Stressors in ICU: patients’ evaluation |
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Authors: | M A F P Novaes A Aronovich M B Ferraz E Knobel |
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Institution: | (1) Hospital Israelita Albert Einstein, Centro de Terapia Intensiva, Av. Albert Einstein 627, 05651-901 S∼ao Paulo – SP, Brazil FAX: +55 (11) 846 9411 and 845 1500 e-mail: novaes@ibm.net, IL |
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Abstract: | Objective: To study the physical and psychological stressors in the intensive care unit (ICU) and to correlate stressors with different
demographic variables. Design: Cross-sectional analytical survey. Setting: Intensive care unit of a private hospital. Patients and participants: 50 randomly selected ICU patients during the first week of their ICU stay. Measurements and results: The Intensive Care Unit Environmental Stressor Scale was administered to 50 patients. Pain and the impossibility of sleeping
due to noise and having tubes in the nose and mouth were considered the most important physical stressors. Loss of self control
and lack of understanding about the attitudes and procedures were the main psychological stressors. Conclusions: Interventions should be aimed at relieving the patient's pain and at controlling the level of noise to make sleep possible.
From the psychological standpoint, the independence of the patient should be encouraged, thus stimulating the recovery of
self-control. The team should also inform the patient about the procedures which will be carried out.
Received: 1 April 1997 Accepted: 24 September 1997 |
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Keywords: | Stress Intensive care unit Psychology Environment Stress assessment Critical care |
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