<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1695-6141</journal-id>
<journal-title><![CDATA[Enfermería Global]]></journal-title>
<abbrev-journal-title><![CDATA[Enferm. glob.]]></abbrev-journal-title>
<issn>1695-6141</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Murcia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1695-61412018000400580</article-id>
<article-id pub-id-type="doi">10.6018/eglobal.17.4.307301</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Los factores estresantes en pacientes adultos internados en una unidad de cuidados intensivos: una revisión integradora]]></article-title>
<article-title xml:lang="en"><![CDATA[The stressors factors in adult patients interned to an intensive care unit]]></article-title>
<article-title xml:lang="pt"><![CDATA[Os fatores estressores em pacientes adultos internados em uma unidade de terapia intensiva: uma revisão integrativa]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lana]]></surname>
<given-names><![CDATA[Letice Dalla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mittmann]]></surname>
<given-names><![CDATA[Paloma Stumpf]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moszkowicz]]></surname>
<given-names><![CDATA[Catherina Isdra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[Carla Chaves]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Federal do Pampa  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de Novo Hamburgo  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Federal do Rio Grande do Sul  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Universitário de Canoas  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>17</volume>
<numero>52</numero>
<fpage>580</fpage>
<lpage>611</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1695-61412018000400580&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1695-61412018000400580&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1695-61412018000400580&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN: El presente estudio se trata de una revisión integrativa de la literatura que tiene como objetivo analizar las evidencias disponibles sobre los factores estresantes relatados por los pacientes internados en una unidad de cuidados intensivos (UCI) adulto. La búsqueda de los artículos ha sido realizada en las bases de datos LILACS, Scielo, PubMed y BDENF publicados entre los años de 1997 a 2015. Han sido incluidos los artículos que abordaron la temática del estudio acerca de la cuestión guía en los idiomas portugués y español. De los 13 artículos seleccionados, han sido identificados 40 factores estresantes, categorizados en ambiental, fisiológico, emocional / psicológico y social, divididos en 16 subcategorías: las situaciones desfavorables, los ruidos, la termorregulación ineficaz, el patrón del sueño alterado, la movilidad en la cama alterada, la comunicación verbal perjudicada, el dolor, la falta de atención / individualidad, la ansiedad, el miedo, la pérdida de la autonomia, la interrupción de los procesos familiares, la interacción social alterada, la impotencia, el sentimiento de impotencia y el enfrentamiento familiar comprometido. Se constata que el tema es relevante, sin embargo, todavía incipiente, teniendo en cuenta las lagunas de cuidados de enfermería a ser implementados. Resulta evidente que los factores estresantes, cuando identificados, evaluados y diagnosticados por los enfermeros, pueden ser transcritos como cuidados de enfermeria en un plan de cuidado individual al paciente, viabilizando el proceso de recuperación y rehabilitación durante la hospitalización en la UCI.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT: The present study is an integrative review of the literature that aims to analyze the available evidence in the literature about the stressors reported by patients hospitalized in an adult intensive care unit. The articles were searched in the databases LILACS, Scielo, PubMed and BDENF published during the period from 1997 to 2015. The articles about the theme at hand have been included in Portuguese and Spanish. The sample consisted of 13 articles, where 40 stressors were identified, categorized as environmental, physiological, emotional / psychological and social, divided into 16 subcategories: unfavorable situations, noise, ineffective thermoregulation, disturbed sleep patterns, impaired bed mobility, impaired verbal communication, pain, lack of attention / individuality, anxiety, fear, loss of autonomy, interrupted family process, impaired social interaction, impotence, feeling of impotence and compromised family coping. It has been verified that the theme is relevant, but still in early stages, considering the nursing care gaps to be implemented. It is evident that when stressors are identified, evaluated and diagnosed by nurses they can be transcribed as nursing care in a plan of individual care to the patient, enabling the recovery and rehabilitation process during hospitalization in the ICU.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO: O presente estudo trata-se de uma revisão integrativa da literatura que objetiva analisar as evidências disponíveis acerca dos fatores estressores relatados pelos pacientes internados em uma unidade de terapia intensiva (UTI) adulto. A busca dos artigos foi realizada nas bases de dados LILACS, Scielo, PubMed e BDENF publicados entre o período de 1997 a 2015. Foram incluídos os artigos que abordaram a temática do estudo em relação a questão norteadora, nos idiomas português e espanhol. Dos 13 artigos selecionados, foram identificados 40 fatores estressores, categorizados em ambiental, fisiológico, emocional/psicológico e social, divididas em 16 subcategorias: situações desfavoráveis, ruídos, termorregulação ineficaz, padrão de sono perturbado, mobilidade no leito prejudicada, comunicação verbal prejudicada, dor, falta de atenção/individualidade, ansiedade, medo, perda de autonomia, processo familiar interrompido, interação social prejudicada, impotência, sentimento de impotência e enfrentamento familiar comprometido. Constata-se que o tema é relevante, porém, ainda incipiente tendo em vista as lacunas de cuidados de enfermagem a serem implementados. Fica evidente que os fatores estressores quando identificados, avaliados e diagnosticados pelos enfermeiros, podem ser transcritos como cuidados de enfermagem num plano de cuidado individual ao paciente, viabilizando o processo de recuperação e reabilitação durante a hospitalização na UTI.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Atención de Enfermería]]></kwd>
<kwd lng="es"><![CDATA[Trastornos por Estrés Postraumático]]></kwd>
<kwd lng="es"><![CDATA[Estrés Fisiológico]]></kwd>
<kwd lng="es"><![CDATA[Cuidados Críticos]]></kwd>
<kwd lng="es"><![CDATA[Unidades de Cuidados Intensivos]]></kwd>
<kwd lng="es"><![CDATA[Estrés Psicológico]]></kwd>
<kwd lng="en"><![CDATA[Nursing Care]]></kwd>
<kwd lng="en"><![CDATA[Post-Traumatic Stress Disorders]]></kwd>
<kwd lng="en"><![CDATA[Physiological Stress]]></kwd>
<kwd lng="en"><![CDATA[Critical Care]]></kwd>
<kwd lng="en"><![CDATA[Intensive Care Units]]></kwd>
<kwd lng="en"><![CDATA[Psychological stress]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados de Enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[Transtornos de Estresse Pós-Traumáticos]]></kwd>
<kwd lng="pt"><![CDATA[Estresse Fisiológico]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados Críticos]]></kwd>
<kwd lng="pt"><![CDATA[Unidades de Terapia Intensiva]]></kwd>
<kwd lng="pt"><![CDATA[Estresse Psicológico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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