Cardiac Surgery Intensive Care Treatment Clinical Trial
Official title:
Stressors Associated With Cardiac Surgery Intensive Care Treatment
Undergoing cardiopulmonary bypass surgery and the subsequent admission to the intensive care
unit (ICU) is known to be a stressful event to the patient. As patients prepare for
open-heart surgery it is natural for them to feel anxious and concerned about all the
various procedures involved in the process. Members of both the surgical and anesthesia team
explain the purpose of each procedure and all issues associated with the procedures in great
detail in order to better prepare the patient, ease their anxiety and aid their recovery.
The underlying assumption for past investigations into overall patient satisfaction has been
that the stressors inherent in the experience of illness and hospitalization have an adverse
effect on patient recovery and can possibly prolong the recuperative process. Previous
studies have shown that the specific performance of a team in regard to the effects of the
stressors on the patient's status is key to providing optimal patient care in the ICU
environment. Since the ICU stay is a difficult experience in the life of a patient, stressor
predictability might allow for better physical and psychological conditions for the
patient's recovery.
Although there is a myriad of published research available on the potential stressors
related to an ICU stay, there is a dearth of investigation into the inherently more intense
circumstances surrounding a stay in the Cardiothoracic Intensive Care Unit (CT-ICU). By
examining the stressors in the CT-ICU changes can be made by the medical care team and/or
hospital that can ultimately enhance the patient experience in the CT-ICU.
The purpose of this study is to reduce or completely eliminate stressors present in the
CT-ICU as identified by the cardiac bypass patient. Identification of events and conditions
considered stressful in the ICU will allow the professional team to determine which
stressors are amendable to intervention and tailor patient care accordingly.
Hypothesis: Identification of events and conditions considered stressful by the
cardiopulmonary bypass patient would allow the professional team to determine which
stressors are amendable to intervention and tailor patient care accordingly in order to
improve future patient care experience in the intensive care unit.
Research Question: What are the dominant stressors associated with intensive care treatment
as perceived by the patient, and what measures can be taken by the professional team members
of the unit to decrease or eliminate these stressors entirely?
Purpose: The purpose of this study is to reduce or completely eliminate stressors present in
the CT-ICU as identified by the coronary bypass patient. Identification of events and
conditions considered stressful in the ICU will allow the professional team to determine
which stressors are amendable to intervention and tailor patient care accordingly.
Design: Analytical survey
Protocol: Patients will be selected based on admission to the ICU following cardiopulmonary
bypass surgery. We plan to survey 160 patients in order to identify the main stressors in
the ICU as perceived by the patient themselves. A study investigator will enroll subjects
after obtaining oral informed consent. We plan to approach eligible candidates once they
have been discharged from the ICU to the step-down unit (4C). Subjects will be asked to
complete a short questionnaire that will ask them to assess stressors associated with their
stay in the CT-ICU. Preliminary analysis will be done to appraise the leading stressors
after enrolling 80 patients in the study. Once dominate stressors have been identified, we
will conduct several in-services in order to educate the CT-ICU team members of the
amendable stressors. We will then enroll another 80 patients in order to evaluate whether or
not the stressors have been reduced and/or eliminated.
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