Factors Affecting the Intensive Care Experience of Patients Undergoing Cardiac Surgery: A Cross-Sectional Study

Necibe Dağcan Şahin1, Gülşah Gürol Arslan2

  • 1Fundamentals of Nursing Department, Faculty of Health Sciences, Kutahya Health Sciences University, Kutahya, Turkey.

Creative Nursing
|June 2, 2025
PubMed

Insights

Patients undergoing cardiac surgery generally have a positive intensive care unit (ICU) experience. Key factors influencing this experience include length of stay in the ICU and pain management, highlighting the importance of quality nursing care.

Area of Science:

  • Cardiology
  • Intensive Care Medicine
  • Surgical Nursing

Background:

  • Cardiac surgery carries a significant risk of postoperative complications.
  • Patient experiences in the intensive care unit (ICU) are influenced by various factors post-surgery.

Purpose of the Study:

  • To identify factors impacting the ICU experience of patients after cardiac surgery.
  • To analyze the relationship between patient demographics, clinical variables, and ICU experience.

Main Methods:

  • A cross-sectional study involving 200 patients who underwent cardiac surgery.
  • Data collected from patients treated in a Turkish hospital between February and September 2022.

Main Results:

  • Patients generally reported a positive ICU experience following cardiac surgery.
  • Length of stay (LOS) in the ICU, mean pain scores, age, and gender were significant predictors (53% variance) of the ICU experience.
  • LOS in the ICU emerged as the most influential factor.

Conclusions:

  • Effective patient care can mitigate both prolonged ICU stays and pain levels.
  • Improving the ICU experience necessitates reducing pain and shortening length of stay through quality nursing interventions.

Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...