Research Article
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Yoğun bakım ünitesinde tedavi gören hastaların yakınlarının bilgilendirilme sıklığının depresyon ve anksiyete düzeylerine etkisinin değerlendirilmesi

Year 2019, , 36 - 38, 27.01.2019
https://doi.org/10.28982/josam.440146

Abstract

Amaç: Yoğun bakım ünitesi (YBÜ)’nde tedavi görmek sadece hastalar için değil aynı zamanda hastaların aileleri için oldukça stresli bir deneyimdir. Bu çalışma ile hasta yakınlarının aynı hekim tarafından günde bir defa bilgilendirilmesi ile günde üç defa bilgilendirilmesinin endişe ve depresyon düzeyleri üzerine etkisini araştırmayı amaçladık.

Yöntemler: Bu kesitsel çalışmada iki üniversite hastanesinin YBÜ’lerinde yatan hasta yakınları randomize olarak iki gruba ayrılmıştır. Birinci gruptaki 50 hasta yakınına günde bir defa bilgi verilirken ikinci gruptaki 49 hasta yakınına 4 saat ara ile günde 3 defa bilgi verilmiştir. 7. Günün sonunda aynı hasta yakınlarından Beck depresyon ölçeği (BDÖ) ve Penn state endişe ölçeği (PSEÖ) doldurmaları istenmiştir.

Bulgular: Günde bir defa bilgilendirilen hasta yakınlarının BDÖ puanları günde 3 defa bilgilendirilen gruba göre anlamlı derecede yüksekti (p<0,01). Günde bir defa bilgilendirilen hasta yakınlarının PSEÖ puanları günde 3 defa bilgilendirilen gruba göre anlamlı derecede yüksekti (p=0,023).

Sonuç: Hasta yakınlarına günde bir defa bilgi vermek yerine üç defa bilgi vermek hasta yakını-hekim güven ilişkisini güçlendirerek, hasta yakınlarının hastaya iyi bakıldığından emin olmalarına, hekimin ulaşılabilir olduğunu hissetmelerine neden olmaktadır. Hekimle hasta yakını ilişkisinin güçlenmesi kaygı ve depresyon oranlarının daha düşük olmasını sağlamaktadır.


References

  • 1. Appleyared ME, Gavaghan SR, Gonzalez C. et al. Nurse-coached intervention for the families of patients in critical care units. Crit Care Nurs. 2000;20:40-9.
  • 2. Kosco M, Warren NA . Critical care nurses' perceptions of family needs as met. Crit Care Nurs Q. 2000;23:60-72.
  • 3. Bailey JJ, Sabbagh M, Loiselle CG, Boileau J, McVey L. Supporting families in the ICU: A descriptive correlational study of informational support, anxiety, and satisfaction with care. Intensive Crit Care Nurs. 2010;26:114-22.
  • 4. Hunsucker SC, Frank Dl, Flannery J. Meeting the needs of ruralfamilies during critical illness: The APN's role. Dimens Crit Care Nurs. 1999;18:24-34.
  • 5. Zaforteza C, García A, Quintana R, Sánchez C, Abadía E, Miró JA. Abrir la unidad de cuidados intensivos a los familiares: ¿qué opinan los profesionales? [opening the intensive care unit to families: what do the professionals think?] Enferm Intensiva. 2010;21:52–7.
  • 6. Pardavila MI, Vivar CG. Necesidades de las familias en las unidades de cuidados intensivos [Needs of the families in Critical Care Units]. Literature review. Enferm Intensiva. 2012;23:51–67.
  • 7. Llamas-Sánchez F, Flores J, Acosta ME, González J, Albar MJ, Macías C. Necesidades de los familiares en una Unidad de Cuidados Críticos [Needs of the families in a Critical Care Unit] Enferm Intensiva. 2009;20:50–7.
  • 8. Chaitin, E., Wood, G. J., Arnold, R. M., Parsons, P. E., Schwenk, T. L., &Finlay, G. Communication in the ICU: Holding a family meeting, UpTo Date. Retrieved 11 May, 2007.
  • 9. Lautrette A, Darmon M, Megarbane B, Joly LM, Chevret S, Adrie C, Barnoud D, Bleichner G, Bruel C, Choukroun G, et al. A communication strategy and brochure for relatives of patients dying in the ICU. N Engl J Med. 2007;356:469-78.
  • 10. Myhren H, Ekeberg Ø, Langen I, Stokland O. Emotional strain, communication, and satisfaction of family members in the intensive care unit compared with expectations of the medical staff: experiences from a Norwegian University Hospital. Int Care Med. 2004;30:1791-8.
  • 11. Uzun Ö, Özer N, Akyıl R. Needs of Patients' Families in some surgical clinics and surgical intensive care units. AÜTD. 2002;34:39-42.

An evaluation of the effect on depression and anxiety levels of the frequency of providing informing to the relatives of patients treated in intensive care unit

Year 2019, , 36 - 38, 27.01.2019
https://doi.org/10.28982/josam.440146

Abstract

Aim: Treatment in the Intensive Care Unit (ICU) is a stressful experience, not only for the patient but also for their family. The aim of the study was to investigate the effects on anxiety and depression levels of the relatives of patients in ICU who were given information once a day or three times a day by the same physician.

Methods: In this cross sectional study the relatives of the patients hospitalized in the ICU of two university hospitals were randomly separated into two groups. Group 1 comprised 50 individuals closely related to patients in the ICU and they were given information about the patient once a day. Group 2 comprised 49 individuals closely related to patients in ICU and they were given information 3 times a day at 4-hour intervals. After 7 days, all the participants in Groups 1 and 2 completed the Beck Depression Inventory (BDI) and the Penn State Worry Questionnaire (PSWQ).

Results: The BDI points of Group 1 were determined to be statistically significantly higher than those of Group 2 (p<0.01). The PSWQ points of Group 1 were determined to be statistically significantly higher than those of Group 2 (p<0.023).

Conclusion: By providing information to the relatives of patients 3 times a day rather than once a day created confidence that the patient was being well cared for, involvement with physician in the decision-making process and the feeling that the physician could be reached, thereby strengthening the physician- family relationship. This leads to lower rates of anxiety and depression.


References

  • 1. Appleyared ME, Gavaghan SR, Gonzalez C. et al. Nurse-coached intervention for the families of patients in critical care units. Crit Care Nurs. 2000;20:40-9.
  • 2. Kosco M, Warren NA . Critical care nurses' perceptions of family needs as met. Crit Care Nurs Q. 2000;23:60-72.
  • 3. Bailey JJ, Sabbagh M, Loiselle CG, Boileau J, McVey L. Supporting families in the ICU: A descriptive correlational study of informational support, anxiety, and satisfaction with care. Intensive Crit Care Nurs. 2010;26:114-22.
  • 4. Hunsucker SC, Frank Dl, Flannery J. Meeting the needs of ruralfamilies during critical illness: The APN's role. Dimens Crit Care Nurs. 1999;18:24-34.
  • 5. Zaforteza C, García A, Quintana R, Sánchez C, Abadía E, Miró JA. Abrir la unidad de cuidados intensivos a los familiares: ¿qué opinan los profesionales? [opening the intensive care unit to families: what do the professionals think?] Enferm Intensiva. 2010;21:52–7.
  • 6. Pardavila MI, Vivar CG. Necesidades de las familias en las unidades de cuidados intensivos [Needs of the families in Critical Care Units]. Literature review. Enferm Intensiva. 2012;23:51–67.
  • 7. Llamas-Sánchez F, Flores J, Acosta ME, González J, Albar MJ, Macías C. Necesidades de los familiares en una Unidad de Cuidados Críticos [Needs of the families in a Critical Care Unit] Enferm Intensiva. 2009;20:50–7.
  • 8. Chaitin, E., Wood, G. J., Arnold, R. M., Parsons, P. E., Schwenk, T. L., &Finlay, G. Communication in the ICU: Holding a family meeting, UpTo Date. Retrieved 11 May, 2007.
  • 9. Lautrette A, Darmon M, Megarbane B, Joly LM, Chevret S, Adrie C, Barnoud D, Bleichner G, Bruel C, Choukroun G, et al. A communication strategy and brochure for relatives of patients dying in the ICU. N Engl J Med. 2007;356:469-78.
  • 10. Myhren H, Ekeberg Ø, Langen I, Stokland O. Emotional strain, communication, and satisfaction of family members in the intensive care unit compared with expectations of the medical staff: experiences from a Norwegian University Hospital. Int Care Med. 2004;30:1791-8.
  • 11. Uzun Ö, Özer N, Akyıl R. Needs of Patients' Families in some surgical clinics and surgical intensive care units. AÜTD. 2002;34:39-42.
There are 11 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research article
Authors

Çiğdem Ünal Kantekin

Arzu Esen Tekeli

Özgül Kaaraaslan

Gamze Talih

Yunus Hacımusalar This is me

Publication Date January 27, 2019
Published in Issue Year 2019

Cite

APA Ünal Kantekin, Ç., Tekeli, A. E., Kaaraaslan, Ö., Talih, G., et al. (2019). An evaluation of the effect on depression and anxiety levels of the frequency of providing informing to the relatives of patients treated in intensive care unit. Journal of Surgery and Medicine, 3(1), 36-38. https://doi.org/10.28982/josam.440146
AMA Ünal Kantekin Ç, Tekeli AE, Kaaraaslan Ö, Talih G, Hacımusalar Y. An evaluation of the effect on depression and anxiety levels of the frequency of providing informing to the relatives of patients treated in intensive care unit. J Surg Med. January 2019;3(1):36-38. doi:10.28982/josam.440146
Chicago Ünal Kantekin, Çiğdem, Arzu Esen Tekeli, Özgül Kaaraaslan, Gamze Talih, and Yunus Hacımusalar. “An Evaluation of the Effect on Depression and Anxiety Levels of the Frequency of Providing Informing to the Relatives of Patients Treated in Intensive Care Unit”. Journal of Surgery and Medicine 3, no. 1 (January 2019): 36-38. https://doi.org/10.28982/josam.440146.
EndNote Ünal Kantekin Ç, Tekeli AE, Kaaraaslan Ö, Talih G, Hacımusalar Y (January 1, 2019) An evaluation of the effect on depression and anxiety levels of the frequency of providing informing to the relatives of patients treated in intensive care unit. Journal of Surgery and Medicine 3 1 36–38.
IEEE Ç. Ünal Kantekin, A. E. Tekeli, Ö. Kaaraaslan, G. Talih, and Y. Hacımusalar, “An evaluation of the effect on depression and anxiety levels of the frequency of providing informing to the relatives of patients treated in intensive care unit”, J Surg Med, vol. 3, no. 1, pp. 36–38, 2019, doi: 10.28982/josam.440146.
ISNAD Ünal Kantekin, Çiğdem et al. “An Evaluation of the Effect on Depression and Anxiety Levels of the Frequency of Providing Informing to the Relatives of Patients Treated in Intensive Care Unit”. Journal of Surgery and Medicine 3/1 (January 2019), 36-38. https://doi.org/10.28982/josam.440146.
JAMA Ünal Kantekin Ç, Tekeli AE, Kaaraaslan Ö, Talih G, Hacımusalar Y. An evaluation of the effect on depression and anxiety levels of the frequency of providing informing to the relatives of patients treated in intensive care unit. J Surg Med. 2019;3:36–38.
MLA Ünal Kantekin, Çiğdem et al. “An Evaluation of the Effect on Depression and Anxiety Levels of the Frequency of Providing Informing to the Relatives of Patients Treated in Intensive Care Unit”. Journal of Surgery and Medicine, vol. 3, no. 1, 2019, pp. 36-38, doi:10.28982/josam.440146.
Vancouver Ünal Kantekin Ç, Tekeli AE, Kaaraaslan Ö, Talih G, Hacımusalar Y. An evaluation of the effect on depression and anxiety levels of the frequency of providing informing to the relatives of patients treated in intensive care unit. J Surg Med. 2019;3(1):36-8.