Dias Douglas de Sá, Resende Mariane Vanessa, Diniz Gisele do Carmo Leite Machado
Hospital Vera Cruz, Belo Horizonte, MG, Brasil.
Centro Terapêutico Master Fisio, Betim, MG, Brasil.
Rev Bras Ter Intensiva. 2015 Jan-Mar;27(1):18-25. doi: 10.5935/0103-507X.20150005. Epub 2015 Mar 1.
To evaluate and compare stressors identified by patients of a coronary intensive care unit with those perceived by patients of a general postoperative intensive care unit.
This cross-sectional and descriptive study was conducted in the coronary intensive care and general postoperative intensive care units of a private hospital. In total, 60 patients participated in the study, 30 in each intensive care unit. The stressor scale was used in the intensive care units to identify the stressors. The mean score of each item of the scale was calculated followed by the total stress score. The differences between groups were considered significant when p < 0.05.
The mean ages of patients were 55.63 ± 13.58 years in the coronary intensive care unit and 53.60 ± 17.47 years in the general postoperative intensive care unit. For patients in the coronary intensive care unit, the main stressors were "being in pain", "being unable to fulfill family roles" and "being bored". For patients in the general postoperative intensive care unit, the main stressors were "being in pain", "being unable to fulfill family roles" and "not being able to communicate". The mean total stress scores were 104.20 ± 30.95 in the coronary intensive care unit and 116.66 ± 23.72 (p = 0.085) in the general postoperative intensive care unit. When each stressor was compared separately, significant differences were noted only between three items. "Having nurses constantly doing things around your bed" was more stressful to the patients in the general postoperative intensive care unit than to those in the coronary intensive care unit (p = 0.013). Conversely, "hearing unfamiliar sounds and noises" and "hearing people talk about you" were the most stressful items for the patients in the coronary intensive care unit (p = 0.046 and 0.005, respectively).
The perception of major stressors and the total stress score were similar between patients in the coronary intensive care and general postoperative intensive care units.
评估并比较冠心病重症监护病房患者所识别出的应激源与普通术后重症监护病房患者所感知到的应激源。
本横断面描述性研究在一家私立医院的冠心病重症监护病房和普通术后重症监护病房进行。共有60名患者参与研究，每个重症监护病房各30名。在重症监护病房使用应激源量表来识别应激源。计算量表各项目的平均分，随后得出总应激得分。当p<0.05时，组间差异被认为具有显著性。
冠心病重症监护病房患者的平均年龄为55.63±13.58岁，普通术后重症监护病房患者的平均年龄为53.60±17.47岁。对于冠心病重症监护病房的患者，主要应激源为“疼痛”、“无法履行家庭角色”和“感到无聊”。对于普通术后重症监护病房的患者，主要应激源为“疼痛”、“无法履行家庭角色”和“无法交流”。冠心病重症监护病房的平均总应激得分为104.20±30.95，普通术后重症监护病房为116.66±23.72（p=0.085）。当分别比较每个应激源时，仅在三个项目之间存在显著差异。“护士在您床边不停地做事”对普通术后重症监护病房患者的压力比对冠心病重症监护病房患者更大（p=0.013）。相反，“听到陌生的声音和噪音”以及“听到人们谈论您”是冠心病重症监护病房患者压力最大的项目（分别为p=0.046和0.005）。
冠心病重症监护病房和普通术后重症监护病房患者对主要应激源的感知及总应激得分相似。
