Examination of environmental stressors in patients undergoing minimally invasive and open heart surgery

Selda Güre; Yasemin Güçlüel

Examination of environmental stressors in patients undergoing minimally invasive and open heart surgery

Abstract

This study aimed to investigate environmental stressors perceived by patients undergoing minimally invasive cardiac surgery and open heart surgery in a cardiovascular intensive care unit. A descriptive and comparative design was used. The study was conducted in the surgical intensive care unit of a training and research hospital between February 1 and May 1, 2025. The sample consisted of 80 patients, including 40 patients who underwent open heart surgery and 40 patients who underwent minimally invasive cardiac surgery. The majority of participants were male (71.25%), aged 60 years and over (38.75%), and had chronic diseases (90%). Data were collected using the Personal Information Form and the Intensive Care Unit Environmental Stressors Scale. The mean environmental stress score was 84.32±26.31, with a range between 43 and 141. The most prominent stressors were pain (3.13±0.93), missing one’s spouse (3.05±1.04), and inability to drink water (2.91±1.15). No statistically significant difference was found between the total stress scores of the groups according to the type of surgery (p=0.39). However, statistically significant differences were observed in some individual stressors, including pain (p=0.008), seeing family and friends for a limited time (p=0.02), taking oxygen or wearing an oxygen mask (p=0.044), and nurses being in a hurry (p=0.05). Significant differences were also found between the groups in terms of age distribution (p<0.001), educational status (p=0.009), presence of diabetes (p=0.013), and length of stay in the intensive care unit (p=0.014), indicating potential confounding effects. In conclusion, patients in the intensive care unit are significantly affected by environmental stressors regardless of the type of surgery. These findings emphasize the importance of early identification of stressors and the implementation of individualized nursing interventions to improve patient comfort and clinical outcomes.

Keywords

Supporting Institution

No

Project Number

No

Ethical Statement

Ethics committee approval was obtained.

Thanks

We would like to thank our patients who participated in the study.

References

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Details

Primary Language

English

Subjects

Surgical Diseases Nursing, ICU Nursing

Journal Section

Research Article

Authors

Selda Güre ^*
0000-0002-5324-5138
Türkiye

Yasemin Güçlüel
0000-0003-3325-8502
Türkiye

Publication Date

June 30, 2026

Submission Date

July 17, 2025

Acceptance Date

April 29, 2026

Published in Issue

Year 2026 Number: 065

IZ

https://izlik.org/JA69ZR54LW

Cite

RIS / Bibtex

APA

Güre, S., & Güçlüel, Y. (2026). Examination of environmental stressors in patients undergoing minimally invasive and open heart surgery. Journal of Scientific Reports-A, 065, 44-54. https://izlik.org/JA69ZR54LW

AMA

1.Güre S, Güçlüel Y. Examination of environmental stressors in patients undergoing minimally invasive and open heart surgery. JSR-A. 2026;(065):44-54. https://izlik.org/JA69ZR54LW

Chicago

Güre, Selda, and Yasemin Güçlüel. 2026. “Examination of Environmental Stressors in Patients Undergoing Minimally Invasive and Open Heart Surgery”. Journal of Scientific Reports-A, nos. 065: 44-54. https://izlik.org/JA69ZR54LW.

EndNote

Güre S, Güçlüel Y (June 1, 2026) Examination of environmental stressors in patients undergoing minimally invasive and open heart surgery. Journal of Scientific Reports-A 065 44–54.

IEEE

[1]S. Güre and Y. Güçlüel, “Examination of environmental stressors in patients undergoing minimally invasive and open heart surgery”, JSR-A, no. 065, pp. 44–54, June 2026, [Online]. Available: https://izlik.org/JA69ZR54LW

ISNAD

Güre, Selda - Güçlüel, Yasemin. “Examination of Environmental Stressors in Patients Undergoing Minimally Invasive and Open Heart Surgery”. Journal of Scientific Reports-A. 065 (June 1, 2026): 44-54. https://izlik.org/JA69ZR54LW.

JAMA

1.Güre S, Güçlüel Y. Examination of environmental stressors in patients undergoing minimally invasive and open heart surgery. JSR-A. 2026;:44–54.

MLA

Güre, Selda, and Yasemin Güçlüel. “Examination of Environmental Stressors in Patients Undergoing Minimally Invasive and Open Heart Surgery”. Journal of Scientific Reports-A, no. 065, June 2026, pp. 44-54, https://izlik.org/JA69ZR54LW.

Vancouver

1.Selda Güre, Yasemin Güçlüel. Examination of environmental stressors in patients undergoing minimally invasive and open heart surgery. JSR-A [Internet]. 2026 Jun. 1;(065):44-5. Available from: https://izlik.org/JA69ZR54LW