Absence of fear of dying predicts new organ failure: Results of a multicenter prospective observational cohort study (original) (raw)
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Critical Care Medicine, 2020
Objectives: Anxiety results from the anticipation of a threat and might be associated with poor outcome in the critically ill. This study aims at showing that anxiety at admission in critically ill patients is associated with new organ failure over the first 7 days of ICU hospitalization independently of baseline organ failure at admission. Design: Prospective multicenter cohort study. Setting: Three mixed ICU from April 2014 to December 2017. Patients: Coma-, delirium-, and invasive mechanical ventilation-free patients admitted to the ICU were included. Interventions: None. Measurements and Main Results: “State anxiety” was assessed using the state component of the State-Trait Anxiety Inventory State. Severity of illness was measured using Simplified Acute Physiology Score II and Sequential Organ Failure Assessment scores. Primary endpoint was a composite of occurrence of death or new organ failure in the first 7 days after admission. Three hundred ninety-one patients were included...
Assessment of anxiety in intensive care patients by using the Faces Anxiety Scale
American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2004
Anxiety is difficult to detect in patients receiving mechanical ventilation because clinical signs are confounded and patients often cannot respond to validated anxiety measures. Most patients can respond to the single-item Faces Anxiety Scale. To assess the validity of the Faces Anxiety Scale, the frequency and severity of state anxiety, and correlates of anxiety in intensive care patients. A research assistant made a single clinical judgment of anxiety in the range of 1 to 10 on the basis of patients' nonverbal responses (ie, nods) to 9 questions about mood and their physical and behavioral signs. Patients then responded to the Faces Anxiety Scale. Demographic, clinical, and pharmacological data were obtained from the patients' charts. Mean age of the 106 patients was 61 years; 62% were men. Admission diagnoses were cardiovascular in 26% of patients, respiratory in 26%, trauma in 18%, neurological in 12%, gastrointestinal in 12%, and other in 6%. At the time of anxiety ass...
Factors Associated with Patient’s Family Anxiety in the Intensive Care Unit (ICU)
Jurnal Keperawatan, 2020
Introduction: Critical and life-threatening patients cause anxiety in the family, which may be caused by many factors such as age, education, experience, knowledge, attitudes, and so on. Objective: The purpose of this study was factors assosiated patient’s family anxiety in the ICU. Method: Correlation research with cross sectional approach. Samples amounted to 30 people with consecutive sampling technique. The instrument used questionnaires respondent characteristics, knowledge, health services, and HARS anxiety. Data analysis using the Spearman rank test. Result: There was a relationship of age (p = 0,000), level of education (p = 0,000), experience (p = 0,000), knowledge (p = 0,000), with the patient's family anxiety and no gender relationship (p = 0.163) and health services ( p = 0.334) with patient’s family anxiety in the ICU. Age, level of education, experience, and knowledge influence the patient's family anxiety. Discussion: It is recommended to hospitals to provide ...
An international tool to measure perceived stressors in intensive care units: the PS-ICU scale
Annals of Intensive Care, 2021
Background The intensive care unit is increasingly recognized as a stressful environment for healthcare professionals. This context has an impact on the health of these professionals but also on the quality of their personal and professional life. However, there is currently no validated scale to measure specific stressors perceived by healthcare professionals in intensive care. The aim of this study was to construct and validate in three languages a perceived stressors scale more specific to intensive care units (ICU). Results We conducted a three-phase study between 2016 and 2019: (1) identification of stressors based on the verbatim of 165 nurses and physicians from 4 countries (Canada, France, Italy, and Spain). We identified 99 stressors, including those common to most healthcare professions (called generic ), as well as stressors more specific to ICU professionals (called specific ); (2) item elaboration and selection by a panel of interdisciplinary experts to build a provisio...
2018
Background: Anxiety and depression are among the most common psychological symptoms in patients with life-threatening illnesses, and have a close relationship with hospitalization in specialized care units. Objectives: This study aimed at evaluating anxiety and depression and their related factors in patients admitted to Intensive Care Units (ICUs). Materials & Methods: This is an analytical cross-sectional study conducted on 135 patients hospitalized in ICUs (neuro ICU and general ICU) of Poursina Medical Education Center in Rasht City, Iran. The patients were selected by convenience sampling method. The study data were collected using a checklist surveying demographic, clinical and psychosocial characteristics of the patients, and Hospital Anxiety and Depression Scale (HADS). Then, the obtained data were analyzed by Mann-Whitney U and Kruskal-Wallis tests in SPSS V. 18. Results: The Mean±SD anxiety and depression scores of the study patients were 6.12±9.3 and 7.10±2.3, respectively. There was a significant relationship between short-term hospitalization and anxiety (P=0.03), and a high score of depression was observed in those with middle-school education (P=0.03) and non-invasive ventilation (P=0.01). Moreover, administration of sedatives (P=0.001) and tracheostomy ventilation (P=0.04), showed a significant correlation with depression. Conclusion: Anxiety and depression (symptoms of mood disorders) among ICU patients were relatively high and the duration of hospitalization was significantly associated with anxiety. Moreover, the administration of sedative drugs had significant correlation with depression. In addition, the type of received mechanical ventilation was associated with both disorders. Routine screening of anxiety and depression by nurses in ICUs is useful for early treatment, and can prevent long-term complications of these disorders.
Journal of Multidisciplinary Care, 2021
Background and aims: Death anxiety (DA) is associated with stress and impaired immunity and thereby, puts individuals at risk for coronavirus disease 2019 (COVID-19). The aim of this study was to assess DA and its predictors among the companions of hospitalized patients with COVID-19. Methods: This descriptive-analytical study was conducted in 2020 on 200 companions of patients with COVID-19 hospitalized in Imam Khomeini, BouAli, and Razi hospitals in Sari and Qaemshahr, Iran. Sampling was performed conveniently. Data were collected using a demographic and clinical characteristics questionnaire for patients, a demographic and clinical characteristics questionnaire for companions, and Templer DA Scale. The SPSS software (v. 21.0) was used for data analysis via the independent sample t test, chi-square test, Pearson’s correlation analysis, and multiple linear regression analysis. Results: The mean score of DA was 47.21±10.62 (in the possible range of 15–75). Participants’ DA had signi...
Preventive Care In Nursing and Midwifery Journal
Background: Surgery is a stressful event that can be accompanied by a great deal of fear and anxiety, especially in emergency situations. Objectives: This study aimed to determine the level of fear of hospitalization and associated anxiety and factors in the candidates of emergency surgery referring to the hospitals affiliated with Zanjan University of Medical Sciences. Methods: This descriptive cross-sectional study was performed on 304 patients admitted to the emergency department and their family members, referring to the hospitals affiliated with Zanjan University of Medical Sciences in 2020. The patients were recruited by convenience sampling. Data collection tools included a questionnaire for demographic information and disease specifications, the hospitalization fear questionnaire (Slobodan M. Jankovic), and the Visual Analogue Scale (10-point) to assess pain and anxiety in the emergency departments. For data analysis, independent t-test, analysis of variance (followed by the LSD post hoc test), Pearson correlation, and stepwise multiple regression were used by SPSS 22. Results: The results showed that a higher number of the patients (61.4%) experienced anxiety rather than hospitalization fear (23.2%). The pain had a negative correlation with patients' and their companions' fear of hospitalization and a positive correlation with their level of anxiety. Also, the anxiety of the patient's companion increased with the prolongation of the waiting time. The companion's hospitalization fear and anxiety significantly correlated with the patient's level of anxiety (P<0.05), and the patient's anxiety was negatively associated with systolic and diastolic blood pressure and the level of consciousness. In addition, fear of hospitalization and anxiety positively and significantly correlated with the pulse rate (P<0.05). Conclusion: According to the results of this study, it is recommended to provide psychological support to the patient and his/her family, try to stabilize the patient's clinical condition, and shorten the waiting time in the emergency department to be able to manage the patient's fear of hospitalization and anxiety.
Perspectives in Psychiatric Care, 2023
Purpose. Tis study was designed to characterize the psychometric properties of the Persian version of Fear of Hospitalization Scale (P-FHS). Design and Methods. In order to evaluate the validity and reliability of the translated scale, a cross-sectional design was employed. Ten experts evaluated the content validity of Fear of Hospitalization Scale (FHS) after it had been back-translated into Persian. With 612 patients having emergency surgery, construct validity was assessed using exploratory factor analysis (EFA) and confrmatory factor analysis (CFA). Te STROBE checklist for cross-sectional studies was followed. Findings. Te results of EFA (n � 306) showed that fear of hospitalization had three factors. Tese three factors accounted for 45.28% of the total variance. Also, these factors were confrmed by CFA (n � 306) (root-mean-square error of approximation � (90% confdence interval) � 0.050 (0.041, 0.058), goodness-of-ft index � 0.945, comparative ft index � 0.968, non-normal ft index � 0.948, incremental ft index � 0.968, Tucker-Lewis index � 0.959). Te coefcients of Cronbach's alpha, McDonald's omega, composite reliability, and maximum reliability for all three factors were greater than 0.7, demonstrating satisfed internal consistency. Practice Implication. According to the published results, the P-FHS is efective at measuring hospitalization anxiety in patients undergoing emergency surgery. It is advised that nurses in Iranian culture use a legitimate and trustworthy technique to pinpoint the causes of hospitalization anxiety in patients undergoing emergency surgery to give optimal care.