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3 "Critical illness"
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Original Articles
Patients' Anxiety in Intensive Care Units and Its Related Factors
Chin Kang Koh
Journal of Korean Academy of Nursing 2007;37(4):586-593.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.4.586
AbstractAbstract PDF
Purpose

The purpose of this study was to describe patients' anxiety in the ICU and to investigate related factors on the anxiety level.

Methods

An exploratory cross-sectional survey design was used. Forty-eight patients participated in the study. Questionnaires were asked to patients who had been cared in the ICUs.

Results

Related to the anxiety level, the mean of the total anxiety score was 5.47, and 60% of the patients had moderate or severe level of anxiety. Patients from the coronary care unit had a significantly higher level of anxiety than those from surgical intensive care unit or pulmonary surgery care unit. Moreover, significantly different levels of anxiety were found among patients who had been stayed for 2, 3, or 4 days.

Conclusion

Patients who were from the coronary care unit or had been stayed longer (up to 4 days) in the ICU were significantly associated with higher anxiety level.

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Risk Factors and Features of Critically Ill Patients with Deep Vein Thrombosis in Lower Extremities
Hwasoon Kim, Ok Min Cho, Hyo Im Cho, Ju Yeun Kim
J Korean Acad Nurs 2012;42(3):396-404.   Published online June 12, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.3.396
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to identify the features, risk scores and risk factors for deep vein thrombosis in critically ill patients who developed deep vein thrombosis in their lower extremities.

Methods

The participants in this prospective descriptive study were 175 adult patients who did not receive any prophylactic medication or mechanical therapy during their admission in the intensive care unit.

Results

The mean age was 62.24 (± 17.28) years. Men made up 54.9% of the participating patients. There were significant differences in age, body mass index, and leg swelling between patients who developed deep vein thrombosis and those who did not have deep vein thrombosis. The mean risk score was 6.71(± 2.94) and they had on average 4.01(± 1.35) risk factors. In the multiple logistic regression, body mass index (odds ratio= 1.14) and leg swelling (odds ratio= 6.05) were significant predictors of deep vein thrombosis.

Conclusion

Most critically ill patients are in the potentially high risk group for deep vein thrombosis. However, patients who are elderly, obese or have leg edema should be closely assessed and more than one type of active prophylactic intervention should be provided.

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Adaptation of Evidence-based Surgical Wound Care Algorithm
Jung Yeon Han, Smi Choi-Kwon
J Korean Acad Nurs 2011;41(6):768-779.   Published online December 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.6.768
AbstractAbstract PDF
Purpose

This study was designed to adapt a surgical wound care algorithm that is used to provide evidence-based surgical wound care in a critical care unit.

Methods

This study used, the 'ADAPTE process', an international clinical practice guideline development method. The -'Bonnie Sue wound care algorithm' - was used as a draft for the new algorithm. A content validity index (CVI) targeting 135 critical care nurses was conducted. A 5-point Likert scale was applied to the CVI test using a statistical criterion of .75.

Results

A surgical wound care algorithm comprised 9 components: wound assessment, infection control, necrotic tissue management, wound classification by exudates and depths, dressing selection, consideration of systemic factors, wound expected outcome, reevaluate non-healing wounds, and special treatment for non-healing wounds. All of the CVI tests were ≥.75. Compared to existing wound care guidelines, the new wound care algorithm provides precise wound assessment, reliabilities of wound care, expands applicability of wound care to critically ill patients, and provides evidence and strength of recommendations.

Conclusion

The new surgical wound care algorithm will contribute to the advancement of evidence-based nursing care, and its use is expected as a nursing intervention in critical care.

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