A experiência vivida da pessoa doente internada numa UCI: revisão sistemática da literatura
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.56732/pensarenf.v15i2.58 |
Resumo: | Background: The admission to an intensive care unit of an unstable and vulnerable person, in a critical situation, where the finiteness is constantly present, requires an intensive assistance with sophisticated technology to maintain life. The experience of a patient in an environment which greatly contributes to depersonalisation and increases the anxiety is unique and of particular interest to nursing professionals. Patient experiences allow us to understand different ways of viewing the world. Watson (1988) stated that human experience cannot be measured, it can only be explained in how it is perceived, through the eyes of the person who experiences it. Only in this way can we hope to explore the phenomenon. Aim: To describe and analyse studies in order to understand the meaning of lived experience from the perspective of patients admitted to ICU. Design: Systematic Review using the PI[C]OS method. Methods: We included 11 studies from electronic databases (EBSCO) whose participants were 18 or older and had already been admitted to ICU. Results: The lived experience of participants in the studies included in this SRL shows that most are of a negative nature. The experiences are usually associated with feelings like death, terror, anxiety, inability to tell time, place and family, and difficulties in communicating. Pain and physical suffering are often experienced. The social support from family, spirituality and religious beliefs were identified as sources of emotional support. We found two distinct themes in the participants’ experiences referring to the intensive care environment, namely the technological environment and nursing care. The technological environment is described as unpleasant and the sound of “the heart monitor alarm” and “the noise and alarms of the machines” were shown to be a source of stress. Nursing care is associated with positive feelings such as empathy, security, confidence and tranquility. Conclusions: The studies reviewed indicate that the experiences of people admitted to the ICU are generally associated with negative feelings such as fear, difficulty sleeping, dreams, some inability to orient themselves in space and time and the imminence of death. However, we also found positive aspects, such as the friendliness of nurses, empathy and safety in care. We stress family, spirituality and religious beliefs as support strategies that people should use to aid ICU patients during hospitalisation. |
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A experiência vivida da pessoa doente internada numa UCI: revisão sistemática da literaturalived experienceintensive care unitsick personnursingexperiência vividaunidade de cuidados intensivospessoa doenteenfermagemBackground: The admission to an intensive care unit of an unstable and vulnerable person, in a critical situation, where the finiteness is constantly present, requires an intensive assistance with sophisticated technology to maintain life. The experience of a patient in an environment which greatly contributes to depersonalisation and increases the anxiety is unique and of particular interest to nursing professionals. Patient experiences allow us to understand different ways of viewing the world. Watson (1988) stated that human experience cannot be measured, it can only be explained in how it is perceived, through the eyes of the person who experiences it. Only in this way can we hope to explore the phenomenon. Aim: To describe and analyse studies in order to understand the meaning of lived experience from the perspective of patients admitted to ICU. Design: Systematic Review using the PI[C]OS method. Methods: We included 11 studies from electronic databases (EBSCO) whose participants were 18 or older and had already been admitted to ICU. Results: The lived experience of participants in the studies included in this SRL shows that most are of a negative nature. The experiences are usually associated with feelings like death, terror, anxiety, inability to tell time, place and family, and difficulties in communicating. Pain and physical suffering are often experienced. The social support from family, spirituality and religious beliefs were identified as sources of emotional support. We found two distinct themes in the participants’ experiences referring to the intensive care environment, namely the technological environment and nursing care. The technological environment is described as unpleasant and the sound of “the heart monitor alarm” and “the noise and alarms of the machines” were shown to be a source of stress. Nursing care is associated with positive feelings such as empathy, security, confidence and tranquility. Conclusions: The studies reviewed indicate that the experiences of people admitted to the ICU are generally associated with negative feelings such as fear, difficulty sleeping, dreams, some inability to orient themselves in space and time and the imminence of death. However, we also found positive aspects, such as the friendliness of nurses, empathy and safety in care. We stress family, spirituality and religious beliefs as support strategies that people should use to aid ICU patients during hospitalisation.Problemática: O internamento numa unidade de cuidados intensivos, de pessoas vulneráveis, instáveis e em estado crítico, em que a finitude está constantemente presente, obriga a uma assistência intensiva e a uma tecnologia altamente sofisticada com o objectivo de manutenção da vida. Neste ambiente que muito contribui para a despersonalização e para aumentar a ansiedade em relação ao seu estado clínico, a vivência destas pessoas, torna-se singular e de especial interesse para os profissionais de enfermagem. As experiências vividas permitem a compreensão das diferentes formas de ver o mundo. Watson (1988) refere que as experiências humanas não podem ser medidas, apenas podem ser explicadas na forma como são percepcionadas, ou seja, a essência do fenómeno através dos olhos da pessoa que o vivencia. Só assim será possível compreender as experiências e descrição dos significados humanos, conduzindo à exploração do fenómeno. Objectivo: Descrever e analisar estudos que permitam compreender o significado da experiência vivida face ao internamento da pessoa doente numa UCI. Desenho: Revisão sistemática da literatura pelo método PI[C]OS. Métodos: Foram incluídos 11 estudos a partir da pesquisa em bases de dados electrónicas (EBSCO), cujos participantes foram pessoas com idade superior a 18 anos, que tinham estado internados em UCI. Resultados: A experiência vivida pelos participantes dos estudos incluídos nesta RSL, revelou-se maioritariamente de carácter negativo. São vivências que estão normalmente associadas a sentimentos tais como o terror e a ansiedade, associados à morte, à incapacidade de distinguir o tempo, o local e a família e à dificuldade em comunicar. A dor e o sofrimento físico foram bastante experienciados. O suporte social da família, a espiritualidade e as crenças religiosas foram salientadas como fonte de apoio emocional e facilitador do internamento. Nas vivências dos participantes quando se referem ao ambiente dos cuidados intensivos encontramos dois temas distintos: o ambiente tecnológico, que é descrito como desagradável em que o “ouvir o alarme do monitor cardíaco” o “ouvir os ruídos e alarmes” é fonte de stress e o comportamento no cuidar em enfermagem, gerador de sentimentos positivos, nomeadamente de segurança, confiança e tranquilidade, associados à percepção da empatia e do profissionalismo da equipa no domínio das suas competências. Conclusões: Os estudos analisados indicam-nos que as vivências das pessoas internadas na UCI estão geralmente associadas a sentimentos negativos, tais como o medo da morte e a dificuldade em adormecer, a sonhos e a alguma incapacidade em orientar-se no espaço e no tempo. Todavia, também encontrámos aspectos positivos, como a amabilidade dos enfermeiros, a empatia e a segurança na prestação de cuidados. Realçamos, a família, a espiritualidade e as crenças religiosas como estratégias de apoio que as pessoas doentes em UCI recorrem durante o internamento.Escola Superior de Enfermagem de Lisboa - ESEL/ CIDNUR2011-12-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.56732/pensarenf.v15i2.58https://doi.org/10.56732/pensarenf.v15i2.58Pensar Enfermagem ; Vol. 15 No. 2 (2011): Revista Científica Pensar Enfermagem; 41-59Pensar Enfermagem ; Vol. 15 N.º 2 (2011): Revista Científica Pensar Enfermagem; 41-591647-55260873-890410.56732/pensarenf.v15i2reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://pensarenfermagem.esel.pt/index.php/esel/article/view/58https://pensarenfermagem.esel.pt/index.php/esel/article/view/58/54Castro, CidáliaVilelas, JoséRebelo Botelho, Maria Antóniainfo:eu-repo/semantics/openAccess2023-09-26T10:37:52Zoai:pensarenfermagem.esel.pt:article/58Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:31:08.583347Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
A experiência vivida da pessoa doente internada numa UCI: revisão sistemática da literatura |
title |
A experiência vivida da pessoa doente internada numa UCI: revisão sistemática da literatura |
spellingShingle |
A experiência vivida da pessoa doente internada numa UCI: revisão sistemática da literatura Castro, Cidália lived experience intensive care unit sick person nursing experiência vivida unidade de cuidados intensivos pessoa doente enfermagem |
title_short |
A experiência vivida da pessoa doente internada numa UCI: revisão sistemática da literatura |
title_full |
A experiência vivida da pessoa doente internada numa UCI: revisão sistemática da literatura |
title_fullStr |
A experiência vivida da pessoa doente internada numa UCI: revisão sistemática da literatura |
title_full_unstemmed |
A experiência vivida da pessoa doente internada numa UCI: revisão sistemática da literatura |
title_sort |
A experiência vivida da pessoa doente internada numa UCI: revisão sistemática da literatura |
author |
Castro, Cidália |
author_facet |
Castro, Cidália Vilelas, José Rebelo Botelho, Maria Antónia |
author_role |
author |
author2 |
Vilelas, José Rebelo Botelho, Maria Antónia |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Castro, Cidália Vilelas, José Rebelo Botelho, Maria Antónia |
dc.subject.por.fl_str_mv |
lived experience intensive care unit sick person nursing experiência vivida unidade de cuidados intensivos pessoa doente enfermagem |
topic |
lived experience intensive care unit sick person nursing experiência vivida unidade de cuidados intensivos pessoa doente enfermagem |
description |
Background: The admission to an intensive care unit of an unstable and vulnerable person, in a critical situation, where the finiteness is constantly present, requires an intensive assistance with sophisticated technology to maintain life. The experience of a patient in an environment which greatly contributes to depersonalisation and increases the anxiety is unique and of particular interest to nursing professionals. Patient experiences allow us to understand different ways of viewing the world. Watson (1988) stated that human experience cannot be measured, it can only be explained in how it is perceived, through the eyes of the person who experiences it. Only in this way can we hope to explore the phenomenon. Aim: To describe and analyse studies in order to understand the meaning of lived experience from the perspective of patients admitted to ICU. Design: Systematic Review using the PI[C]OS method. Methods: We included 11 studies from electronic databases (EBSCO) whose participants were 18 or older and had already been admitted to ICU. Results: The lived experience of participants in the studies included in this SRL shows that most are of a negative nature. The experiences are usually associated with feelings like death, terror, anxiety, inability to tell time, place and family, and difficulties in communicating. Pain and physical suffering are often experienced. The social support from family, spirituality and religious beliefs were identified as sources of emotional support. We found two distinct themes in the participants’ experiences referring to the intensive care environment, namely the technological environment and nursing care. The technological environment is described as unpleasant and the sound of “the heart monitor alarm” and “the noise and alarms of the machines” were shown to be a source of stress. Nursing care is associated with positive feelings such as empathy, security, confidence and tranquility. Conclusions: The studies reviewed indicate that the experiences of people admitted to the ICU are generally associated with negative feelings such as fear, difficulty sleeping, dreams, some inability to orient themselves in space and time and the imminence of death. However, we also found positive aspects, such as the friendliness of nurses, empathy and safety in care. We stress family, spirituality and religious beliefs as support strategies that people should use to aid ICU patients during hospitalisation. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-12-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.56732/pensarenf.v15i2.58 https://doi.org/10.56732/pensarenf.v15i2.58 |
url |
https://doi.org/10.56732/pensarenf.v15i2.58 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://pensarenfermagem.esel.pt/index.php/esel/article/view/58 https://pensarenfermagem.esel.pt/index.php/esel/article/view/58/54 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Escola Superior de Enfermagem de Lisboa - ESEL/ CIDNUR |
publisher.none.fl_str_mv |
Escola Superior de Enfermagem de Lisboa - ESEL/ CIDNUR |
dc.source.none.fl_str_mv |
Pensar Enfermagem ; Vol. 15 No. 2 (2011): Revista Científica Pensar Enfermagem; 41-59 Pensar Enfermagem ; Vol. 15 N.º 2 (2011): Revista Científica Pensar Enfermagem; 41-59 1647-5526 0873-8904 10.56732/pensarenf.v15i2 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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