Abstract
Preparatory sensory information (PSI) has been found to have significant effects in reducing distress, tension, restlessness, negative moods, and anxiety, and also in reducing length of postoperative hospitalization during various threatening medical events, but no evidence has demonstrated the effect of PSI on a patient during ICU hospitalization. On the basis of Lazarus' theory, a structural equation model was developed to examine the role of the nursing intervention, PSI, as a significant factor influencing patients' processes of cognitive appraisals and coping, adaptational responses, and patient care outcomes during ICU hospitalization. The analytical model examined the net effect of PSI on outcomes, controlling for the effects of mastery, interpersonal trust, social support, socioeconomic status, severity of illness, age, and gender. A quasi-experiment was executed in four large acute care hospitals. Data were collected from 41 subjects in the control group and from 42 in the treatment group receiving PSI before ICU admission. Structural equation modeling was employed to test the proposed analytic model. The initial tests of model fit indicate that the original model did not fit the data well with GFI = 0.85, AGFI = 0.76, RMSEA = 0.059, p_close = 0.28, and critical N = 78. A revised model was developed, and the fit indices suggested an adequate fit with GFI = 0.90, AGFI = 0.84, RMSEA = 0.00, p_close = 0.89, and critical N = 109. These findings provide empirical support for Lazarus' theory on stress, appraisal, and coping. The findings also verify the beneficial effects of the nursing intervention of PSI on ICU patients.
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References
MacKinnon-Kessler, S., Maximizing your ICU patient's sensory and perceptual environment. Canadian Nurs. 79:41–45, 1983.
Lazarus, R. S., and Folkman, S., Stress, Appraisal, and Coping, Springer, New York, 1984.
Folkman, S., Lazarus, R. S., Gruen, R. J., and DeLongis, A., Appraisal, coping, health status, and psychological symptoms. J. Pers. Soc. Psy. 50(3):571–579, 1986.
Poroch, D., The effect of preparatory patient education on the anxiety and satisfaction of cancer patients receiving radiation therapy. Cancer Nurs. 18(3):206–214, 1995.
McHugh, N. G., Christman, N. J., and Johnson, J. E., Preparatory information: What helps and why. Am. J. Nurs. 82(5):780–782, 1982.
Davis, T. M. A., Maguire, T. O., Haraphongse, M., and Schaumberger, M. R., Preparing adult patients for cardiac catheterization: Informational treatment and coping style interactions. Heart Lung. 23(2):130–139, 1994.
Arthur, H. M., Daniels, C., McKelvie, R., Hirsh, J., and Rush, B., Effect of a preoperative intervention on preoperative and postoperative outcomes in low-risk patients awaiting elective coronary artery bypass graft surgery. A randomized, controlled trial. Ann. Intern. Med. 133(4):253–262, 2000.
Lazarus, R. S., Coping theory and research: Past, present, and future. Psychosom. Med. 55(3):234–247, 1993.
Folkman, S., and Lazarus, R. S., An analysis of coping in a middle-aged community sample. J. Health Soc. Behav. 21:219–239, 1980.
Lazarus, R. S., and Launier, R., Stress-related transactions between person and environment. In Pervin, L.A., and Lewis, M. (eds.), Perspectives in Interactional Psychology, Plenum, New York, 1978.
Coyne, J. C., and Lazarus, R. S., Cognitive style, stress perception, and coping. In Kutash, I. L., and Schlesinger, B. L. (eds.), Handbook on Stress and Anxiety: Contemporary Knowledge, Theory, and Treatment, Jossey-Bass, San Francisco, 1980.
Lipowski, Z. J., Acute Confusional States, Oxford University Press, New York, 1990.
Zimet, G. D., Dahlem, N. W., Zimet, S. G., and Farley, G. K., The multidimensional scale of perceived social support. J. Pers. Assess. 52:30–41, 1988.
Wan, T. T. H., Richardson, J. T., Factors Influencing Rural Minority Women in the Decision to Utilize Mammography for the Early Detection of Breast Cancer, Williamson Institute for Health Studies, Richmond, VA, 1991.
Pearlin, L. I., and Schooler, C., The structure of coping. J. Health Soc. Behav. 19:2–21, 1978.
Pearlin, L. I., Lieberman, M. A., Menaghan, E. G., and Mullan, J. T., The stress process. J. Health Soc. Behav. 22(4):337–356, 1981.
Rotter, J. B., Interpersonal trust, trustworthiness, and gullibility. Am. Psychol. 35:1–7, 1980.
Knaus, W. A., Draper, E. A., Wagner, D. P., and Zimmerman, J. E., APACHE II: A severity of disease classification system. Crit. Care Med. 13:818–829, 1985.
Ballard, K. S., Identification of environmental stressors for patients in a surgical intensive unit. Mental Health Nurs. 3:89–108, 1981.
Soehren, P., Stressors perceived by cardiac surgical patients in the intensive care unit. Am. J. Crit. Care. 4(1):71–76, 1995.
Jalowiec, A., Powers, M. J., Stress and coping in hypertensive and emergency room patients. Nurs. Res. 30:10–15, 1981.
Jalowiec, A., Murphy, S. P., and Powers, M. J., Psychometric assessment of the Jalowiec copying scale. Nurs. Res. 33:157–161, 1984.
Folstein, M., Folstein, S., and McHugh, P., Mini-Mental State: A practical method for grading the cognitive state of patients for the clinician. J. Psychiatr. Res. 12:189–198, 1975.
Harrell, R. G., and Othmer, E., Postcardiotomy confusion and sleep loss. J. Clin. Psychol. 48(11):445–446, 1987.
Tess, M. M., Acute confusional states in critically ill patients: A review. J. Neurosci. Nurs. 23:398–402, 1991.
Flam, B., Spice-Cherry, P., and Amsel, R., Effects of preparatory information of a myelogram on patients' expectations and anxiety levels. Patient Educ. Counsel. 14:115–126, 1989.
Anderson, K. O., Masur, F. T., III, Psychologic preparation for cardiac catheterization. Heart Lung 18(2):154–163, 1989.
Johnson, J. E., Rice, V. H., Fuller, S. S., and Endress, M. P., Sensory information, instruction in coping strategy and recovery from surgery. Res. Nurs. Health 1:4–17, 1978.
Derham, C., An evaluation of the preoperative information given to patients by intensive care nurses. Intensive Care Nurs. 7(2):80–85, 1991.
Hunt, J. M., The cardiac surgical patient's expectations and experiences of nursing care in the intensive care unit. Aust. Crit. Care. 12(2):47–53, 1999.
Mahler, H. I., Kulik, J. A., Effects of preparatory videotapes on self-efficacy beliefs and recovery from coronary bypass surgery. Ann. Behav. Med. 20(1):39–46, 1998.
Read, C., Patients' information needs in intensive care and surgical wards. Nurs. Stand. 12(28):37–39, 1998.
Watts, S., and Brooks, A., Patients' perceptions of the pre-operative information they need about events they may experience in the intensive care unit. J. Adv. Nurs. 26(1):85–92, 1997.
Bennum, I., Intensive care unit syndrome: A consideration of psychological interventions. Br. J. Med. Psychol. 74(Part 3):369–377, 2001.
Dubois, M. J., Bergeron, N., Dumont, M., Dial, S., and Skrobik, Y. Delirium in an intensive care unit: A study of risk factors. Intensive Care Med. 27(8):1297–1304, 2001.
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Shi, SF., Munjas, B.A., Wan, T.T.H. et al. The Effects of Preparatory Sensory Information on ICU Patients. Journal of Medical Systems 27, 191–204 (2003). https://doi.org/10.1023/A:1021869112673
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DOI: https://doi.org/10.1023/A:1021869112673