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Thoracic and cardiovascular surgery patients: Intensive care unit experiences
Aylin Durmaz Edeer1, Özlem Bilik1, Eda A Kankaya1
1Surgical Nursing Department, Faculty of Nursing, Dokuz Eylul University, Izmir, Turkey.
Patients in intensive care units (ICUs) experience significant discomfort. Competent nursing care can alleviate physical and psychological distress during intensive care.
Area of Science:
- Nursing
- Critical Care Medicine
- Patient Experience
Background:
- Intensive care units (ICUs) are inherently stressful environments.
- Patients in ICUs often experience significant physical and psychological discomfort.
- Understanding patient experiences in ICUs is crucial for improving care.
Purpose of the Study:
- To determine the intensive care experiences of thoracic and cardiovascular surgery patients.
- To identify factors influencing these patient experiences.
Main Methods:
- A descriptive, cross-sectional study involving 100 post-thoracic and cardiovascular surgery patients.
- Utilized the Intensive Care Experiences Scale (ICES) and Numeric Rating Scale.
- Included open-ended questions to explore patient feelings during mechanical ventilation and overall ICU stay.
Main Results:
- The mean ICES score was 66.35 ± 6.88.
- Shorter length of stay and lower pain severity correlated with better ICES scores.
- Patients felt understood when on mechanical ventilation, reporting helplessness, uncertainty, and fear, but not death.
Conclusions:
- Patients reported a partially positive ICU experience, focusing on survival post-surgery.
- Physical discomfort and negative emotions can be mitigated by skilled nursing care.
- Competent nursing care is vital for improving the ICU patient experience.
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