Edeer Aylin Durmaz, Bilik Özlem, Kankaya Eda A
Surgical Nursing Department, Faculty of Nursing, Dokuz Eylul University, Izmir, Turkey.
Nurs Crit Care. 2020 Jul;25(4):206-213. doi: 10.1111/nicc.12484. Epub 2019 Oct 23.
Intensive care units are stressful places where patients experience physical and psychological discomfort. Understanding the experience of these patients regarding nursing care is very important.
To determine the intensive care experiences of thoracic and cardiovascular surgery patients and the factors that affect them.
The research consists of two phases: quantitative and qualitative.
This was a descriptive and cross-sectional study. Its research sample comprised 100 patients who spent at least one night in an intensive care unit after thoracic or cardiovascular surgery. The Intensive Care Experiences Scale (ICES) and the Numeric Rating Scale were used. Two open-ended questions were asked to the patients to understand what they felt when they were attached to mechanical ventilation and to describe their intensive care experiences.
The ICES mean score was 66.35 ± 6.88. Significant negative relationships were found between length of stay and severity of pain and ICES total scores. A significant difference was found between scale scores and being understood by health care professionals when attached to mechanical ventilation. The patients stated that, when they were attached to mechanical ventilation and during their stay in the intensive care unit, they experienced feelings of helplessness, uncertainty, and fear. They also experienced physical discomfort and reported no longer fearing death.
It was determined that patients partially positively perceived their experiences. It was found that they focused on coming out of surgery alive. The physical discomfort and negative emotions reported can be reduced or relieved by competent care.
The intensive care experiences and emotions of intensive care patients are important. Physical discomfort and negative emotions can be mitigated or alleviated by competent nursing care.
重症监护病房是压力较大的场所，患者会经历身体和心理上的不适。了解这些患者对护理的体验非常重要。
确定胸心血管外科手术患者在重症监护室的体验以及影响这些体验的因素。
该研究包括两个阶段：定量研究和定性研究。
这是一项描述性横断面研究。其研究样本包括100名在胸心血管外科手术后至少在重症监护病房住一晚的患者。使用了重症监护体验量表（ICES）和数字评分量表。向患者提出了两个开放式问题，以了解他们在使用机械通气时的感受，并描述他们在重症监护室的体验。
ICES平均得分为66.35±6.88。住院时间、疼痛严重程度与ICES总分之间存在显著的负相关关系。在使用机械通气时，量表得分与被医护人员理解之间存在显著差异。患者表示，在使用机械通气时以及在重症监护病房住院期间，他们感到无助、不确定和恐惧。他们还经历了身体不适，并表示不再惧怕死亡。
确定患者对其经历部分持积极看法。发现他们专注于手术成功存活。通过专业护理可以减少或缓解所报告的身体不适和负面情绪。
重症监护患者的重症监护体验和情绪很重要。专业的护理可以减轻或缓解身体不适和负面情绪。
