The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Prior Information About Intensive Care Unit Environment on Anxiety and Environmental Stress in Patients Undergoing Open Heart Surgery

중환자실 환경에 대한 사전정보 제공이 개심술 환자의 불안과 환경적 스트레스에 미치는 효과

  • 신경미 (서울아산병원) ;
  • 최혜란 (울산대학교 의과대학 의학과 임상전문간호학 전공)
  • Received : 2014.08.27
  • Accepted : 2014.12.15
  • Published : 2015.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to examine the effects of prior information about ICU environment on the anxiety and environmental stress of cardiac surgery ICU patients. Methods: A non-equivalent control group non-synchronized quasi-experimental research design was used. Participants were 60 (control 30, experimental 30) patients who had been admitted to ICU. Prior information about the ICU environment was provided to the experimental group. The anxiety level of subjects was measured by State-Trait Anxiety Inventory (STAI) and the stress level of subjects was measured by the Intensive Care Unit Environmental Stressor Scale (ICUESS). Data were analyzed using a Chi-square test or a Fisher's exact test, independent samples t-test, and paired samples t-test. Results: There was no difference in Anxiety (t=-0.58, p=.563), but there was a significant difference in environmental stress (t=10.46, p<.001). Conclusion: Providing prior information would be an effective nursing intervention to reduce environmental stress.

Keywords

References

  1. Ballard, K. S. (1981). Identification of environmental stressors for patients in a surgical intensive care unit. Issues in Mental Health Nursing, 3(2), 89-108. https://doi.org/10.3109/01612848109140863
  2. Biancofiore, G., Bindi, M., Ronmanelli, A. M., Urbani, L., Mosca, F., & Filipponi, F. (2005). Stress-inducing factors in ICUs: What liver transplant recipients experience and what caregivers perceive. Liver Transplantation, 11(8), 967-972. https://doi.org/10.1002/lt.20515
  3. Choe, M. A., Kim, K. S., Yi, M. S., Choi-Kwan, S. M., & Lee, J. S. (2008). Effect of cardiac rehabilitation education for coronary artery bypass grafting patients during their hospitalization. The Journal of Korean Biological Nursing Science, 10(1), 69-79.
  4. Choi, H. J. (2005). The effects of preoperative education using movies on anxiety in the patients undergoing total hysterectomy. Unpublished master's thesis, Dongguk University, Gyeongju.
  5. Choi, O. J. & Cho, B. H. (2007). The effect of supportive nursing care on the knowledge level and compliance of sick-role behavior in patients with coronary artery disease after coronary angiography. Korean Journal of Adult Nursing, 19(5), 729-738.
  6. Cochran, J. & Ganong, L. H. (1989). A comparison of nurses' and patients' perception of intensive care unit stressors. Journal of Advanced Nursing, 14(12), 1038-1043. https://doi.org/10.1111/j.1365-2648.1989.tb01515.x
  7. Cohen, J. (1988). Statistical power analysis for the behavior sciences (2nd ed.). Hillsdale, New Jersey: Lawrence Erlbaum Associates.
  8. Fleischer, S., Berg. A., Behrens. J., Kuss, O., Becker. R., Horbach. A., et al. (2014). Does an additional structured information program during the intensive care unit stay reduce anxiety in ICU patients? A multicenter randomized controlled trial. BioMedical Central Anesthesiology, 14, 48.
  9. Frank, W. D., Ramsey, S. L., & Shelley, M. C. (2002). Relationship between cardiovascular disease morbidity, risk factors, and stress in a low enforcement cohort. Journal of Occupational Environmental Medicine, 44(12), 1182-1189. https://doi.org/10.1097/00043764-200212000-00014
  10. Gallagher, R. & McKinley, S. (2007). Stressors and anxiety in patients undergoing coronary artery bypass surgery. American Journal of Critical Care, 16(3), 248-257.
  11. Jeon, M. H. (1985). A study of the effect of structured nursing intervention on stress perceived by patients undergoing open heart surgery. Unpublished master's thesis, Seoul national University, Seoul.
  12. Jung, Y. J. (2005). The effect of preoperative nursing information on the anxiety level of patients after open heart surgery. Unpublished master's thesis, Korea University, Seoul.
  13. Kim, J. T. & Shin, D. G. (1978). A study based on the standardization of the STAI for Korea. The New Medical Journal, 21(11), 69-75.
  14. Kim, K. S. (1991). The effect of preparatory information on stress reduction in patients undergoing cardiac catheterization. Perspectives in Nursing Science, 5(1), 49-79.
  15. Kim, K. S., Kwon, E. O., Kim, M. A., Park, O. H., Song, K. J., Song, R. Y., et al. (2012). Critical Care Nursing in ICU (2nd ed.). Seoul: Koonja Publishing.
  16. Kim, Y. K. & Jeon, E. M. (2007). The effect of supportive nursing intervention on the anxiety and nursing satisfaction of mothers with children undergoing open-heart surgery, Korean Journal of Adult Nursing, 19(3), 459-469.
  17. Koh, C. K. (2007). Patient' anxiety in intensive care units and its related factors. Journal of Korean Academy of Nursing, 37(4), 586-593. https://doi.org/10.4040/jkan.2007.37.4.586
  18. Koo, M. J., Kim, M. H., & Hwang, S. K. (2009). The effect of the nursing education program on the knowledge, anxiety and coping behavior of mothers with young child undergoing cardiac surgery, Korean Journal of Adult Nursing, 21(6), 628-638.
  19. Korean Society of Critical Care Medicine. (2010). Critical Care Medicine (2nd ed.). Seoul: Koonja Publishing.
  20. Lee, J. S. & Choe, M. A. (2007). Knowledge and learning needs of coronary artery bypass graft patients on cardiac rehabilitation. The Journal of Korean Biological Nursing Science, 9(1), 5-31.
  21. Lim, J. S. & Chung, B. Y. (2007). The effects of pre-operational education on nursing care satisfaction and anxiety: A comparison between traditional face-to-face education and mobile text message. Journal of Korean Oncology Nursing, 7(2), 162-168.
  22. Moon, N. J. (1996). Effects of nursing information to open heart surgery patient's anxiety in ICU. Unpublished master's thesis, Pusan National University, Pusan.
  23. Ouimet, S., Kavanagh, B. P., Eottfried, S. B., & Skrobik, Y. (2007). Incidence, risk factors and consequences of ICU delirium. Intensive Care Medicine, 33(1), 66-73. https://doi.org/10.1007/s00134-006-0399-8
  24. Pok, H. (1999). A study of patients' and nurses' perception of intensive care unit environmental stressor. Unpublished master's thesis, Ehwa Womans University, Seoul.
  25. Scott, A. (2004). Managing anxiety in ICU patients: the role of pre-operative information provision. Nursing of Critical Care, 9(2), 72-79. https://doi.org/10.1111/j.1478-5153.2004.00053.x
  26. Seo, J. J. & Park, S. Y. (2003). Effect of nursing information on ICU patient's stress and anxiety. Journal of Kyungpook Nursing Science, 7(2), 19-30.
  27. Spielberger, C. D. (1972). Conceptual and methodological issues in anxiety Research. In C. D. Spielberger (Ed.), Anxiety: current trends in theory and research (Vol. 2). New York, NY: Academic Press.
  28. Watts, S. & Brooks, A. (1997). Patient perceptions of the preoperative information they need about events they may experience in the intensive care unit. Journal of Advanced Nursing, 26(1), 85-92. https://doi.org/10.1046/j.1365-2648.1997.1997026085.x
  29. Yun, J. Y. & Lee, K. E. (2011). Effect of nursing information on ICU patient's environmental stress, anxiety and comfort. The Journal of Korean Biological Nursing Science, 13(2), 109-116.
  30. Yoo, Y. S., Bong, S. O., Kim, K. L., Choi, K. O., & Jeong, H. S. (2007). The stress of patients in the coronary care Unit. The Journal of Korean Biological Nursing Science, 9(2), 135-142.

Cited by

  1. 흉부수술 환자와 가족을 위한 태블릿 PC기반 멀티미디어 교육자료 개발 vol.22, pp.1, 2015, https://doi.org/10.22650/jkcnr.2016.22.1.99
  2. 음악중재가 간이식 환자의 환경 스트레스와 수면의 질에 미치는 효과 vol.26, pp.2, 2015, https://doi.org/10.7739/jkafn.2019.26.2.75