Transfer anxiety in critical care patients and their caregivers

Merve Bat Tonkuş; Sibel Doğan; Ali Timuçin Atayoğlu

doi:10.22391/fppc.787056

Research Article

Kritik bakım hastaları ve bakım verenlerinin transfer anksiyetesi

Year 2020, Volume: 5 Issue: 3, 82 - 89, 24.11.2020

Merve Bat Tonkuş , Sibel Doğan , Ali Timuçin Atayoğlu

https://doi.org/10.22391/fppc.787056

Cited By: 3

Abstract

Giriş: Kritik bakım ünitelerine hem kabul hem de taburculuk, hastalarda ve ailede kaygıya neden olabilir. Birinci ve ikinci basamak sağlık hizmetinin koordinasyon ve integrasyonu bu bireyler için önemlidir. Bu çalışmanın amacı, yoğun bakım ünitesinden (YBÜ) transfer edilmeye bağlı olarak, hastalar ve onlara bakım veren yakınlarında ortaya çıkan transfer anksiyetesini araştırmaktır.

Yöntem: Bu araştırma, YBÜ’ye yatırılan ve daha sonra genel durumlarının iyileşmesi nedeniyle transfer edilen hastalar ve bakım verenleriyle görüşülerek gerçekleştirilen betimleyici bir çalışmadır. Araştırmanın verileri Anket Formu ve Durumluk-Sürekli Kaygı Envanteri (STAI) kullanılarak sağlanmıştır.

Bulgular: Çalışmaya toplam 170 kişi (85 hasta ve 85 aile üyesi) dahil edildi. Hasta kaygı ölçeği skorları bakım veren aile üyelerinkinden daha yüksek bulundu ve fark istatistiksel olarak anlamlıydı (p<0.001). Hasta ve bakım veren yakınlarının kaygı ölçeği ortalama skorları transfer öncesine göre transfer sonrası daha yüksekti ve fark istatistiksel olarak anlamlı bulundu (p<0.001).

Sonuç: Hasta ve hasta yakınları YBÜ’ den nakledilmeye bağlı transfer anksiyetesi deneyimlemektedir. Sağlık çalışanları, bu bireylerde transfer anksiyetesini önlemek için gerekli düzenlemeleri yapmaya teşvik edilmelidir. Sürece, bu bireyleri yakından tanıyan birinci basamak profesyonellerinin, özellikle de aile hekimleri ve hemşirelerin de müdahil olması önem arz etmektedir.

Keywords

Kaygı , kritik hastalık , psikoloji , yoğun bakım üniteleri , hasta bakımı verenler , yoğun bakım

Project Number

References

1. Huang KB, Weber U, Johnson J, Anderson N, Knies AK, Nhundu B., et al. Primary care physician involvement in shared decision making for critically ill patients and family satisfaction with care. J Am Board Fam Med 2018;31(1):64–72. https://doi.org/10.3122/jabfm.2018.01.170211
2. World Health Organization. Strengthening of palliative care as a component of comprehensive care throughout the life course. In: Sixty‐seventh World Health Assembly, Geneva, 19–24 May 2014. [Access date: 1 December 2019]. Available at: http://apps.who.int/gb/ebwha/pdf_files/WHA67/A67_R19‐en.pdf.
3. Mercadante S, Gregoretti C, Cortegiani A. Palliative care in intensive care units: why, where, what, who, when, how. BMC Anesthesiology 2018;18(1):106. https://doi.org/10.1186/s12871-018-0574-9
4. Philbrick K, Parker A, Needham D, Karnatovskaia L. Early psychological therapy in critical illness. Semin Resp Crit Care Med 2016; 37(01):136-42. https://doi.org/10.1055/s-0035-1570367
5. Coyle MA. Transfer anxiety: preparing to leave intensive care. Intensive Crit Care Nurs 2001;17:138–43. https://doi.org/10.1054/iccn.2001.1561
6. Hupcey JE. Feeling safe: the psychosocial needs of ICU patients. J Nurs Scholarship 2000;32:361-7. https://doi.org/10.1111/j.1547-5069.2000.00361.x
7. McCairn AJ, Jones C. Does time of transfer from critical care to the general wards affect anxiety? A pragmatic prospective cohort study. Intensive Crit Care Nurs 2014;30(4):219–26. https://doi.org/10.1016/j.iccn.2013.12.004
8. Niecke A, Hartog C, Deffner T, Janssens U, Michels G. Need for psychological support in intensive care. Med Klin Intensivmed Notfmed 2020;115:135–9. https://doi.org/10.1007/s00063-018-0523-x
9. Oner N, Le Compte A. [The State-Trait Anxiety Inventory Manual] (in Turkish), Bogazici University Press, Istanbul. 1983;1-26.
10. Gros DF, Antony MM, Simms LJ, McCabe RE. Psychometric properties of the state-trait inventory for cognitive and somatic anxiety (STICSA): Comparison to the state-trait anxiety inventory (STAI). Psychol Assess 2007;19(4):369–81. https://doi.org/10.1037/1040-3590.19.4.369
11. Sydeman S. State-Trait Anxiety Inventory. In: Zeigler-Hill V., Shackelford T. (eds) Encyclopedia of personality and individual differences. Springer, Cham. 2018;1-3. https://doi.org/10.1007/978-3-319-28099-8_950-1
12. Spielberger CD. State-trait anxiety inventory. The Corsini Encyclopedia of Psychology. 2010 https://doi.org/10.1002/9780470479216.corpsy0943
13. Hintistan S, Nural N, Ozturk H. [Experiences of the patients in intensive care unit] (in Turkish). J Turk Soc Crit Care Nurs 2009;13(1):40-6. https://dergipark.org.tr/tr/download/article-file/260115
14. Aktas YY, Karabulut N, Yilmaz D, Ozkan AS. [Perception of environmental stressors by critical care patients treated in cardiovascular surgery intensive care unit] (in Turkish). Kafkas J Med Sci 2015;5(3):81–6. https://doi.org/10.5505/kjms.2015.29591
15. Acaroglu R, Kaya H, Turan Y. Levels of anxiety and ways of coping of family members of patients hospitalized in the neurosurgery intensive care unit. Neurosci 2008;13(1):41-5. https://pubmed.ncbi.nlm.nih.gov/21063284/
16. Turedi D. [The effects of the acute physiologic changes of the patients hospitalized in the intensive care unit of the psycology of the relatives] (in Turkish). Cukurova University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Adana; 2011. http://libratez.cu.edu.tr/tezler/8573.pdf
17. Alacacioglu A. [Evaluation of depression, hopelessness and anxiety levels of cancer patients and their relatives] (in Turkish). Dokuz Eylul University, Faculty of Medicine, Department of Internal Medicine, Izmir; 2007. http://acikerisim.deu.edu.tr:8080/xmlui/bitstream/handle/20.500.12397/13340/224497.pdf?sequence=1&isAllowed=y
18. Herbison CE, Allen K, Robinson M, Newnham J, Pennell, C The impact of life stress on adult depression and anxiety is dependent on gender and timing of exposure. Dev Psychopathology 2017;29(04):1443–54. https://doi.org/10.1017/s0954579417000372
19. Gustad LT, Chaboyer W, Wallis M. ICU patient’s transfer anxiety: a prospective cohort study. Aust Crit Care 2008;21:181-9. https://doi.org/10.1016/j.aucc.2008.07.002
20. Tel H, Tel H. [Transfer anxiety: Common emotional experience of patients in intensive care unit and their families] (in Turkish). J Turk Soc Crit Care Nurs 2009;13(1):24-9. https://dergipark.org.tr/tr/download/article-file/260113

Transfer anxiety in critical care patients and their caregivers

Year 2020, Volume: 5 Issue: 3, 82 - 89, 24.11.2020

Merve Bat Tonkuş , Sibel Doğan , Ali Timuçin Atayoğlu

https://doi.org/10.22391/fppc.787056

Cited By: 3

Abstract

Introduction: Both admission and discharge in the critical care units can cause anxiety in the patients and their family caregivers. Coordination and integration of primary and secondary healthcare is important for those individuals. The aim of the study was to investigate the transfer anxiety in patients and their caregivers due to being transferred from the intensive care unit (ICU).

Methods: This is a descriptive study that was carried out through interviewing with the patients and their caregivers who were hospitalized in the ICU and then transferred out due to the improvement of their general condition. The data of the study were carried out by using a Questionnaire Form and the State-Trait Anxiety Inventory (STAI).

Results: A total of 170 individuals (85 patients and 85 family caregivers) were involved in the study. The patient’s anxiety scores were higher than their caregivers and the difference was statistically significant (p<0.001). The patients and their caregivers’ mean anxiety scale scores after the transfer were higher in comparison with the mean scores before the transfer and the difference was statistically significant (p<0.001).

Conclusions: Patients and their caregivers experience transfer anxiety due to being transferred from the ICU. Therefore, healthcare professionals are encouraged to make the necessary adjustments to prevent transfer anxiety. In this process, the involvement of primary healthcare professionals, in particular family physicians and nurses, who know them closely is crucial.

Keywords

Anxiety , intensive care units , critical illness , psychology , caregivers , critical care

Supporting Institution

Project Number

Thanks

The authors would like to express their deepest appreciation to the participants of the study. They would also like to extend their sincere thanks to Dr. Hammad Khan, MD, MPH from University of California, USA for his constructive criticism and insightful suggestions.

References

1. Huang KB, Weber U, Johnson J, Anderson N, Knies AK, Nhundu B., et al. Primary care physician involvement in shared decision making for critically ill patients and family satisfaction with care. J Am Board Fam Med 2018;31(1):64–72. https://doi.org/10.3122/jabfm.2018.01.170211
2. World Health Organization. Strengthening of palliative care as a component of comprehensive care throughout the life course. In: Sixty‐seventh World Health Assembly, Geneva, 19–24 May 2014. [Access date: 1 December 2019]. Available at: http://apps.who.int/gb/ebwha/pdf_files/WHA67/A67_R19‐en.pdf.
3. Mercadante S, Gregoretti C, Cortegiani A. Palliative care in intensive care units: why, where, what, who, when, how. BMC Anesthesiology 2018;18(1):106. https://doi.org/10.1186/s12871-018-0574-9
4. Philbrick K, Parker A, Needham D, Karnatovskaia L. Early psychological therapy in critical illness. Semin Resp Crit Care Med 2016; 37(01):136-42. https://doi.org/10.1055/s-0035-1570367
5. Coyle MA. Transfer anxiety: preparing to leave intensive care. Intensive Crit Care Nurs 2001;17:138–43. https://doi.org/10.1054/iccn.2001.1561
6. Hupcey JE. Feeling safe: the psychosocial needs of ICU patients. J Nurs Scholarship 2000;32:361-7. https://doi.org/10.1111/j.1547-5069.2000.00361.x
7. McCairn AJ, Jones C. Does time of transfer from critical care to the general wards affect anxiety? A pragmatic prospective cohort study. Intensive Crit Care Nurs 2014;30(4):219–26. https://doi.org/10.1016/j.iccn.2013.12.004
8. Niecke A, Hartog C, Deffner T, Janssens U, Michels G. Need for psychological support in intensive care. Med Klin Intensivmed Notfmed 2020;115:135–9. https://doi.org/10.1007/s00063-018-0523-x
9. Oner N, Le Compte A. [The State-Trait Anxiety Inventory Manual] (in Turkish), Bogazici University Press, Istanbul. 1983;1-26.
10. Gros DF, Antony MM, Simms LJ, McCabe RE. Psychometric properties of the state-trait inventory for cognitive and somatic anxiety (STICSA): Comparison to the state-trait anxiety inventory (STAI). Psychol Assess 2007;19(4):369–81. https://doi.org/10.1037/1040-3590.19.4.369
11. Sydeman S. State-Trait Anxiety Inventory. In: Zeigler-Hill V., Shackelford T. (eds) Encyclopedia of personality and individual differences. Springer, Cham. 2018;1-3. https://doi.org/10.1007/978-3-319-28099-8_950-1
12. Spielberger CD. State-trait anxiety inventory. The Corsini Encyclopedia of Psychology. 2010 https://doi.org/10.1002/9780470479216.corpsy0943
13. Hintistan S, Nural N, Ozturk H. [Experiences of the patients in intensive care unit] (in Turkish). J Turk Soc Crit Care Nurs 2009;13(1):40-6. https://dergipark.org.tr/tr/download/article-file/260115
14. Aktas YY, Karabulut N, Yilmaz D, Ozkan AS. [Perception of environmental stressors by critical care patients treated in cardiovascular surgery intensive care unit] (in Turkish). Kafkas J Med Sci 2015;5(3):81–6. https://doi.org/10.5505/kjms.2015.29591
15. Acaroglu R, Kaya H, Turan Y. Levels of anxiety and ways of coping of family members of patients hospitalized in the neurosurgery intensive care unit. Neurosci 2008;13(1):41-5. https://pubmed.ncbi.nlm.nih.gov/21063284/
16. Turedi D. [The effects of the acute physiologic changes of the patients hospitalized in the intensive care unit of the psycology of the relatives] (in Turkish). Cukurova University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Adana; 2011. http://libratez.cu.edu.tr/tezler/8573.pdf
17. Alacacioglu A. [Evaluation of depression, hopelessness and anxiety levels of cancer patients and their relatives] (in Turkish). Dokuz Eylul University, Faculty of Medicine, Department of Internal Medicine, Izmir; 2007. http://acikerisim.deu.edu.tr:8080/xmlui/bitstream/handle/20.500.12397/13340/224497.pdf?sequence=1&isAllowed=y
18. Herbison CE, Allen K, Robinson M, Newnham J, Pennell, C The impact of life stress on adult depression and anxiety is dependent on gender and timing of exposure. Dev Psychopathology 2017;29(04):1443–54. https://doi.org/10.1017/s0954579417000372
19. Gustad LT, Chaboyer W, Wallis M. ICU patient’s transfer anxiety: a prospective cohort study. Aust Crit Care 2008;21:181-9. https://doi.org/10.1016/j.aucc.2008.07.002
20. Tel H, Tel H. [Transfer anxiety: Common emotional experience of patients in intensive care unit and their families] (in Turkish). J Turk Soc Crit Care Nurs 2009;13(1):24-9. https://dergipark.org.tr/tr/download/article-file/260113

There are 20 citations in total.

Details

Primary Language	English
Subjects	Clinical Sciences, Internal Diseases, Psychiatry
Journal Section	Original Research
Authors	Merve Bat Tonkuş 0000-0002-1046-6862 Sibel Doğan 0000-0003-4026-1419 Ali Timuçin Atayoğlu 0000-0003-4568-4234
Project Number	-
Publication Date	November 24, 2020
Submission Date	September 7, 2020
Acceptance Date	November 10, 2020
Published in Issue	Year 2020 Volume: 5 Issue: 3

Cite

APA	Bat Tonkuş, M., Doğan, S., & Atayoğlu, A. T. (2020). Transfer anxiety in critical care patients and their caregivers. Family Practice and Palliative Care, 5(3), 82-89. https://doi.org/10.22391/fppc.787056
AMA	Bat Tonkuş M, Doğan S, Atayoğlu AT. Transfer anxiety in critical care patients and their caregivers. Fam Pract Palliat Care. December 2020;5(3):82-89. doi:10.22391/fppc.787056
Chicago	Bat Tonkuş, Merve, Sibel Doğan, and Ali Timuçin Atayoğlu. “Transfer Anxiety in Critical Care Patients and Their Caregivers”. Family Practice and Palliative Care 5, no. 3 (December 2020): 82-89. https://doi.org/10.22391/fppc.787056.
EndNote	Bat Tonkuş M, Doğan S, Atayoğlu AT (December 1, 2020) Transfer anxiety in critical care patients and their caregivers. Family Practice and Palliative Care 5 3 82–89.
IEEE	M. Bat Tonkuş, S. Doğan, and A. T. Atayoğlu, “Transfer anxiety in critical care patients and their caregivers”, Fam Pract Palliat Care, vol. 5, no. 3, pp. 82–89, 2020, doi: 10.22391/fppc.787056.
ISNAD	Bat Tonkuş, Merve et al. “Transfer Anxiety in Critical Care Patients and Their Caregivers”. Family Practice and Palliative Care 5/3 (December2020), 82-89. https://doi.org/10.22391/fppc.787056.
JAMA	Bat Tonkuş M, Doğan S, Atayoğlu AT. Transfer anxiety in critical care patients and their caregivers. Fam Pract Palliat Care. 2020;5:82–89.
MLA	Bat Tonkuş, Merve et al. “Transfer Anxiety in Critical Care Patients and Their Caregivers”. Family Practice and Palliative Care, vol. 5, no. 3, 2020, pp. 82-89, doi:10.22391/fppc.787056.
Vancouver	Bat Tonkuş M, Doğan S, Atayoğlu AT. Transfer anxiety in critical care patients and their caregivers. Fam Pract Palliat Care. 2020;5(3):82-9.