: 43S-56S.
There are 17 citations in total.

Details

Other ID JA53RY66MN
Journal Section Research Article
Authors

Özlem Ediboğlu This is me

Pinar Çimen This is me

Dursun Tatar This is me

Cenk Kıraklı This is me

Ceyda Anar This is me

Gülru Polat This is me

Semra Bilaçeroğlu This is me

Sacide Çoban This is me

Publication Date October 1, 2014
Published in Issue Year 2014 Volume: 28 Issue: 2

Cite

APA Ediboğlu, Ö., Çimen, P., Tatar, D., Kıraklı, C., et al. (2014). YOĞUN BAKIM HASTALARININ EMOSYONEL DURUMUNUN DEĞERLENDİRİLMESİ. İzmir Göğüs Hastanesi Dergisi, 28(2), 69-73.