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How do patients experience stress caused by hospitalization and how do nurses perceive this stress experienced by patients. A comparative study.



It has been acknowledged that, in general, stress caused by hospitalization and hospital care may hinder patient recovery and in some cases it may cause potentially life-threatening psychological changes. Hospitalization and subsequent treatment and medical care constitute a period of anxiety for the patients and a severe anxiety-causing situation. This fact has been confirmed by a large number of researches studying many different kinds of hospital care. Many factors were reported to contribute to this anxiety, including those relating to an illness such as pain, anxiety or improvement and recovery, and factors relating to hospital stay such as sleeping in a strange bed or sharing a hospital room with others. Most health professionals are aware of this and try to alleviate this stress by following various procedures in the hope that the patient gains some assurance and experiences less stress. However, how accurately are health professionals informed about those factors, which cause stress to patients, in a hospital area, as well as their importance? This research study aims at exploring these very areas. More specifically, the study used a sample consisting of 35 nurses and 100 patients to whom the same measurement tool was administered, incorporating all necessary changes, in order to measure what stresses patients most and what nurses believe that stresses them. The findings which stem from a comparison of the answers given are of great importance since both groups indicate that lack of knowledge about the course of the disease, questions, possibility of an incurable disease, and lack of relevant information provided are believed to be the most stressful factors, without implying of course that there is not a considerable degree of divergence between the two groups of answers. It is, therefore, imperative that nurses and all other healthcare professionals maintain a channel of continuous communication with the patients, so that stressful factors causing anxiety to patients and making recovery harder can be uncovered and dealt with promptly and efficiently.
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At the present stage of development of medicine, the delivery of psychological assistance is an important component of a systemic biopsychosocial approach. Patients and persons accompanying them undoubtedly experience anxiety during hospitalization due to the fact that the very appeal to the hospital and the preceding events are stressful. In turn, many previous studies show that stress can have both mobilizing (eustress) and negative effects (distress) on the emotional state and adaptive processes of a person. The objective of this study is to study the level of stress and anxiety in patients (n=83) at the time of hospitalization and hospital stay. The study was conducted using three self-reporting scales (the Distress Thermometer, A. Beck Anxiety Inventory, and Hospital Anxiety and Depression Scale (HADS). The results of the study showed that most patients (58%) experienced an increased level of distress. Distress was most often accompanied by the following emotional reactions: anxiety (51%), fear (25%), sadness (21%), and loneliness (21%). The study of emotional state showed that 22% of respondents had a high level of anxiety (according to HADS), and 5% had clinically significant symptoms of anxiety (according to Beck Inventory). Symptoms of depression are less common. In the group of patients with a significant level of distress, a greater number of patients noted high rates of hospital anxiety and depression. In addition, the authors investigated the emotional state of patients after psychological assistance received in the hospital. The results show that the level of distress was almost twice reduced. A pilot study of a group of patients being treated in the clinical departments of an emergency hospital allows us to draw a preliminary conclusion about the positive effect of the course of psychocorrective classes on the patient’s emotional state and the level of distress experienced, i.e. helps the patient resolve certain internal conflicts associated with a sudden change in life, calm down and positively set oneself up for treatment. Authors declare lack of the conflicts of interests.
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The aim of the study is to describe the connection between the burden of nurses' work experience and patient dissatisfaction using electronic indicators available in databases. The hospitals in this study have a lot of information stored in electronic databases, but the data is stored in different databases and there are no straight connections between them. This study was retrospective. Inpatient rates, workload statistics, patient classification, patient satisfaction and financial statistics were collected on 39 hospital wards from electronic databases. The data were analysed statistically. The results showed that the higher care intensity index and number of gross treatment days are, the greater was the burden on nurses. The burden was smaller on those wards using a named nurse system. Nurses' workload varies according to the condition of patients and patient flow. There is a connection between high workload and patient dissatisfaction. Nurse Managers should easily be able to use significant indicators. Nursing management must have tools that are easy to use in every day workload measurement, burden adjustment and personnel planning in the long run. This article presents patient classification and the number of beds used including daily change percentage of wards as instruments for nursing management.
It is generally recognized that the stress of hospitabzation and hospital treatment can impede the recovery of patients and in some cases cause potentially life-threatening physiological changes Previous studies have indicated that nurses do not accurately perceive worry, anxiety and stress in patients In order to assess how accurately nurses perceive worry, anxiety and stress in their patients, questionnaires were designed and distributed to a group of preoperahve patients and nursing staff from general surgical wards, in order to discover how closely these two groups considered various situations and events as causing worry in preoperahve patients The results showed that whilst there was a considerable level of agreement between the two groups for the rank order of the 26 items in the questionnaire, nursing staff consistently assessed patients as worrying considerably more than the patients actually reported themselves The nurses in the study were therefore over-estimating the degree of worry, anxiety and stress in their patients
The purpose of this study was to: design and test an instrument to evaluate the incidence and severity of stressors associated with coronary bypass surgery and assess the concordance between patient and nurse perceptions of such stressors. The patient sample consisted of 30 patients recovering without complications from coronary bypass surgery. Patients were white, primarily male and employed, one-third with graduate education, with a mean age of 54. The nurse sample consisted of 18 registered nurses with cardiosurgical nursing care experience. A 30-item stressor scale was developed: 27 items were derived from literature review and 3 from comments of cardiovascular clinical specialists. Stressfulness of each item was rated on a 5-point scale. A pilot study with seven patients provided information for initial scale refinement. Content validity of the scale has both theoretical and empirical support because of the varied sources used to obtain and validate relevant items for the tool. Homogeneity reliability of the scale was supported by high coefficient alphas. Based on severity of stress ratings, two-way analysis of variance indicated that the cardiothoracic nurses generally rated all items as significantly more stressful for coronary bypass patients than did the patients themselves. Comparisons used by the nurses and the patients in assigning stressfulness ratings are discussed.
Psychiatric mental health nursing - Giving emotional care
  • Rb Murray
  • Huelskoettermm
Murray RB., HuelskoetterMM. (1983): Psychiatric mental health nursing - Giving emotional care. Englewwod Gliffs, N.J.
Interviews mit Sterbenden
  • Kuber-Rosse
Kuber - Rosse. (1974) : Interviews mit Sterbenden. Edit : Kernuz, Berlin.
Coping and adaptation in health and illness
  • Rs Lazarus
  • Chonenf
Lazarus RS. - Chonenf .(1983): Coping and adaptation in health and illness. Edit : Free Press N.Y.