Emotional Problems in Intensive Care and Physiotherapy

Öz

Intensive care units (ICU) are mechanically equipped and specialized units that provide continuous care to patients with serious illness, trauma or post-surgical condition. Every year, many individuals are admitted to intensive care units and may encounter many physical, psychosocial and mental stressors within this process. Delirium, anxiety, depression, sleep problems, pain and spiritual distress are the emotional problems that can be seen as a result of the effects of these stressors. In the management of emotional problems in the ICU, besides psychotherapy methods, various physiotherapy and rehabilitation methods that are effective on well-being can be applied. The aim of this review is to describe the emotional problems seen in the intensive care process and to compile the physiotherapy and rehabilitation methods and evaluations applied for these emotional problems.

Anahtar Kelimeler

• Intensive care unit
• rehabilitation
• well-being
• depression
• anxiety
• spiritual distress

Proje Numarası

yok

YOĞUN BAKIMDA GÖRÜLEN EMOSYONEL PROBLEMLER ve FİZYOTERAPİ

Öz

Yoğun bakım üniteleri (YBÜ) ciddi rahatsızlığı olan, travma veya cerrahi sonrası durumu kritik olan hastalara sürekli bakım veren mekanik yönden donanımlı ve özelleşmiş birimlerdir. Her yıl birçok birey yoğun bakım ünitelerine kabul edilmekte ve bu süreçte birçok fiziksel, psikososyal, mental stresörle karşılaşabilmektedir. Deliryum, anksiyete, depresyon, uyku problemleri, ağrı ve spiritüel distres bu stresörlerin etkileri sonucu görülebilecek emosyonel problemlerdendir. YBÜ’de emosyonel problemlerin yönetiminde psikoterapi yöntemlerinin yanında iyi olma hali üzerine etkili olan çeşitli fizyoterapi ve rehabilitasyon yöntemleri uygulanabilmektedir. Bu derlemede amaç yoğun bakım sürecinde görülen emosyonel problemleri tanımlamak ve bu emosyonel problemler için uygulanan fizyoterapi ve rehabilitasyon yöntemleri ve değerlendirmelerini derlemektir.

Anahtar Kelimeler

• Yoğun bakım ünitesi
• rehabilitasyon
• iyi olma
• depresyon
• anksiyete
• spiritüel distres

Destekleyen Kurum

yok

Proje Numarası

yok

Kaynakça

1. Akdemir, A., ÖRSEL, D. S., DAĞ, İ., TÜRKÇAPAR, M. H., İŞCAN, N., & ÖZBAY, H. (1996). Hamilton depresyon derecelendirme ölçeği (HDDÖ)'nin geçerliliği-güvenirliliği ve klinikte kullanımı. Psikiyatri Psikoloji Psikofarmakoloji Dergisi, 4(4), 251-259.
2. Akıncı, S. B., Rezaki, M., Özdemir Rezaki, H. A. T. İ. C. E., Çelikcan, A., Kanbak, M., Yorgancı, K., & Aypar, Ü. (2005). Yoğun bakım ünitesinde konfüzyon değerlendirme ölçeğinin geçerlik güvenilirlik çalışması. Türk Anestezi ve Reanimasyon Dergisi, 33(4), 333-341.
3. Edition, F. (2013). Diagnostic and statistical manual of mental disorders. Am Psychiatric Assoc, 21(21), 591-643.
4. Badır, A., & Aslan, F. E. (2003). Yoğun bakım ünitelerinde çok konuşulan az sorgulanan bir sorun: ağrı. Yoğun Bakım Hemşireliği Dergisi, 7(1), 100-108.
5. Bagheri, H., Moradi-Mohammadi, F., Khosravi, A., Ameri, M., Khajeh, M., Chan, S. W. C., ... & Mardani, A. (2021). Effect of Benson and progressive muscle relaxation techniques on sleep quality after coronary artery bypass graft: A randomized controlled trial. Complementary Therapies in Medicine, 63, 102784.
6. Beltrami, F. G., Nguyen, X. L., Pichereau, C., Maury, E., Fleury, B., & Fagondes, S. (2015). Sleep in the intensive care unit. Jornal Brasileiro de Pneumologia, 41, 539-546.
7. Ben Ahmed, H., Boussaid, H., Hamdi, I., Longo, S., Baccar, H., & Boujnah, M. R. (2014). Intérêt du score d'Epworth à la phase aiguë d'infarctus du myocarde [Diagnostic accuracy of Epworth sleepiness scale in the acute phase of myocardial infarction]. Revue de pneumologie clinique, 70(3), 142–147.
8. Çınar ,F., Aslan, F.E.(2017). Spiritualism And Nursing: The Importance Of Spiritual Care In Intensive Care Patients, 3(1),37-42.

9. Davydow, D. S., Desai, S. V., Needham, D. M., & Bienvenu, O. J. (2008). Psychiatric morbidity in survivors of the acute respiratory distress syndrome: a systematic review. Psychosomatic medicine, 70(4), 512-519.
10. Dean, E. A., Biehl, M., Bash, K., Weleff, J., & Pozuelo, L. (2021). Neuropsychiatric assessment and management of the ICU survivor. Cleveland Clinic journal of medicine, 88(12), 669-679.
11. Dedeli, O., Yildiz, E., & Yuksel, S. (2015). Assessing the spiritual needs and practices of oncology patients in Turkey. Holistic nursing practice, 29(2), 103–113.
12. Dedeli, Ö. & Durmaz Akyol, A. (2008). Yoğun Bakım Hastalarında Psikososyal Sorunlar . Yoğun Bakım Hemşireliği Dergisi , 12 (1) , 26-32 . Retrieved from https://dergipark.org.tr/tr/pub/ybhd/issue/26483/278737
13. Doğu., Ö, &, Kaya, H. (2017).Yoğun Bakımda Deliryum ve Hemşirelik Bakımı. Journal of Human Rhythm, 3(2), 80-84.
14. Figueroa-Ramos, M.I., Arroyo-Novoa, C.M., Lee, K.A. et al. Sleep and delirium in ICU patients: a review of mechanisms and manifestations. Intensive Care Med 35, 781–795 (2009). https://doi.org/10.1007/s00134-009-1397-4.
15. Gatty, A., Samuel, S. R., Alaparthi, G. K., Prabhu, D., Upadya, M., Krishnan, S., & Amaravadi, S. K. (2020). Effectiveness of structured early mobilization protocol on mobility status of patients in medical intensive care unit. Physiotherapy theory and practice, 1–13. Advance online publication. https://doi.org/10.1080/09593985.2020.1840683.
16. Hayhurst, C. J., Pandharipande, P. P., & Hughes, C. G. (2016). Intensive care unit delirium: a review of diagnosis, prevention, and treatment. Anesthesiology, 125(6), 1229-1241.
17. Ho, J. Q., Nguyen, C. D., Lopes, R., Ezeji-Okoye, S. C., & Kuschner, W. G. (2018). Spiritual Care in the Intensive Care Unit: A Narrative Review. Journal of intensive care medicine, 33(5), 279–287.
18. Hsu, W. C., Guo, S. E., & Chang, C. H. (2019). Back massage intervention for improving health and sleep quality among intensive care unit patients. Nursing in Critical Care, 24(5), 313-319.
19. Izci, B., Ardic, S., Firat, H., Sahin, A., Altinors, M., & Karacan, I. (2008). Reliability and validity studies of the Turkish version of the Epworth Sleepiness Scale. Sleep and Breathing, 12(2), 161-168.
20. Karadag, E., Samancioglu, S., Ozden, D., & Bakir, E. (2017). Effects of aromatherapy on sleep quality and anxiety of patients. Nursing in critical care, 22(2), 105-112.
21. Karayurt, Ö., & Akyol, Ö. (2008). Yoğun Bakım Hastalarında Ağrı Değerlendirmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 11(4), 96-104.
22. Koçak, A. T., & Arslan, S. (2020). YOĞUN BAKIMDA UYKU YOKSUNLUĞUNA BİR ÇÖZÜM: UYKU BANDI VE KULAKLIK. Anadolu Hemşirelik Ve Sağlık Bilimleri Dergisi, 23(2), 298-303.
23. Kotfis, K., Marra, A., & Ely, E. W. (2018). ICU delirium - a diagnostic and therapeutic challenge in the intensive care unit. Anaesthesiology intensive therapy, 50(2), 160–167. https://doi.org/10.5603/AIT.a2018.0011
24. KÜÇÜKELÇİ, D. T. (2019). Hastane anksiyete ve depresyon ölçeği (HADS) üzerine bir çalışma. Yaşam Becerileri Psikoloji Dergisi, 3(5), 85-91.
25. Laghlam, D., Naudin, C., Coroyer, L. et al. Virtual reality vs. Kalinox® for management of pain in intensive care unit after cardiac surgery: a randomized study. Ann. Intensive Care 11, 74 (2021).
26. Lee, C. Y., Low, L. P., & Twinn, S. (2007). Older men's experiences of sleep in the hospital. Journal of clinical nursing, 16(2), 336–343.
27. Luetz, A., Grunow, J. J., Mörgeli, R., Rosenthal, M., Weber-Carstens, S., Weiss, B., & Spies, C. (2019). Innovative ICU Solutions to Prevent and Reduce Delirium and Post-Intensive Care Unit Syndrome. Seminars in respiratory and critical care medicine, 40(5), 673–686. https://doi.org/10.1055/s-0039-1698404.
28. Navarro-García, M. Á., de Carlos Alegre, V., Martinez-Oroz, A., Irigoyen-Aristorena, M. I., Elizondo-Sotro, A., Indurain-Fernández, S., ... & García-Ganuza, R. (2017). Quality of sleep in patients undergoing cardiac surgery during the postoperative period in intensive care. Enfermería Intensiva (English ed.), 28(3), 114-124.
29. Neelon, V. J., Champagne, M. T., Carlson, J. R., & Funk, S. G. (1996). The NEECHAM Confusion Scale: construction, validation, and clinical testing. Nursing research, 45(6), 324-330.
30. Olsen, B. F., Valeberg, B. T., Jacobsen, M., Småstuen, M. C., Puntillo, K., & Rustøen, T. (2020). Pain in intensive care unit patients-A longitudinal study. Nursing open, 8(1), 224–231.
31. Parry, S. M., Berney, S., Warrillow, S., El-Ansary, D., Bryant, A. L., Hart, N., ... & Denehy, L. (2014). Functional electrical stimulation with cycling in the critically ill: a pilot case-matched control study. Journal of critical care, 29(4), 695-e1.
32. Payen, J. F., Bru, O., Bosson, J. L., Lagrasta, A., Novel, E., Deschaux, I., ... & Jacquot, C. (2001). Assessing pain in critically ill sedated patients by using a behavioral pain scale. Critical care medicine, 29(12), 2258-2263.
33. Payen, J. F., Bosson, J. L., Chanques, G., Mantz, J., Labarere, J., & DOLOREA Investigators (2009). Pain assessment is associated with decreased duration of mechanical ventilation in the intensive care unit: a post Hoc analysis of the DOLOREA study. Anesthesiology, 111(6), 1308–1316.
34. Piderman, K. M., Lapid, M. I., Stevens, S. R., Ryan, S. M., Somers, K. J., Kronberg, M. T., ... & Rummans, T. A. (2011). Spiritual well-being and spiritual practices in elderly depressed psychiatric inpatients. Journal of Pastoral Care & Counseling, 65(1), 1-11.
35. Ramos Dos Santos, P. M., Aquaroni Ricci, N., Aparecida Bordignon Suster, É., de Moraes Paisani, D., & Dias Chiavegato, L. (2017). Effects of early mobilisation in patients after cardiac surgery: a systematic review. Physiotherapy, 103(1), 1–12.
36. Rattray, J. E., & Hull, A. M. (2008). Emotional outcome after intensive care: literature review. Journal of advanced nursing, 64(1), 2-13. Rehabilitation After Critical Illness.(2009). National Institute for Health and Clinical Excellence (NICE).
37. Richards, K. (1987). Techniques for measurement of sleep in critical care. Focus on critical care, 14(4), 34-40.
38. Roze des Ordons, A. L., Sinuff, T., Stelfox, H. T., Kondejewski, J., & Sinclair, S. (2018). Spiritual Distress Within Inpatient Settings-A Scoping Review of Patients' and Families' Experiences. Journal of pain and symptom management, 56(1), 122–145. https://doi.org/10.1016/j.jpainsymman.2018.03.009.
39. Salluh, J. I., Soares, M., Teles, J. M., Ceraso, D., Raimondi, N., Nava, V. S., ... & Rocha, M. G. (2010). Delirium epidemiology in critical care (DECCA): an international study. Critical Care, 14(6), 1-7.
40. Schweickert, W. D., Pohlman, M. C., Pohlman, A. S., Nigos, C., Pawlik, A. J., Esbrook, C. L., ... & Kress, J. P. (2009). Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. The Lancet, 373(9678), 1874-1882.
41. Shdaifat, S. A., & Al Qadire, M. (2022). Anxiety and depression among patients admitted to intensive care. Nursing in critical care, 27(1), 106–112.
42. Sorias, O. (1998). Psikiyatrik derecelendirme ölçekleri. Güleç, C. Köroğlu, E. (editörler). Psikiyatri Temel Kitabı. Hekimler Yayın Birliği, Ankara1,81-93.
43. Tembo, A. C., & Parker, V. (2009). Factors that impact on sleep in intensive care patients. Intensive & critical care nursing, 25(6), 314–322.
44. Vancampfort, D., Stubbs, B., Probst, M., & Mugisha, J. (2018). Physiotherapy for people with mental health problems in Sub-Saharan African countries: a systematic review. Archives of physiotherapy, 8(1), 1-8.
45. Waisbren, S., & White, D. A. (2010). Screening for cognitive and social–emotional problems in individuals with PKU: tools for use in the metabolic clinic. Molecular genetics and metabolism, 99, S96-S99.
46. Worsham, C. M., Banzett, R. B., & Schwartzstein, R. M. (2021). Dyspnea, acute respiratory failure, psychological trauma, and post-ICU mental health: a caution and a call for research. Chest, 159(2), 749-756.
47. Yazıcı, M. K., Demir, B., Tanrıverdi, N., Karaağaoğlu, E., & Yolaç, P. (1998). Hamilton anksiyete değerlendirme öiçeği, değerlendiriciler arası güvenirlik ve geçerlik çalışması. Türk Psikiyatri Dergisi, 9(2), 114-117.
48. Yousefzadeh-Chabok, S., Khodadadi-Hassankiadeh, N., Saberi, A., Ghanbari Khanghah, A., Zarrabi, H., Yeganeh, M. R., ... & Dehnadi Moghadam, A. (2018). Anxiety, depression, and their related factors in patients admitted to intensive care units. Caspian Journal of Neurological Sciences, 4(4), 159-168.
49. Zengin, N. (2015). Yoğun Bakım Ünitesinde Yaşlı Hastalarda Uyku Sorunları ve Çözüm Önerileri . Yoğun Bakım Hemşireliği Dergisi , 19 (2) , 80-87 . Retrieved from https://dergipark.org.tr/tr/pub/ybhd/issue/26493/278801.