Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Yoğun Bakım Ünitesinden Transfer Edilen Hastaların Yoğun Bakım Deneyimlerinin, Anksiyete ve Depresyon Düzeylerinin Belirlenmesi: Tanımlayıcı Çalışma
Determination of Intensive Care Experiences, Anxiety and Depression Levels of Patients Transferred from the Intensive Care Unit: Descriptive Study
İlknur ERYİĞİTa, Hatice TEL AYDINb
aGümüşhane Üniversitesi Şiran Sağlık Hizmetleri Meslek Yüksekokulu, Tıbbi Hizmetler ve Teknikler Bölümü, Diyaliz Programı, Gümüşhane, Türkiye
bSivas Cumhuriyet Üniversitesi Sağlık Bilimleri Fakültesi, İç Hastalıkları Hemşireliği ABD, Sivas, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(3):896-907
doi: 10.5336/nurses.2021-87500
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırma, dahili yoğun bakım ünitesinden servislere transfer edilen hastaların yoğun bakım deneyimlerinin, anksiyete ve depresyon düzeylerinin belirlenmesi amacıyla gerçekleştirildi. Gereç ve Yöntemler: Araştırma bir şehir hastanesinin dahili yoğun bakım ünitelerinden servise alınan 187 hastayla gerçekleştirildi. Hasta tanıtım formu, Yoğun Bakım Deneyim Ölçeği ve Hastane Anksiyete Depresyon Ölçeği kullanıldı. Araştırmanın, etik kurul onayı ve kurum izinleri alındı. Veriler, SPSS 23.0 programında tanımlayıcı istatistik testleri, bağımsız gruplar t-testi, ANOVA, Mann-Whitney U testi, Kruskal- Wallis H testi, Pearson korelasyon ve lineer regresyon analizi ile değerlendirildi. Verilerin değerlendirilmesinde p<0,05 değeri anlamlı kabul edildi. Bulgular: Katılımcıların çoğunluğunu; erkek, 50-64 yaş grubunda, yoğun bakım ünitesine yatışları planlı olmayan, kardiyovasküler hastalıklar nedeniyle tedavi görmekte olan bireylerin oluşturduğu belirlendi. Hastaların Yoğun Bakım Deneyim Ölçeği puan ortalamaları 61,41±5,16; Hastane Anksiyete ve Depresyon Ölçeği'nin Anksiyete Alt Ölçeği'nden 11,95±2,43 puan ve Depresyon Alt Ölçeği'nden 11,05±2,60 puan aldığı, anksiyete ve depresyon açıdan risk grubunda oldukları belirlendi. Çalışmaya katılan hastalarda yoğun bakım deneyiminin depresyon puanları üzerine %5,2 oranında anlamlı etkisinin olduğu saptandı. Sonuç: Yoğun bakım ünitesinden servise transferi yapılan hastaların yoğun bakım deneyimlerinin olumlu olduğu, ancak anksiyete ve depresyon açısından riskli oldukları belirlendi. Hastalara uygulanan hemşirelik bakımının hastaların yoğun bakım ünitesindeki negatif deneyimleri, anksiyete ve depresyon düzeyleri ve etkili olan faktörler göz önünde bulundurularak planlanması hastalarının iyileşme düzeylerine katkı sağlayacaktır.

Anahtar Kelimeler: Hasta transferi; yoğun bakım deneyimi; anksiyete; depresyon; yoğun bakım hemşiresi
ABSTRACT
 Objective: The research was carried out to determine the intensive care experiences, anxiety and depression levels of patients transferred from intensive care units to internal services. Material and Methods: The study was conducted with 187 patients admitted to the service from the internal intensive care units of a city hospital. Patient information form, Intensive Care Experience Scale and Hospital Anxiety Depression Scale were used. Data were evaluated with descriptive statistics tests, independent groups t-test, ANOVA, Mann-Whitney U test, Kruskal-Wallis H test, Ethics committee approval and institutional permissions were obtained for the study. Pearson correlation and linear regression analysis in SPSS 23.0 program. In the evaluation of the data, p<0.05 value was considered significant. Results: The majority of the participants; male, 50-64 age group, in the intensive care unit being treated for cardiovascular diseases whose hospitalizations are not planned individuals were identified. Intensive care experience scale mean score of the patients was 61.41±5.16; it was determined that he got 11.95±2.43 points from the Anxiety Sub-Scale of the Hospital Anxiety and Depression Scale and 11.05±2.60 points from the Depression Sub-Scale, and they were in the risk group in terms of anxiety and depression. It was determined that the intensive care experience had a significant effect of 5.2% on the depression scores of the patients participating in the study. Conclusion: It was determined that the intensive care experience of the patients who were transferred from the intensive care unit to the service was positive, but they were risky in terms of anxiety and depression. Planning the nursing care applied to the patients by considering the negative experiences of the patients in the intensive care unit, their anxiety and depression levels and the effective factors will contribute to the recovery levels of the patients.

Keywords: Patient transfer; intensive care experience; anxiety; depression; intensive care nursing
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