Adecuación de las escalas conductuales en la monitorización del dolor en el paciente crítico incapaz de autoinformar

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
G. Robleda-Font RN, MSc, PhD , C. López-López RN, MSc, PhD , I. Latorre-Marco RN , J. Pozas-Peña RN, MSc, PhDcandidate , D. Alonso-Crespo RN, MSc , O. Vallés-Fructuoso RN, MSc, PhDcandidate , A. Castanera-Duro RN, MsC, PhD
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引用次数: 0

Abstract

Appropriateness is a dimension of quality that evaluates the effective use of technologies, resources or interventions in specific situations or populations, assessing whether our interventions do more benefit than harm.

The evidence regarding pain monitoring in the critically ill patient points to the periodic assessment of pain using appropriate tools, with the aim of improving pain management and more efficient use of analgesics in the intensive care unit. The first step would be to assess the patient's ability to communicate or self-report and, based on this, to select the most appropriate pain assessment tool. In patients who are unable to self-report, behavioral pain assessment tools are recommended.

When we talk about the suitability of behavioral scales for pain monitoring in critically ill patients unable to self-report, we refer to their use with a clear clinical benefit, i.e. using the right tool for pain assessment to be effective, efficient and consistent with bioethical principles.

To our knowledge, there are no published data on the suitability of pain assessment tools in unable to self-report critically ill patients, so, in the framework of continuous quality improvement in pain care, new research should incorporate this approach by integrating the best scientific evidence with current clinical practice.

行为量表在监测无法自我报告的重症患者疼痛方面的充分性
适当性是质量的一个维度,它评估技术、资源或干预措施在特定情况或人群中的有效使用,评估我们的干预措施是否利大于弊。第一步是评估病人的沟通能力或自我报告能力,并在此基础上选择最合适的疼痛评估工具。当我们谈到行为量表是否适用于无法自我报告的重症患者的疼痛监测时,我们指的是使用行为量表具有明确的临床益处,即使用正确的工具进行疼痛评估是有效、高效且符合生物伦理原则的。据我们所知,目前还没有关于疼痛评估工具在无法自我报告的危重病人中适用性的公开数据,因此,在持续改进疼痛护理质量的框架下,新的研究应通过将最佳科学证据与当前临床实践相结合的方式纳入这一方法。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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