Evaluation of Pain in the Critical Care Unit Patients Who Had Intubated and Sedated

In Kiymet Tunca Çalıyurt (ed.), Integrity, Transparency and Corruption in Healthcare & Research on Health, Volume II. Springer Nature Singapore. pp. 201-215 (2023)
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Abstract

This study was planned as cross-sectional, single group, preliminary, and final test in order to evaluate the pain behaviors and the effecting factors during the aspiration and positioning of intubated and sedated patients who received treatment in the adult intensive care unit. The study was carried out with 91 patients, who were under treatment in the 3rd level intensive care unit of a state hospital in Edirne between the dates of 13.11.2017 and 12.01.2018. The data were collected by patient information Form, Critical Care Pain Observation Tool (CPOT), RAMSAY Sedation Scale (RSS), and Data Observation Registry. The study found that the pain level during the aspiration was higher than the pain level during the positioning (p < 0,05). The pain level of intensive care patients during aspiration and position was found to be higher compared to the pain level before the aspiration and position in this study (p < 0,05). When the RSS point averages of the patients during the aspiration and position were looked at, it was determined to be lower compared to before aspiration and position, and it was found out that the sedation level of patients decreased while their pain levels increased (p < 0,05). In conclusion, it is recommended that the nurses working in the intensive care unit follow up the intubated and sedated patients, their pain behaviors, and the affecting factors with valid and reliable measurement tools and organizing in-service trainings for nurses about this.

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