Midori Kume Yuka Kanoya Chifumi Sato

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1 ICU A Study on Patients Anxiety and Stress in ICU Midori Kume Yuka Kanoya Chifumi Sato ICUPTSD intensive care unit, post traumatic stress disorder, stress, anxiety, emergency care Intensive Care UnitICU ICU - ICU Post Traumatic Stress Disorder PTSD PTSD ICUCCUCoronary Care UnitCCU ICU CCU ICU PTSD Department of Analytical Health Science, Graduate School of Health Sciences, Tokyo Medical and Dental University Division of Community Health Nursing, School of Nursing, Yamagata University Vol. No.

2 ICU VAS STAI SDS IES-R VAS VASVisual Analog ScaleSDSSelf-Rating Depression Scale STAIState-Trait Anxiety Index IES-RImpact of Event Scale Revised Acute Physiology and Chronic Health Evaluation APACHE ADL Visual Analog Scale VAS State-Trait Anxiety Index STAI VAS STAI Self-Rating Depression ScaleSDS SDS PTSDPTSD -Impact of Event Scale Revised IES-R PTSD - PTSD PTSD : ICU ICUESSICU Environment Stress Scale ICUESS : : VAS Stat View. t Mann-WhitneyU Pearson Vol. No.

3 ICU A B.... APACHE.. means.d... A B means.d... means.d... / means.d... / means.d... means.d... JCS a medianmin-max - APACH means.d... means.d... VAS VAS means.d means.d.... VAS means.d... STAI State STAI State STAI Trait STAI Trait SDS IES-R means.d. means.d. means.d. means.d. means.d. means.d. amann-whitneyu VASVisual Analog Scale STAIState-Trait Anxiety Index ADL,, Vol. No.

4 ICU. n= meansd.. meansd.. VAS.. STAI.... VAS..STAI...SDS..IES-R..SDS IES-R SDS:IES:SDS.IES-R. STAI STAI r=.p=. STAI,SDS,IES-R VAS r=.. STAI IES-R n= meansd n= meansd P STAIState..... STAITrait..... SDS IES-R..... VASVAS VAS VASVAS STAIState-Trait Anxiety Index SDSSelf-Rating Depression Scale IES-RImpact of Event Scale Revised VAS VAS meansd VAS meansd r n= n= Pearson VASVisual Analog Scale n= n= VASSTAISDSIES-R STAISDS n= meansd n= meansd P STAITrait..... IES-R..... STAIState-Trait Anxiety Index IES-RImpact of Event Scale Revised VAS r=. r=. VAS p=. p=. VAS JCS: Japan Coma Scale r=-.p=. Vol. No.

5 ICU n= medianmin-max PTSDICU PTSD - PTSD PTSD SDSIES-R ICU STAI VASSTAI SDS IES-R PTSD VASSTAISDSIES-R STAI PTSD SDS. IES-R. ICUShelling PTSD. Doerfler. Green PTSD ICU PTSD STAI. STAI IES-R STAI STAI STAI ICU ICUPTSD SDSSTAI ICU ICU PTSD - Vol. No.

6 ICU SDSIES-R PTSD ICU PTSD PTSD PTSD ICU SDSIES-R PTSD PTSD Vol. No.

7 ICU ICUCCU ICUPTSD.PTSD. ICU, Emergency Nursing,, -,.,, -,.,,,, -,.,, ICU,,, -,.,,,, -,.,,,, -,.,, NPAC,,, -,.,,,,, -,. Jones, C., Griffiths, RD., et al.: Memorydelusionsand the development of acute posttraumatic tress disorder-related symptoms after intensive care, Crit Care Med,, -,. Scragg P., Jones A., et al.: Psychological problems following ICU treatmentanaesth, -,. Parbury JS.: PatientExperiences of Being in an Intensive Care UnitA Select Literature ReviewAm J of Criti Care,,,. Novaes MAKnobel Eet al,: Stressor in ICU: perception of the patient, and health care team, Intensive Care Med,, -,. Byrne G, Heyman R,: Patient anxiety in the accident and emergency department,j Clin Nurs,, -,. Turner JSBriggis SJ, et al,: Patientrecollection of intensive care unit experiencecrit care Med,, -,. Comptom P,: Critical Illness and Intensive Care, What it Mean to the clientcrit Care Nurs,, -,. Cornock MA,: Stress and the intensive care patientperception of patients and nursesj Adv Nurs,, -,. Blacher RS,: The Psychological and consequences of the ICU stay Eur J Anaethesiol,, -,. Connelly AG,: An examination of stressors in the patient undergoing cardiac electrophysiologic studiesheart Lung,, -,.,,,, -,. Knaus WADraper EA, et al,: Apache A severity of disease classificatio system, Crit Car Med,, -,. STAIThe State-Trait Anxiety Inventory,,, -,., STAI,,, -,.,,,, -,. Asukai N, Kato H, et al,: Reliability and validity of the Japaneselanguage version of the Impact of Event Scale-Revised IES-R-J, four studies on different traumatic events, J Nerv Mernt Diseas,, -,.,,,. Horowitz M, Wilner N, et al,impact of Event Scale, A Measure of Subjective Stress, Psychosom Med,, -,. Novaes MA, Aronovich A, et al,: Stressor in ICU, patientevaluation, Intensive Care Med,, -,. Ballard KS,: Identification of environmental stressors for patient in a surgical intensive care unit, Issues in Ment Helth Nurs,, -,. Doefler LA, Pbert L, et al,: Symptoms of posttraumatic stress disorder following myocardial infarction and coronary artery bypass surgery, Gen Hosp Psychiatry,, -,. Green MM, McFrarlance AC, et al,: Undiagnosed post-traumatic stress disorder following motor vehicle accidents, Med J Aust,, -,. Epstein RS,: Avoidant symptoms cloaking the diagnosis of PTSD in patients with severe accidental injury, J Trauma Stress,, -,.,,,. Shelling G, Stoll C, et al,: Health-related quality of life and posttraumatic stress disorder in survivors of the acute respiratory distress syndrome, Crit Care Med,, -,.,, ICU,,, -,., STAIEgogram,,, -,. Heikkilä J, Paunonen M, et al: Fear of patients related to coronary arteriography,, J Adv Nurs,, -,. Vol. No.

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