Abstract
Background and Aim: It is known that eudema, infection, ischemia, immobilization, using invasive or non-invasive equipment may cause pain in intensive care patients (ICP). The patient self report is the most reliable source of pain assesment but the assessment of pain is so difficult because of sedation, disturbed consciousness and they cannot communicate verbally. The aim of our study was to evaluate the intubated and sedated ICP pain level and to determine the factors that affect the perception of pain.
Methods: In our study, 75 patients who were treated in ICU of a university hospital were included. Vital signs, arterial blood gas values were recorded and Apache II scores were calculated. Behavioral Pain Scale (BPS), Nonverbal Pain Scale for Adults (SOAO), Ramsay Sedation Scale (RSO), Motor Activity Assessment Scale (MAAS) and Sedation Agitation Scale (SAS) were applied with the observational method in all cases to evaluate the severity of pain and sedation level.
Results: The mean age was 69.48±12,51 and 39(52%) were female and 36(48%) were male. According to SOAO score of 32% ICP has no pain, 44% had moderate painand 24% had severe pain. Mean RSÖ and MAAS score was 3.16±1.74 and 2.64±1.68, respectively. In groups according to the pain severity, When compared respiratory frequency, systolic and diastolic blood pressure, BPS and SAS scores, there were a statistically significant difference (p<0.05). Also BPS and SOAO scores were also significantly different between males and females (p<0.05).
Conclusions: Approximately two-third of ICP. Therefore ICP have pain while sedated and the pain as reflected in both behaviour and vital signs must be considered to develop proper approaches.
- Copyright ©the authors 2016