Stressful experiences in mechanical ventilated patients Mekanik ventilasyondaki hastalarda stres yaratan deneyimler

AKINCI S. B., Kanbak M., Güler A., CANBAY Ö., AYPAR Ü.

Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi, vol.35, no.5, pp.320-328, 2007 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 35 Issue: 5
  • Publication Date: 2007
  • Journal Name: Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
  • Journal Indexes: Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.320-328
  • Keywords: Analgesia, Mechanical ventilation, Sedation, Stress factors
  • Lokman Hekim University Affiliated: Yes


Aim: The objective of this study was to describe stressful experiences of patients who stayed in the ICU and to investigate whether adequate analgesia based sedation decreases these stressful experiences. Material and Methods: The patients who stayed >24 hrs in our ICU within 6 months were included into the study and all of them received standard analgesia based sedation. The overall rating of the sedation and patient ability to tolerate the ICU setting was recorded by the nurses and the physicians. 32 item questionnaires were used to collect data about patients' stressful ICU experiences. Results: 35 patients were interviewed within 24 hours after discharge from the ICU. The items that were bothersome include not being able to speak (88 %), discomfort due to endotracheal tube (ETT) (74 %), feeling choked by ETT (80 %), ETT interference with sleep (82 %), not getting enough air from the ETT (68 %). The experiences that was found to be moderately to extremely bothersome by the patients, were being in pain (80 %), feeling something bad will happen (100 %), depressed (78 %), fearful (89 %), nervous (81 %), missing loved ones (88 %), nightmares (87.5 %), headaches (90 %), difficulty swallowing (69 %), tense (71 %), noise (74 %), thirsty (83 %). Conclusion: Patients in the ICU remember numerous stressful experiences. Adequate analgesia based sedation decreases some of the physical symptoms. More improvements are needed to further decrease the stressful experiences in the ICU.