Intensive Care Medicine

, Volume 23, Issue 12, pp 1282–1285 | Cite as

Stressors in ICU: patients’ evaluation

  • M. A. F. P. Novaes
  • A. Aronovich
  • M. B. Ferraz
  • E. Knobel
Brief Report


Objective: To study the physical and psychological stressors in the intensive care unit (ICU) and to correlate stressors with different demographic variables.

Design: Cross-sectional analytical survey.

Setting: Intensive care unit of a private hospital.

Patients and participants: 50 randomly selected ICU patients during the first week of their ICU stay.

Measurements and results: The Intensive Care Unit Environmental Stressor Scale was administered to 50 patients. Pain and the impossibility of sleeping due to noise and having tubes in the nose and mouth were considered the most important physical stressors. Loss of self control and lack of understanding about the attitudes and procedures were the main psychological stressors.

Conclusions: Interventions should be aimed at relieving the patient’s pain and at controlling the level of noise to make sleep possible. From the psychological standpoint, the independence of the patient should be encouraged, thus stimulating the recovery of self-control. The team should also inform the patient about the procedures which will be carried out.

Key words

Stress Intensive care unit Psychology Environment Stress assessment Critical care 


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  1. 1.
    Simpson TF, Armstrong S, Mitchell P (1989) American Association of Critical Care Nurses demonstration project: patient’s recollection of critical care. Heart Lung 18: 325–332PubMedGoogle Scholar
  2. 2.
    Shoehren P (1995) Stressors perceived by cardiac surgical patients in the intensive care unit. Am J Crit Care 4: 71–76Google Scholar
  3. 3.
    Elpern EH, Patterson PA, Gloskey D, Bone RC (1992) Patients’ preferences of intensive care. Crit Care Med 20: 43–47PubMedCrossRefGoogle Scholar
  4. 4.
    DeMeyer TJ (1967) The environment of the intensive care unit. Nurs Forum 6: 262–272PubMedCrossRefGoogle Scholar
  5. 5.
    Ballard KS (1981) Identification of environmental stressors for patients in a surgical intensive care unit. Issues Ment Heath Nurs 1: 89–108CrossRefGoogle Scholar
  6. 6.
    Yarcheski A, Knapp-Spooner C (1994) Stressors associated with coronary bypass surgery. Clin Nurs Res 3: 57–68PubMedCrossRefGoogle Scholar
  7. 7.
    Nastasy EL (1985) Identifying environmental stressors for cardiac surgery patients in a SICU. In: Proceedings of the 12th Annual National Teaching Institute of AACN. AACN, Newport Beach, CA, p 357Google Scholar
  8. 8.
    Ross SEM, MacKay RC (1986) Postoperative stress. Do nurses accurately assess their patients. J Psychosoc Nurs 24: 17–22Google Scholar
  9. 9.
    Carr JA, Powers MJ (1986) Stressors associated with coronary bypass surgery. Nurs Res 35: 243–246PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • M. A. F. P. Novaes
    • 1
  • A. Aronovich
    • 1
  • M. B. Ferraz
    • 1
  • E. Knobel
    • 1
  1. 1.Hospital Israelita Albert EinsteinCentro de Terapia IntensivaSão Paulo - SPBrazil

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