Jordanian patients' perception of stressors in critical care units: a questionnaire survey.
Author: Hweidi IM.
Source:
International journal of nursing studies, 44(2), 227-235.
BACKGROUND: Critical care units' CCUs environment has been regarded as a leading
stressor because of the complex nature of patient's health problems that require
an extensive use of very sophisticated technology. Multiple and complex care
predominates in CCUs have been described by patients to be stressful and
emotionally demanding. RATIONALE: Number of CCUs in Jordan has been increasing
and so does the advanced technology, which calls for adaptability in dealing with
unit stressors as they affect patient recovery and rehabilitation. OBJECTIVES: To
identify the principal physical and psychological stressors as perceived by
Jordanian patients in CCUs and to examine the effects of selected patients'
characteristics on their perception of stressors. METHODS: In this
cross-sectional study, data was collected from 165 patients, 2-3 days after being
discharged from CCUs in two Jordanian governmental hospitals. A structured
interview guide including the Intensive Care Unit Environmental Stressor Scale
was used. RESULTS: Having tubes in nose or mouth, being in pain, not able to
sleep and hearing the buzzers and alarms from the machinery, being thirsty, and
not being in control of your-self were considered by patients as the main
stressors. Psychological stressors were the least stressful items identified by
patients. Marital status, educational level, age, and income were the most
significant characteristics which affected patients' perception of stressors.
CONCLUSIONS: The findings suggest that single and older patients with low income
and low education experience more difficulties than their counterparts. Nurses
must utilize more effective communication techniques and interventions to relieve
patients' pain, and provide an atmosphere in which rest is possible, with less
light, noise, and the fewest possible interruptions. Although the results of this
study indicate the need to provide the best possible physical care, it is equally
important to give adequate attention to patients' and families' psychological
aspects.