ICU environmental factors on the psychological impact on patients and nursing.docVIP

 PAGE \* MERGEFORMAT 8 ICU environmental factors on the psychological impact on patients and nursing [Keywords:] intensive care, environmental factors Psychological care in intensive care unit (ICU) for every need of life support for patients to monitor and provide services. Many patients admitted to the ICU, due to the environment not suited, often fear, anxiety and even disorders of thinking and a series of mental phenomena , to the rehabilitation of patients with serious adverse effects, need to pay close attention. 1 ICU environmental factors on the psychological impact on patients 1.1 The effect of noise in the ICU ward more than 30 kinds of sound memory, such as footsteps, voices, coughing sound, the sound of water, telephone ring tones, switching windows sound, the sound operation of such equipment. The noise intensity can reach 45 ~ 80 dB, while more than 60 db will cause increased sympathetic activity, heart rate, blood pressure, while reducing the pain tolerance threshold, so that patients with irritability, have a strong feeling of pressure and anxiety, leading to psychological stress, depression, headaches , hallucinations, sleep difficulties, such as circadian sleep rhythm reversal, affecting the normal life of patients. 1.2 The influence of light and light can affect the patient’s psychological changes. Patients need full sun, but the light is too strong and direct exposure to patients so that patients may be over-excited, dazzling bright glaring light, uneasy, the light is too weak, such as dark room, make people feel boring, depression, sadness and fear. ICU wards during the day light, dark, night, bright light, heat lamp glare of light, application of ultraviolet light irradiation sterilization and other adverse stimuli, patients will change sleep brings no comfort to the patient. The majority of patients not used to sleep in this environment, resulting in varying degrees of sleep loss. studies show that sleep loss is common ICU