[The effects of the Critical-Care Pain Observation Tool on pain assessment/management nursing practices in an intensive care unit with brain-injured critically ill patients].

Q3 Medicine
Viola Margosio, Vincenzo Damico, Liana Murano
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引用次数: 1

Abstract

Introduction: Accurate pain assessment and management in critically ill patients withcognitive alterations who are unable to communicate constitute a major challenge for themedical and nursing staff of Intensive Care Units (ICUs). This study want assess the impact of Critical Care Pain Observation Tool (CCPOT) scale in ICU practice and evaluate the effects on pain assessment and management in brain-injured critically ill adult patients.

Methods: This before-and-after study was carried out in an Italian ICU, where data were collected before (T0) and after (T1) implementation of the CCPOT in brain-injured critically ill adults.

Results: The study population consisted of 81 patients (35 before and 46 after intervention). The use of propofol fell significantly and at the same time the use of morphine increase significantly (morphine: t(80) = 1.51, p =.02) after intervention.Analysis of the data with respect to pain relief and prevention during some nursing care activities revealed a significant increase in the use of fentanyl citrate and paracetamol. Pain management was in line with the protocol, which envisaged administration of pain medications to patients with CCPOT scores less than 3 in 76.8% of cases.

Conclusion: The present findings strongly support the value of the CCPOT scale in managing ICU patient pain in conjunction with medical and nursing staff training. However, further studies of larger patient samples should be performed.

[重症监护疼痛观察工具在重症监护室脑损伤危重患者疼痛评估/管理护理实践中的作用]。
对认知改变且无法沟通的危重患者进行准确的疼痛评估和管理是重症监护病房(icu)医护人员面临的主要挑战。本研究旨在评估重症监护疼痛观察工具(CCPOT)量表在ICU实践中的作用,并评估其对脑损伤成人危重患者疼痛评估和管理的影响。方法:该研究在意大利ICU进行,收集脑损伤危重症成人实施CCPOT前(T0)和后(T1)的数据。结果:研究人群共81例(干预前35例,干预后46例)。干预后异丙酚的使用明显下降,同时吗啡的使用明显增加(吗啡:t(80) = 1.51, p = 0.02)。对一些护理活动中疼痛缓解和预防的数据分析显示,枸橼酸芬太尼和扑热息痛的使用显著增加。疼痛管理与方案一致,该方案设想对CCPOT评分低于3分的患者给予止痛药治疗,占76.8%。结论:本研究结果有力地支持CCPOT量表在管理ICU患者疼痛以及医护人员培训方面的价值。然而,应该对更大的患者样本进行进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Professioni infermieristiche
Professioni infermieristiche Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
49
期刊介绍: Professioni Infermieristiche pubblica, previa approvazione del Comitato di Redazione (CdR), articoli relativi alle diverse funzioni ed ambiti della professione infermieristica e ostetrica.
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