Objective: To study the physical and psychological stressors in the in
tensive care unit (ICU) and to correlate stressors with different demo
graphic variables. Design. Cross-sectional analytical survey. Setting:
Intensive care unit of a private hospital. Patients and participants:
50 randomly selected ICU patients during the first week of their ICU
stay. Measurements and results: The Intensive Care Unit Environmental
Stressor Scale was administered to 50 patients. Pain and the impossibi
lity of sleeping due to noise and having tubes in the nose and mouth w
ere considered the most important physical stressors. Loss of self con
trol and lack of understanding about the attitudes and procedures were
the main psychological stressors. Conclusions: Interventions should b
e aimed at relieving the patient's pain and at controlling the level o
f noise to make sleep possible. From the psychological standpoint, the
independence of the patient should be encouraged, thus stimulating th
e recovery of self-control. The team should also inform the patient ab
out the procedures which will be carried out.