Ventilated patients' self-esteem during intubation and after extubation.
The primary purpose of this study was to determine if there was a difference in patients' self-esteem during intubation and after extubation, when differences in acuity were controlled. A secondary purpose was to examine and compare the self-esteem of subjects intubated for medical or surgical reasons. A descriptive longitudinal design compared the self-esteem of 29 subjects during intubation and after extubation. A repeated measures analysis of covariance found self-esteem to be significantly higher after extubation in subjects as a whole, when acuity at extubation was controlled. A repeated measures multivariate analysis of variance revealed a significant interaction effect for reason of intubation. Only medical patients experienced an increase in self-esteem over time. Their self-esteem was also lower when they were intubated. The findings support the dynamic nature of self-esteem in hospitalized patients. The implications of the study for research and practice are discussed.
Menzel
L K
LK
University of Wisconsin-Milwaukee, USA.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D003422:Critical Care / Q000523:psychology; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000523:psychology*; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D015404:Nursing Methodology Research; D012121:Respiration, Artificial / Q000009:adverse effects / Q000523:psychology*; D012649:Self Concept