Journal of Korean Academy of Nursing

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

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.

Citations

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Jeong-Yeong Jeon, Dong-Hee Kim, Kyoungrim Kang
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Effects of Prior Information About Intensive Care Unit Environment on Anxiety and Environmental Stress in Patients Undergoing Open Heart Surgery
Kyong Mi Shin, Hye Ran Choi
The Journal of Korean Academic Society of Nursing Education.2015; 21(1): 28. CrossRef
The Effect of Back Pain Prevention Intervention Program on Back Pain Relief in Patients Following Percutaneous Coronary Intervention
Hyea Kyung Lee, Yeon Suk Park
The Korean Journal of Rehabilitation Nursing.2013; 16(2): 100. CrossRef
Factors Influencing Relocation Stress Syndrome in Patients Following Transfer from Intensive Care Units
Jin-Hee Park, Moon-Sook Yoo, Youn-Jung Son, Sun Hyoung Bae
Journal of Korean Academy of Nursing.2010; 40(3): 307. CrossRef
Concept Analysis of Relocation Stress - Focusing on Patients Transferred from Intensive Care Unit to General Ward -
Youn-Jung Son, Sung-Kyung Hong, Eun Young Jun
Journal of Korean Academy of Nursing.2008; 38(3): 353. CrossRef

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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

Abstract 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.

Citations

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The Effects of Venous Thromboembolism Prevention Education for Elderly Patients with Total Knee Arthroplasty
Mi Hee Lee, Mee Ock Gu
Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 269. CrossRef
Adaptation and Effects of the Evidence-based IPC Nursing Protocol on Prevention of Postoperative Venous Thromboembolism
Nam Yong Kim, Eun A Kim, Jae Yeun Sim, Soon Hee Jung, Hye Young Kim, Eun Hee Jang, Jee Hye Shin
Journal of Korean Academy of Nursing Administration.2017; 23(1): 63. CrossRef
Knowledge, Health Belief, and Preventive Behavioral Intention related to Venous Thromboembolism (VTE) of the Patients with Lower Limb Musculoskeletal System Disorders
Hye Jin Yang, Hee-Young Kang
The Journal of Korean Academic Society of Nursing Education.2013; 19(4): 531. CrossRef

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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

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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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Surgical wound assessment tool: Construct validity and inter‐rater reliability of a tool designed for nurses
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Journal of Wound Care.2022; 31(5): 446. CrossRef
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Using a Modified ADAPTE Process to Enable Effective Implementation of Electrical Stimulation Therapy for Treating Pressure Ulcers in Persons With Spinal Cord Injury
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Rehabilitation Process and Outcome.2017;[Epub] CrossRef

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