Faculty of Nursing, Gazi University, Ankara, Turkey.
Vocational School of Health Services, Balıkesir University, Balikesir, Turkey.
J Clin Nurs. 2024 Oct;33(10):4005-4013. doi: 10.1111/jocn.17064. Epub 2024 Feb 2.
This study aims to determine the relationship between perceptions of nursing presence and intensive care experiences in adult intensive care unit patients'.
Intensive care units (ICUs) are settings where patients have many negative emotions and experiences, which affect both treatment and post-discharge outcomes. The holistic presence of nurses may help patients turn their negative emotions and experiences into positive ones.
A descriptive-correlational design was used and reported according to the STROBE checklist.
The sample consisted of 182 participants. Data were collected using a personal information form, the Glasgow Coma Scale (GCS), the Intensive Care Experience Scale (ICES), and the Presence of Nursing Scale (PONS).
A strong positive correlation existed between total ICES and PONS scores (r = 0.889, p < 0.001). There was a strong positive correlation between PONS total score and ICES subscales (awareness of surroundings (r = 0.751, p < 0.001), frightening experiences (r = 0.770, p < 0.001), recall of experience (r = 0.774, p < 0.001), and satisfaction with care (r = 0.746, p < 0.001)). Males (β = -0.139, p < 0.05), and patients who were university and higher education graduate (β = 0.137, p < 0.05) had higher positive ICU experiences. It was also found length of ICU stay was correlated with ICU experiences and nursing presence.
The more positively the patients perceive nurses, the better ICU experiences they have. Gender and education level were found determinants of adult ICU patients' experiences. ICU length of stay predicted what kind of experience patients have and how much they feel the presence of nurses.
Nurses should make their presence felt completely and holistically by using their communication skills for patients have more positive intensive care experiences. Nurses should consider variables which affects patients' ICU experiences and nursing presence.
本研究旨在确定成人重症监护病房患者对护理存在的感知与重症监护体验之间的关系。
重症监护病房（ICU）是患者产生许多负面情绪和体验的场所，这会影响治疗和出院后的结果。护士的整体存在可以帮助患者将负面情绪和体验转化为积极的情绪和体验。
采用描述性相关性设计，并根据 STROBE 清单进行报告。
样本由 182 名参与者组成。使用个人信息表、格拉斯哥昏迷量表（GCS）、重症监护体验量表（ICES）和护理存在量表（PONS）收集数据。
总 ICES 评分与 PONS 评分之间存在强正相关（r=0.889，p<0.001）。PONS 总分与 ICES 各分量表之间存在强正相关（对周围环境的意识（r=0.751，p<0.001）、恐惧体验（r=0.770，p<0.001）、体验回忆（r=0.774，p<0.001）和护理满意度（r=0.746，p<0.001））。男性（β=-0.139，p<0.05）和接受过大学及以上教育的患者（β=0.137，p<0.05）有更高的积极 ICU 体验。还发现 ICU 住院时间与 ICU 体验和护理存在相关。
患者对护士的评价越积极，他们的 ICU 体验就越好。性别和教育水平是成人 ICU 患者体验的决定因素。ICU 住院时间预测了患者的体验类型以及他们对护士存在的感受程度。
护士应通过运用沟通技巧，全面而整体地体现自己的存在，使患者获得更积极的重症监护体验。护士应考虑影响患者 ICU 体验和护理存在的变量。
