{"title":"COVID-19 大流行期间被忽视的压伤患者疼痛评估记录:回顾性数据分析。","authors":"Tuba Sengul, Sevilay Erden, Ayişe Karadağ, Dilek Yilmaz, Tugba Gokduman","doi":"10.1097/ASW.0000000000000105","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>During the COVID-19 pandemic, healthcare professionals focused on identifying the cause of hemodynamic instability in patients and may have neglected to assess pressure injury (PI)-related pain. Although pain is an early indicator of PI development, there has been no systematic evaluation of PI-related pain in patients.</p><p><strong>Objective: </strong>To review nurses' records of PI-related pain in patients who developed PIs during the COVID-19 pandemic.</p><p><strong>Methods: </strong>This retrospective, descriptive study included data from 510 patients at one hospital. Collected data included patient demographics (age, sex, diagnosis, and comorbidities), PI classification, and assessment of PI-related pain. Assessment data regarding PI-related pain included the characteristics of the pain, the type of analgesia (pharmacologic/nonpharmacologic) administered before and after PI management (debridement, dressing change, etc), the route of administration, and the frequency of pain assessment before and after analgesia.</p><p><strong>Results: </strong>The mean age of the patients (60.4% men) was 28.96 (SD, 5.82) years, and the mean length of hospital stay was 26.15 (SD, 16.1) days. Overall, 43.1% of the patients were treated in the ICU, 68.0% were conscious, and 18.6% tested positive for COVID-19. Deep-tissue injuries occurred in 57.5% of patients, with 48.6% developing stage 2 PI. The sacral region was the most common area for PI development (44.8%). The mean duration of repositioning in patients with PI was 23.03 (SD, 5.4) hours. Only 0.40% of patients (n = 2) were evaluated for pain, and only one patient was assessed for pain before and after analgesia was administered.</p><p><strong>Conclusions: </strong>The findings suggest a lack of comprehensive evaluation and records concerning PI-related pain in patients with COVID-19.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Overlooked Pain Assessment Records in Patients with Pressure Injuries During the COVID-19 Pandemic: A Retrospective Data Analysis.\",\"authors\":\"Tuba Sengul, Sevilay Erden, Ayişe Karadağ, Dilek Yilmaz, Tugba Gokduman\",\"doi\":\"10.1097/ASW.0000000000000105\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>During the COVID-19 pandemic, healthcare professionals focused on identifying the cause of hemodynamic instability in patients and may have neglected to assess pressure injury (PI)-related pain. Although pain is an early indicator of PI development, there has been no systematic evaluation of PI-related pain in patients.</p><p><strong>Objective: </strong>To review nurses' records of PI-related pain in patients who developed PIs during the COVID-19 pandemic.</p><p><strong>Methods: </strong>This retrospective, descriptive study included data from 510 patients at one hospital. Collected data included patient demographics (age, sex, diagnosis, and comorbidities), PI classification, and assessment of PI-related pain. Assessment data regarding PI-related pain included the characteristics of the pain, the type of analgesia (pharmacologic/nonpharmacologic) administered before and after PI management (debridement, dressing change, etc), the route of administration, and the frequency of pain assessment before and after analgesia.</p><p><strong>Results: </strong>The mean age of the patients (60.4% men) was 28.96 (SD, 5.82) years, and the mean length of hospital stay was 26.15 (SD, 16.1) days. Overall, 43.1% of the patients were treated in the ICU, 68.0% were conscious, and 18.6% tested positive for COVID-19. Deep-tissue injuries occurred in 57.5% of patients, with 48.6% developing stage 2 PI. The sacral region was the most common area for PI development (44.8%). The mean duration of repositioning in patients with PI was 23.03 (SD, 5.4) hours. Only 0.40% of patients (n = 2) were evaluated for pain, and only one patient was assessed for pain before and after analgesia was administered.</p><p><strong>Conclusions: </strong>The findings suggest a lack of comprehensive evaluation and records concerning PI-related pain in patients with COVID-19.</p>\",\"PeriodicalId\":7489,\"journal\":{\"name\":\"Advances in Skin & Wound Care\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Advances in Skin & Wound Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/ASW.0000000000000105\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"DERMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Advances in Skin & Wound Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/ASW.0000000000000105","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DERMATOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景:在 COVID-19 大流行期间,医护人员专注于确定患者血流动力学不稳定的原因,可能忽略了对压力损伤 (PI) 相关疼痛的评估。虽然疼痛是压伤发生的早期指标,但目前还没有对患者与压伤相关的疼痛进行系统评估:回顾 COVID-19 大流行期间发生 PI 的患者中护士对 PI 相关疼痛的记录:这项回顾性、描述性研究包括一家医院 510 名患者的数据。收集的数据包括患者的人口统计学特征(年龄、性别、诊断和合并症)、PI 分类以及对 PI 相关疼痛的评估。有关 PI 相关疼痛的评估数据包括疼痛特征、PI 处理(清创、换药等)前后的镇痛类型(药物/非药物)、给药途径以及镇痛前后的疼痛评估频率:患者(60.4% 为男性)的平均年龄为 28.96 岁(标清,5.82),平均住院时间为 26.15 天(标清,16.1)。总体而言,43.1%的患者在重症监护室接受了治疗,68.0%的患者神志清醒,18.6%的患者 COVID-19 检测呈阳性。57.5%的患者发生了深层组织损伤,其中48.6%发展为二期PI。骶骨部位是最常见的 PI 发生部位(44.8%)。PI 患者的平均复位时间为 23.03 小时(标准差,5.4 小时)。只有 0.40% 的患者(n = 2)接受了疼痛评估,只有一名患者在镇痛前后接受了疼痛评估:研究结果表明,COVID-19 患者与 PI 相关的疼痛缺乏全面的评估和记录。
Overlooked Pain Assessment Records in Patients with Pressure Injuries During the COVID-19 Pandemic: A Retrospective Data Analysis.
Background: During the COVID-19 pandemic, healthcare professionals focused on identifying the cause of hemodynamic instability in patients and may have neglected to assess pressure injury (PI)-related pain. Although pain is an early indicator of PI development, there has been no systematic evaluation of PI-related pain in patients.
Objective: To review nurses' records of PI-related pain in patients who developed PIs during the COVID-19 pandemic.
Methods: This retrospective, descriptive study included data from 510 patients at one hospital. Collected data included patient demographics (age, sex, diagnosis, and comorbidities), PI classification, and assessment of PI-related pain. Assessment data regarding PI-related pain included the characteristics of the pain, the type of analgesia (pharmacologic/nonpharmacologic) administered before and after PI management (debridement, dressing change, etc), the route of administration, and the frequency of pain assessment before and after analgesia.
Results: The mean age of the patients (60.4% men) was 28.96 (SD, 5.82) years, and the mean length of hospital stay was 26.15 (SD, 16.1) days. Overall, 43.1% of the patients were treated in the ICU, 68.0% were conscious, and 18.6% tested positive for COVID-19. Deep-tissue injuries occurred in 57.5% of patients, with 48.6% developing stage 2 PI. The sacral region was the most common area for PI development (44.8%). The mean duration of repositioning in patients with PI was 23.03 (SD, 5.4) hours. Only 0.40% of patients (n = 2) were evaluated for pain, and only one patient was assessed for pain before and after analgesia was administered.
Conclusions: The findings suggest a lack of comprehensive evaluation and records concerning PI-related pain in patients with COVID-19.
期刊介绍:
A peer-reviewed, multidisciplinary journal, Advances in Skin & Wound Care is highly regarded for its unique balance of cutting-edge original research and practical clinical management articles on wounds and other problems of skin integrity. Each issue features CME/CE for physicians and nurses, the first journal in the field to regularly offer continuing education for both disciplines.