Göktas S B, Yildiz T, Nargiz S K, Gur O
Department of Nursing, Surgical Nursing, Medipol University, Faculty of Health Science, Istanbul, Turkey.
Niger J Clin Pract. 2016 Mar-Apr;19(2):284-9. doi: 10.4103/1119-3077.175963.
The study was planned to review the experiences of patients in the intensive care units (ICUs) and determine their states of awareness following an emergency or elective cardiac surgery.
This was a multicenter and descriptive study. Approval was granted by the Institutional Ethics Committee and informed consent for participation in the study was obtained from all the patients. The study included a total of 300 patients who underwent emergency or elective cardiovascular surgery and were then transferred to the ICU. Data were gathered from the demographic data form and the intensive care experience scale, which was developed by the researchers and applied through face-to-face interviews with the patients. The independent-samples t-test, Mann-Whitney U (Exact) test, one-way ANOVA (Robust Test: Brown-Forsythe), and multivariate analysis of variance were used in the analysis of the data.
The study included 300 patients, comprising 108 (36%) females and 192 (64%) males. No difference was found between the groups in respect of total intensive care points of emergency (57.9 ± 4.92) and elective (56.6 ± 4.58) operations (P = 0.32). The environmental awareness level and patient satisfaction of the elective group were seen to be higher, and the emergency group reported more bad experiences. Patients who had undergone emergency cardiac valve surgery were more satisfied (P < 0.001) and remembered more (P = 0.001).
Patients who had undergone urgent and elective cardiac surgery were seen to have had a relatively negative intensive care experience. When there was more environment awareness in patients with ICU experience, it was determined that as the duration of stay in the ICU lengthens out, the pessimistic experiences increased and ICU satisfaction decreases.
本研究旨在回顾重症监护病房（ICU）患者的经历，并确定他们在急诊或择期心脏手术后的意识状态。
这是一项多中心描述性研究。该研究获得了机构伦理委员会的批准，并征得所有患者参与研究的知情同意。本研究共纳入300例接受急诊或择期心血管手术并随后转入ICU的患者。数据收集自人口统计学数据表和重症监护经验量表，该量表由研究人员编制，并通过与患者面对面访谈的方式进行应用。在数据分析中使用了独立样本t检验、曼-惠特尼U（精确）检验、单因素方差分析（稳健检验：布朗-福赛斯）和多因素方差分析。
本研究纳入300例患者，其中女性108例（36%），男性192例（64%）。急诊手术（57.9±4.92）和择期手术（56.6±4.58）的总重症监护得分在两组之间未发现差异（P=0.32）。择期组的环境意识水平和患者满意度更高，而急诊组报告的不良经历更多。接受急诊心脏瓣膜手术的患者更满意（P<0.001）且记忆更清晰（P=0.001）。
接受急诊和择期心脏手术的患者的重症监护经历相对负面。当有ICU经历的患者环境意识更强时，研究确定随着在ICU停留时间的延长，悲观经历增加，对ICU的满意度降低。
