Psychological Effects of Sedative on Critical Ill Patients at Saidu Teaching Hospital Swat


Authors : Dr. Israr Muhammad Khan; Dr. Wali Rahman; Dr. Akhlaq Ahmed; Dr. Saad Ali; Dr. Irsa Hidayat; Dr. Ammad Ali

Volume/Issue : Volume 9 - 2024, Issue 2 - February

Google Scholar : http://tinyurl.com/mua663ch

Scribd : http://tinyurl.com/4s8x2ndz

DOI : https://doi.org/10.5281/zenodo.10700561

Abstract : Objective To access the psychological effect in patients admitted in intensive care unit.  Method This cross-sectional study was carried out in the Saidu Teaching Hospital's ICU from January 2023 to December 2023 after receiving ethical approval. Age over 18, a 24-hour intensive care unit stay, mental ability during assessment, and informed consent for research participation was the requirements that needed to be fulfilled in order to be included. Being moved out of the ICU and not completing the assessment satisfied the trial's exclusion criteria. The findings were analyzed using a non- probability sampling technique with the SPSS-24 version. Chi-square values below 0.5 were regarded as significant.  Result A total of 161 patients' data were assessed. Medical cases accounted for 89 (55.2%), and depression patients made up 72 (44%). The ratio of males to females was 94:67, or 58:42%. Compared to 135 (83%) who were seen within two weeks of the complaint length, 26 (17%) were present in >two weeks with significant value. Ten (6%) had positive anxiety scores, while 151 (93%) had negative scores. 152 persons did not test positive for amnesia out of 161, while 9 did. Six persons were certain they had hallucinations, but 155 did not. 87 patients reported having PTSD, whereas 74 patients had negative test results. Of the ICU hospitalizations, 27 cases (16.7%) involved surgery, and 89 cases (55%) involved medicine.  Conclusion Using a bedside screening instrument and getting approval from a doctor will lead to better identification and early detection. The initial stage of prevention, aimed at establishing an ICU free from psychological fallout in the future, is the identification of incidence and risk factors. Critically sick ICU patients deal with a complex array of psychosocial consequences.

Keywords : Critical Care, Intensive Care Unit, Psychological Effect, Anxiety, Depression, Post-Traumatic Stress Disorder.

Objective To access the psychological effect in patients admitted in intensive care unit.  Method This cross-sectional study was carried out in the Saidu Teaching Hospital's ICU from January 2023 to December 2023 after receiving ethical approval. Age over 18, a 24-hour intensive care unit stay, mental ability during assessment, and informed consent for research participation was the requirements that needed to be fulfilled in order to be included. Being moved out of the ICU and not completing the assessment satisfied the trial's exclusion criteria. The findings were analyzed using a non- probability sampling technique with the SPSS-24 version. Chi-square values below 0.5 were regarded as significant.  Result A total of 161 patients' data were assessed. Medical cases accounted for 89 (55.2%), and depression patients made up 72 (44%). The ratio of males to females was 94:67, or 58:42%. Compared to 135 (83%) who were seen within two weeks of the complaint length, 26 (17%) were present in >two weeks with significant value. Ten (6%) had positive anxiety scores, while 151 (93%) had negative scores. 152 persons did not test positive for amnesia out of 161, while 9 did. Six persons were certain they had hallucinations, but 155 did not. 87 patients reported having PTSD, whereas 74 patients had negative test results. Of the ICU hospitalizations, 27 cases (16.7%) involved surgery, and 89 cases (55%) involved medicine.  Conclusion Using a bedside screening instrument and getting approval from a doctor will lead to better identification and early detection. The initial stage of prevention, aimed at establishing an ICU free from psychological fallout in the future, is the identification of incidence and risk factors. Critically sick ICU patients deal with a complex array of psychosocial consequences.

Keywords : Critical Care, Intensive Care Unit, Psychological Effect, Anxiety, Depression, Post-Traumatic Stress Disorder.

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