Assessment of anxiety in intensive care patients by using the faces anxiety scale

McKinley, S; Stein-Parbury, J; Chehelnabi, A; Lovas, J

Assessment of anxiety in intensive care patients by using the faces anxiety scale

McKinley, S Stein-Parbury, J

Chehelnabi, A Lovas, J

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Publication Type:: Journal Article
Citation:: American Journal of Critical Care, 2004, 13 (2), pp. 146 - 152
Issue Date:: 2004-03-01

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Field	Value	Language
dc.contributor.author	McKinley, S	en_US
dc.contributor.author	Stein-Parbury, J https://orcid.org/0000-0002-0018-3236	en_US
dc.contributor.author	Chehelnabi, A	en_US
dc.contributor.author	Lovas, J	en_US
dc.date.issued	2004-03-01	en_US
dc.identifier.citation	American Journal of Critical Care, 2004, 13 (2), pp. 146 - 152	en_US
dc.identifier.issn	1062-3264	en_US
dc.identifier.uri	http://hdl.handle.net/10453/6228
dc.description.abstract	• BACKGROUND: Anxiety is difficult to detect in patients receiving mechanical ventilation because clinical signs are confounded and patients often cannot respond to validated anxiety measures. Most patients can respond to the single-item Faces Anxiety Scale. • OBJECTIVES: To assess the validity of the Faces Anxiety Scale, the frequency and severity of state anxiety, and correlates of anxiety in intensive care patients. • METHODS: A research assistant made a single clinical judgment of anxiety in the range of 1 to 10 on the basis of patients' nonverbal responses (ie, nods) to 9 questions about mood and their physical and behavioral signs. Patients then responded to the Faces Anxiety Scale. Demographic, clinical, and pharmacological data were obtained from the patients' charts. • RESULTS: Mean age of the 106 patients was 61 years; 62% were men. Admission diagnoses were cardiovascular in 26% of patients, respiratory in 26%, trauma in 18%, neurological in 12%, gastrointestinal in 12%, and other in 6%. At the time of anxiety assessment, 89% were receiving mechanical ventilation. The correlation between patients' self-reports of anxiety on the Anxiety Faces Scale and the research assistant's assessments was 0.64 (P < .001). Some anxiety was reported by 85% of patients (mean level 2.9; SD 1.2). Anxiety levels were lower in patients who had recently received sedatives or opioids but were not related to heart rate or blood pressure. • CONCLUSIONS: The Faces Anxiety Scale is a valid means of measuring anxiety in intensive care patients. Anxiety is common in these patients and is often moderate to severe.	en_US
dc.relation.ispartof	American Journal of Critical Care	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Analgesics, Opioid	en_US
dc.subject.mesh	Hypnotics and Sedatives	en_US
dc.subject.mesh	Antipsychotic Agents	en_US
dc.subject.mesh	Facial Expression	en_US
dc.subject.mesh	Respiration, Artificial	en_US
dc.subject.mesh	Intensive Care	en_US
dc.subject.mesh	Severity of Illness Index	en_US
dc.subject.mesh	Nonverbal Communication	en_US
dc.subject.mesh	Anxiety	en_US
dc.subject.mesh	Self Disclosure	en_US
dc.subject.mesh	Psychiatric Status Rating Scales	en_US
dc.subject.mesh	Adolescent	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Critical Care	en_US
dc.title	Assessment of anxiety in intensive care patients by using the faces anxiety scale	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	13	en_US
utslib.for	111003 Clinical Nursing: Secondary (Acute Care)	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Science
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	13	en_US

Abstract:

• BACKGROUND: Anxiety is difficult to detect in patients receiving mechanical ventilation because clinical signs are confounded and patients often cannot respond to validated anxiety measures. Most patients can respond to the single-item Faces Anxiety Scale. • OBJECTIVES: To assess the validity of the Faces Anxiety Scale, the frequency and severity of state anxiety, and correlates of anxiety in intensive care patients. • METHODS: A research assistant made a single clinical judgment of anxiety in the range of 1 to 10 on the basis of patients' nonverbal responses (ie, nods) to 9 questions about mood and their physical and behavioral signs. Patients then responded to the Faces Anxiety Scale. Demographic, clinical, and pharmacological data were obtained from the patients' charts. • RESULTS: Mean age of the 106 patients was 61 years; 62% were men. Admission diagnoses were cardiovascular in 26% of patients, respiratory in 26%, trauma in 18%, neurological in 12%, gastrointestinal in 12%, and other in 6%. At the time of anxiety assessment, 89% were receiving mechanical ventilation. The correlation between patients' self-reports of anxiety on the Anxiety Faces Scale and the research assistant's assessments was 0.64 (P < .001). Some anxiety was reported by 85% of patients (mean level 2.9; SD 1.2). Anxiety levels were lower in patients who had recently received sedatives or opioids but were not related to heart rate or blood pressure. • CONCLUSIONS: The Faces Anxiety Scale is a valid means of measuring anxiety in intensive care patients. Anxiety is common in these patients and is often moderate to severe.

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http://hdl.handle.net/10453/6228