Intensive Care Medicine

, Volume 5, Issue 2, pp 89–92

What the patients say: A study of reactions to an intensive care unit

  • Jennifer Jones
  • Barbara Hoggart
  • Josephine Withey
  • Kim Donaghue
  • B. W. Ellis
Original Articles

Abstract

One hundred consecutive patients were interviewed between the 3rd and 7th days, inclusive, of their discharge from an intensive care unit to a general ward. The patients' recall of events related to their admission to the ICU was generally poor, and 41% of them felt that they had been confused at some time during their stay though much of this seems to have passed unnoticed by the nursing staff. Lack of sleep was a problem to about a quarter of the patients and 75% of these thought that the inability to lie comfortably was a factor preventing sleep. Other factors included pain, anxiety and noise. The patients seemed satisfied whilst in the ICU, and less than half said they were pleased to return to a general ward.

Key words

Patient Reactions Intensive Care 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Bentley, S., Murphy, F., Dudley, H.A.F.: Perceived noise in surgical wards and an intensive care area: an objective analysis. Br. Med. J.2, 1503 (1977)PubMedGoogle Scholar
  2. 2.
    Bentley, S., Murphy, F., Ellis, B.W., Dudley, H.A.F.: UnpublishedGoogle Scholar
  3. 3.
    Bevan, J.R.: Polyneuropathy. Lancet1, 1310 (1969)PubMedGoogle Scholar
  4. 4.
    Cole, L.B., Youngman, H.R., Gandy, A.P.: An attack of tetanus. Lancet2, 567 (1968)PubMedGoogle Scholar
  5. 5.
    Dudley, H.A.F.: Surgical convalescence. J.R. Coll. Surg. Edinbrugh13, 1 (1968)Google Scholar
  6. 6.
    Ellis, B.W., Dudley, H.A.F.: Some aspects of sleep analysis in relation to surgical stress. J. Psychosom. Res.20, 303 (1976)PubMedGoogle Scholar
  7. 7.
    Hewitt, P.B.: Subjective follow-up of patients from a surgical intensive therapy ward. Br. Med. J.4, 669 (1970)PubMedGoogle Scholar
  8. 8.
    Johns, M.W., Large, A.A., Masterton, J.P., Dudley, H.A.F.: Sleep and delirium after open heart surgery. Br. J. Surg.61, 377 (1974)PubMedGoogle Scholar
  9. 9.
    Kornfield, D.S.: Psychiatric view of the intensive care unit. Br. Med. J.1, 108 (1969a)PubMedGoogle Scholar
  10. 10.
    Kornfield, D.S.: Psychiatric aspects of patients care in the operating suite and special areas. Anesthesiology31, 166 (1969b)PubMedGoogle Scholar
  11. 11.
    Orr, W.C., Stahl, M.C.: Sleep disturbances after open-heart surgery. Am. J. Cardiol.39, 196 (1977)PubMedGoogle Scholar
  12. 12.
    Taylor, D.E.M.: Problems of patients in an intensive care unit: the aetiology and prevention of the intensive care syndrome. Int. J. Nurs. Stud.8, 47 (1971)PubMedGoogle Scholar
  13. 13.
    Tomlin, P.J.: Psychological problems in intensive care. Br. Med. J.2, 441 (1977)PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1979

Authors and Affiliations

  • Jennifer Jones
    • 1
    • 2
  • Barbara Hoggart
    • 1
    • 2
  • Josephine Withey
    • 1
    • 2
  • Kim Donaghue
    • 1
    • 2
  • B. W. Ellis
    • 1
    • 2
  1. 1.Department of AnaesthesiaSt Mary's HospitalLondonEngland
  2. 2.Academic Surgical UnitSt Mary's HospitalLondonEngland

Personalised recommendations