Aproximación a las necesidades de confort en enfermos críticos desde la Teoría de Kolcaba

Approach to the comfort needs of critical ill patients from the Kolcaba’s Theory

  • Mª Dolores González Baz Departamento Apoyo a la Práctica Basada en la Evidencia, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón. Departamento de Enfermería. Universidad Complutense de Madrid (Madrid, España) https://orcid.org/0000-0003-1365-7530
  • Mª Nieves Moro Tejedor Unidad de Apoyo a la Investigación en Enfermería, Hospital General Universitario Gregorio Marañón, Escuela de Enfermería de Cruz Roja Española, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Gregorio Marañón (Madrid, España) https://orcid.org/0000-0002-2677-7454
  • Mª Isabel Durango Limárquez Departamento Apoyo a la Práctica Basada en la Evidencia, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón. Departamento de Enfermería. Universidad Complutense de Madrid (Madrid, España) https://orcid.org/0000-0001-9715-7239
  • Jesús Ledesma Fajardo Departamento de Críticos, Hospital General Universitario Gregorio Marañón (Madrid, España)
  • Enrique Pacheco del Cerro Departamento de Enfermería. Universidad Complutense de Madrid. Unidad de Apoyo a la Investigación Hospital Clínico San Carlos (Madrid, España) https://orcid.org/0000-0002-0350-2044
Palabras clave: Necesidades, Confort, Comodidad, Cuidados intensivos, Humanización de la atención
Key-words: Needs, Comfort, Critical care, Intensive care, Critical illness, Human centred design

Resumen

Abstract

Bibliografía


  1. Real Academia Española. Diccionario de la Lengua Española 23a Edición [Internet]. 2018 [cited 2022 Aug 3]. Available from: https://dle.rae.es/confort

  2. Pinto S, Caldeira S, Martins JC, Rodgers B. Evolutionary analysis of the concept of comfort. Holist Nurs Pract. 2017;31(4):243–52.

  3. McIlveen KH, Morse JM. The Role of Comfort in Nursing Care: 1900-1980. Clin Nurs Res. 1995 May 25;4(2):127–48.

  4. Morse JM, Bottorff JL, Hutchinson S. The paradox of comfort. Nurs Res. 1995;44(1):14–9.

  5. Benner P. Providing Comfort Measures for the Critically and Acutely Ill. In: Springer Publishing Company, editor. Clinical Wisdom and Interventions in Acute and Critical Care Thinking-in-Action Approach. Second. 2010. p. 215–66.

  6. Kolcaba KY. Holistic comfort: Operationalizing the construct as a nurse-sensitive outcome. Adv Nurs Sci. 1992 Sep;15(1):1–10.

  7. Kolcaba K. Comfort theory and practice: a vision for holistic health care and research. New York: Springer Publishing Company; 2003. 1–264 p.

  8. Nural N, Alkan S. Identifying the Factors Affecting Comfort and the Comfort Levels of Patients Hospitalized in the Coronary Care Unit. Holist Nurs Pract. 2018;32(1):35–42.

  9. Góis JA, Freitas KS, Kolcaba K, Mussi FC. Adaptação transcultural do General Comfort Questionnaire para brasileiros com infarto do miocárdio. Rev Bras Enferm [Internet]. 2018 [cited 2022 Aug 4];71(6):2998–3005. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672018000602998&lng=en&tlng=en

  10. Ruiz Gongora MI, Díaz Heredia LP. Comodidad del paciente en una unidad de cuidado intensivo cardiovascular. Av en Enfermería. 2018;36(2):188–96.

  11. González Baz MD. Nivel de confort en enfermos ingresados en unidades de cuidados críticos. 2022. Universidad Complutense de Madrid; 2022.

  12. Dannenfeldt G. Some psychological aspects of intensive care. Tijdschr Geneeskd. 1977;33(24):1403–10.

  13. Ashworth P. The needs of the critically ill patient. Intensive Care Nurs. 1987;3(4):182–90.

  14. Jackson JC, Santoro MJ, Ely TM, Boehm L, Kiehl AL, Anderson LS, et al. Improving Patient Care Through the Prism of Psychology: application of Maslow’s Hierarchy to Sedation, Delirium and Early Mobility in the ICU. J Crit Care. 2014;29(3):438–44.

  15. Aro I, Pietila A. Needs of adult patients in intensive care units of Estonian hospitals: a questionnaire survey. J Clin Nurs. 2012;21((13-14)):1847–58.

  16. Souza PTL de, Ferreira J de A, Oliveira ECDS, Lima A, Babel N, Cabral JDR, et al. Basic human needs in intensive care. RevFunCareOnline [Internet]. 2019 [cited 2022 Aug 5];11(4):1011–6. Available from: http://dx.doi.org/10.9789/2175-5361.2019.v11i4.1011-1016

  17. Godfrey B, Parten C, Buckner EB. Identification of Special Care Needs. Dimens Crit Care Nurs. 2006;25(6):275–82.

  18. Ministerio de Sanidad Política Social e Igualdad. Incidentes y eventos adversos en medicina intensiva. Syrec. Madrid; 2009.

  19. Baumstarck K, Boucekine M, Estagnasie P, Geantot MA, Berric A, Simon G, et al. Assessment of patients’ self-perceived intensive care unit discomforts: Validation of the 18-item version of the IPREA. Health Qual Life Outcomes. 2019;17(1):29.

  20. Chanques G, Nelson J, Puntillo K. Five patient symptoms that you should evaluate every day. Intensive Care Med. 2015;41(7):1347–50.

  21. Krampe H, Denke C, Gülden J, Mauersberger VM, Ehlen L, Schönthaler E, et al. Perceived severity of stressors in the intensive care unit: A systematic review and semi-quantitative analysis of the literature on the perspectives of patients, health care providers and relatives. J Clin Med. 2021;10(17):1–21.

  22. King J, Neill BO, Ramsay P, Linden MA, Medniuk AD, Outtrim J, et al. Identifying patients support needs following critical illness: a scoping review of the qualitative literature. Crit Care. 2019;23(187):1–12.

  23. Puntillo KA, Max A, Timsit JF, Vignoud L, Chanques G, Robleda G, et al. Determinants of procedural pain intensity in the intensive care unit: The Europain® study. Am J Respir Crit Care Med. 2014;189(1):39–47.

  24. Baumgarten M, Poulsen I. Patients’ experiences of being mechanically ventilated in an ICU: A qualitative metasynthesis. Scand J Caring Sci. 2015;29(2):205–14.

  25. Rattray J, Johnston M. The intensive care experience: development of the ICE questionnaire. J Adv Nurs. 2004;47(1):64–73.

  26. Lambell KJ, Tatucu-Babet OA, Chapple L-A, Gantner D, Ridley EJ. Nutrition therapy in critical illness: a review of the literature for clinicians. Crit Care. 2020;24(35):1–11.

  27. Tsai MH, Ku SC, Wang TG, Hsiao TY, Lee JJ, Chan DC, et al. Swallowing dysfunction following endotracheal intubation Age matters. Med (Baltimore). 2016;95(24):1–7.

  28. Kalfon P, Mimoz O, Auquier P, Loundou A, Gauzit R, Lepape A, et al. Development and validation of a questionnaire for quantitative assessment of perceived discomforts in critically ill patients. Intensive Care Med. 2010 Oct 26;36(10):1751–8.

  29. Chanques G, Sebbane M, Barbotte E, Viel E, , Eledjam JJ, Jaber S. A Prospective Study of Pain at Rest: Incidence and Characteristics of an Unrecognized Symptom in Surgical and Trauma versus Medical Intensive Care Unit Patients. Anesthesiology. 2007;107(5):858–60.

  30. Richard A, John K. Intensive care unit-acquired weakness. Contin Educ Anaesthesia, Crit Care Pain. 2012;12(2):62–6.

  31. Dinglas VD, Aronson Friedman L, Colantuoni E, Mendez-Tellez PA, Shanholtz CB, Ciesla ND, et al. Muscle Weakness and 5-Year Survival in Acute Respiratory Distress Syndrome Survivors. Crit Care Med. 2017;45(3):446–53.

  32. Chaboyer WP, Thalib L, Harbeck EL, Coyer FM, Blot S, Bull CF, et al. Incidence and Prevalence of Pressure Injuries in Adult Intensive Care Patients: A Systematic Review and Meta-Analysis. Crit Care Med. 2018;46(11):e1074–81.

  33. Knauert MP, Yaggi HK, Redeker NS, Murphy TE, Araujo KL PM. Feasibility study of unattended polysomnography in medical intensive care unit patients. Hear Lung. 2014;43(5):445–52.

  34. Drouot X, Roche-Campo F, Thille AW, Cabello B, Galia F, Margarit L, et al. A new classification for sleep analysis in critically ill patients. Sleep Med. 2012;13(1):7–14.

  35. Costa GS, de Souza CC, Diaz FBB de S, Toledo LV. Bed bath in critical care patients: An integrative review. Rev Baiana Enferm. 2018;32:1–13.

  36. Romero-García M, De la Cueva-Ariza L, Jover-Sancho C, Delgado-Hito P, Acosta-Mejuto B, Sola-Ribo M, et al. La percepción del paciente crítico sobre los cuidados enfermeros: una aproximación al concepto de satisfacción. Enferm Intensiva. 2013;24(2):51–62.

  37. Gómez-Carretero P, Monsalve V, Soriano JF, De Andrés J. Alteraciones emocionales y necesidades psicológicas de pacientes en una Unidad de Cuidados Intensivos. Med Intensiva. 2007;31(6):318–25.

  38. Stein-Parbury J, McKinley S. Patients’ experiences of being in an intensive care unit: A select literature review. Am J Crit Care. 2000;9(1):20–7.

  39. Topçu S, Ecevit Alpar Ş, Gülseven B, Kebapçı A. Patient experiences in intensive care units: a systematic review. Patient Exp J. 2017;4(3):115–27.

  40. Hupcey JE. Feeling safe: The psychosocial needs of ICU patients. J Nurs Scholarsh. 2000;32(4):361–7.

  41. Wassenaar A, Schouten J, Schoonhoven L. Factors promoting intensive care patients’ perception of feeling safe: A systematic review. Int J Nurs Stud. 2014;51(2):261–73.

  42. Fernández Molina N. Necesidades de las personas ingresadas en UCI. Metas Enferm. 2006;9(5):19–26.

  43. Hupcey J, Zimmerman HE. The need to know: Experiences of critically ill patients The need to know: Experiences of critically ill patients Judith E Hupcey; Helen E Zimmerman. Am J Crit Care. 2000;9(3):192–8.

  44. Egerod I, Bergbom I, Lindahl B, Henricson M, Granberg-Axell A, Storli SL. The patient experience of intensive care: A meta-synthesis of nordic studies. Int J Nurs Stud. 2015;52(8):1354–61.

  45. Castro Cidalia RBM. The Experience of the Persons with Critical Condition Hospitalized in an Intensive Care Unit. J Nurs UFPE line. 2017;11(9):3386–94.

  46. Cutler LR, Hayter M, Ryan T. A critical review and synthesis of qualitative research on patient experiences of critical illness. Intensive Crit Care Nurs. 2013;29(3):147–57.

  47. Briscoe WP, Woodgate RL. Sustaining self: The lived experience of transition to long-term ventilation. Qual Health Res. 2010;20(1):57–67.

  48. Righy C, Rosa RG, Da Silva RTA, Kochhann R, Migliavaca CB, Robinson CC, et al. Prevalence of post-traumatic stress disorder symptoms in adult critical care survivors: A systematic review and meta-analysis. Crit Care. 2019;23(1):1–13.

  49. Jakimowicz S, Perry L. A concept analysis of patient-centred nursing in the intensive care unit. J Adv Nurs. 2015;71(7):1499–517.

  50. Karlsson V, Bergbom I, Forsberg A. The lived experiences of adult intensive care patients who were conscious during mechanical ventilation: A phenomenological-hermeneutic study. Intensive Crit Care Nurs. 2012;28(1):6–15.

  51. Hofhuis JGM, Spronk PE, van Stel HF, Schrijvers AJP, Rommes JH, Bakker J. Experiences of critically ill patients in the ICU. Intensive Crit Care Nurs. 2008 Oct;24(5):300–13.

  52. Yang R. Dependency in Critically Ill Patients. Glob Qual Nurs Res. 2016 Jan 22;3:1–10.

  53. Willemse S, Smeets W, van Leeuwen E, Nielen-Rosier T, Janssen L, Foudraine N. Spiritual care in the intensive care unit: An integrative literature research. J Crit Care. 2020; 57:55–78.

  54. Nussbaum GB. Spirituality in critical care: Patient comfort and satisfaction. Crit Care Nurs Q. 2003;26(3):214–20.

  55. Karlsson V, Lindahl B, Bergbom I. Patients’ statements and experiences concerning receiving mechanical ventilation: A Prospective Video-Recorded Study. Nurs Inq. 2012;19(3):247–58.

  56. Labuzetta JN, Rosand J, Vranceanu A, Jolla L. Review: Post-Intensive Care Syndrome: Unique Challenges in the Neurointensive Care Unit. Neurocrit Care. 2020;31(3):534–45.

  57. Martínez Toquero J, Llauradó-Serra M. Necesidades de los pacientes ingresados en la Unidad de Cuidados Intensivos. Metas enferm. 2016;19(10):63–70.

  58. Nassar AP, Besen BAMP, Robinson CC, Falavigna M, Teixeira C, Rosa RG. Flexible versus restrictive visiting policies in ICUs: A systematic review and meta-analysis. Crit Care Med. 2018;46(7):1175–80.

  59. Nin N, Martin MC, Heras G. Humanizing intensive care: Toward a human-centered care ICU model. Crit Care Med. 2020;48(3):385–90.

  60. Escudero D, Martín L, Viña L, Quindós B, Espina MJ, Forcelledo L, et al. Política de visitas, diseño y confortabilidad en las unidades de cuidados intensivos españolas. Rev Calid Asist. 2015;30(5):243–50.

  61. Rashid M. Two Decades (1993-2012) of Adult Intensive Care Unit Design: A Comparative Study of the Physical Design Features of the Best-Practice Examples. Crit Care Nurs Q. 2014;37(1):1–32.

  62. Olausson S, Lindahl B, Ekebergh M. A phenomenological study of experiences of being cared for in a critical care setting: The meanings of the patient room as a place of care. Intensive Crit Care Nurs. 2013;29(4):234–43.

  63. Horsten S, Reinke L, Absalom AR, Tulleken JE. Systematic review of the effects of intensive-care-unit noise on sleep of healthy subjects and the critically ill. Br J Anaesth. 2018;120(3):443–52.

  64. Johansson L, Lindahl B, Knutsson S, Ögren M, Persson Waye K, Ringdal M. Evaluation of a sound environment intervention in an ICU: A feasibility study. Aust Crit Care. 2018;31(2):59–70.

  65. Telias I, Wilcox ME. Sleep and Circadian Rhythm in Critical Illness. Crit Care. 2019;23(1):2–5.

  66. Andersson M, Fridh I, Lindahl B. Is it possible to feel at home in a patient room in an intensive care unit? Reflections on environmental aspects in technology-dense environments. Nurs Inq. 2019;26(4):1–10.

  67. Maldonado JR. Acute Brain Failure: Pathophysiology, Diagnosis, Management, and Sequelae of Delirium. Crit Care Clin. 2017;33(3):461–519.

  68. Krewulak KD, Stelfox HT, Leigh JP, Wesley Ely E, Fiest KM. Incidence and prevalence of delirium subtypes in an adult ICU: A systematic review and meta-analysis. Crit Care Med. 2018;46(12):2029–35.

  69. Goldberg TE, Chen C, Wang Y, Jung E, Swanson A, Ing C, et al. Association of Delirium with Long-term Cognitive Decline: A Meta-analysis. JAMA Neurol. 2020; 10032:1–9.

  70. Needham DM, Davidson J, Cohen H, Hopkins RO, Weinert C, Wunsch H, et al. Improving long-term outcomes after discharge from intensive care unit: Report from a stakeholders’ conference. Crit Care Med. 2012;40(2):502–9.

  71. Kohler J, Borchers F, Endres M, Weiss B, Spies C, Emmrich JV. Cognitive Deficits Following Intensive Care. Dtsch Arztebl Int. 2019;116(38):627–34.

  72. Wade DM, Hankins M, Smyth DA, Rhone EE, Mythen MG, Howell DCJ, et al. Detecting acute distress and risk of future psychological morbidity in critically ill patients: Validation of the intensive care psychological assessment tool. Crit Care. 2014;18(5):1–9.

  73. Devlin JW, Skrobik Y, Gélinas C, Needham DM, Slooter AJC, Pandharipande PP, et al. Executive Summary: Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU. Crit Care Med. 2018;46(9):1532–48.

  74. Marra A, Ely EW, Pandharipande PP, Patel MB. The ABCDEF Bundle in Critical Care. Crit Care Clin. 2017;33(2):225–43.

  75. Heras G, Zaforteza C. HUCI is written with H as in HUMAN. Enferm Intensiva. 2014;25(4):123–4.

  76. Berntzen H, Bjørk IT, Storsveen AM, Wøien H. “Please mind the gap”: A secondary analysis of discomfort and comfort in intensive care. J Clin Nurs. 2020;29(13–14):2441–54.

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González Baz, Mª Dolores; Moro Tejedor, Mª Nieves; Durango Limárquez, Mª Isabel; Ledesma Fajardo, Jesús; Pacheco del Cerro, Enrique. Aproximación a las necesidades de confort en enfermos críticos desde la Teoría de Kolcaba. Ética de los Cuidados. 2023; 16: e14253. Disponible en: https://ciberindex.com/c/et/e14253 [acceso: 23/02/2024]
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