Abstract
Introduction: Patient’s transfer from the intensive care unit (ICU) to the general ward indicates their improving health status. However, the transfer produces anxiety when patients enter an unfamiliar environment with different care protocols and circumstances. Objectives: This study aimed to examine the level of ICU transfer anxiety among open heart surgery patients and determine the psychosocial factors associated with ICU transfer anxiety among open heart surgery patients. Methods: Data were collected in a cardiac center in Kathmandu City, Nepal among 95 open heart surgery patients within 24 hours of their transfer from an ICU to a general ward. The study used four self-reported questionnaires, namely the modified Mishel Uncertainty in Illness Scale for Adults, modified Brief COPE Inventory, Nurses’ Support Questionnaire, and State Anxiety Inventory. Results: Fifty-two patients (54.7%) had a high level of transfer anxiety. Spearman’s rank correlation showed that uncertainty in illness, coping, and nurses’ support were significantly related to transfer anxiety (p < 0.001). Conclusion: The results of this study suggest nurses to address uncertainty in illness of the patients, improve their coping abilities, and provide need-based nursing support to them during the transitional phase. Besides, clinicians and governmental agencies should contribute to implication of transitional guidelines, which can reduce transfer anxiety and promote health and recovery of the patients.
Highlights
Patient’s transfer from the intensive care unit (ICU) to the general ward indicates their improving health status
This study aimed to examine the level of ICU transfer anxiety among open heart surgery patients and determine the psychosocial factors associated with ICU transfer anxiety among open heart surgery patients
A total of 95 open heart surgery patients were enrolled in this study within 24 hours of their transfer from an ICU to a general ward
Summary
Patient’s transfer from the intensive care unit (ICU) to the general ward indicates their improving health status. The transfer produces anxiety when patients enter an unfamiliar environment with different care protocols and circumstances. The study used four self-reported questionnaires, namely the modified Mishel Uncertainty in Illness Scale for Adults, modified Brief COPE Inventory, Nurses’ Support Questionnaire, and State Anxiety Inventory. Conclusion: The results of this study suggest nurses to address uncertainty in illness of the patients, improve their coping abilities, and provide need-based nursing support to them during the transitional phase. Transition of patients from an intensive care unit (ICU) to a general ward is an indicator of the patient’s recovery that comes with mixed feelings. Patients need to adjust to an unfamiliar ward environment with different care protocols and new faces of healthcare staff [1] [3]. Patients perceived ward circumstances as unsafe and insecure [1] and felt uncertain about getting their needs promptly addressed [5]
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