低温镇痛减轻昏迷患者动脉穿刺时的疼痛

IF 1 Q4 CRITICAL CARE MEDICINE
Critical Care Nursing Quarterly Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI:10.1097/CNQ.0000000000000521
Sara Elsayed Hegazy, Hend Elsayed Mansour, Alexandra Hare, Nahed Attia Kandeel
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引用次数: 0

摘要

动脉穿刺是为评估患者呼吸状况而进行的一项痛苦的操作。由于昏迷患者无法用语言表达自己的感受,因此疼痛对他们来说是一种压力。为了控制患者的疼痛并防止止痛药的不良反应,人们开始寻求非药物止痛策略。本研究旨在探讨低温镇痛对昏迷患者动脉穿刺时疼痛的影响。我们采用了准实验性的单组研究设计。本研究招募了外科重症监护室的 86 名昏迷患者作为样本。干预措施是在动脉穿刺前在穿刺部位冰敷 5 分钟。分别在使用低温镇痛前后对疼痛进行了两次评估。参与者的疼痛评分在测试前和测试后有明显的统计学差异。对于插管通气的参与者,使用低温镇痛前后的平均疼痛评分分别为 5.26 分和 4.00 分(P ≤ .05)。对于未插管或插管后未通气的参与者,平均疼痛评分为 6.66 对 4.63(P ≤ .05)。低温镇痛是一种可行且有效的方法,在动脉穿刺过程中与标准程序要素结合使用,可最大程度地减轻昏迷患者在动脉穿刺过程中的疼痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cryoanalgesia for Reducing Unconscious Patients' Pain During Arterial Puncture.

Arterial puncture is a painful procedure performed to assess patients' respiratory status. Pain is a stressful situation for unconscious patients as they cannot communicate their feeling verbally. To control patients' pain and prevent the adverse effects of painkillers, nonpharmacological pain management strategies have been solicited. The aim of this study is to investigate the effect of cryoanalgesia on unconscious patients' pain during arterial puncture. We adopted a quasi-experimental one-group research design. A sample of 86 unconscious patients in a surgical intensive care unit were recruited in this study. The intervention was applying an ice pack over the puncture site for 5 minutes before the arterial puncture procedure. Pain was assessed for 2 times; before and after application of cryoanalgesia. A statistically significant difference in participants' pain scores between pre-tests and post-tests was noted. For the intubated ventilated participants, the mean pain score before and after applying cryoanalgesia was 5.26 versus 4.00 (P ≤ .05). For the non-intubated or intubated non-ventilated participants, the mean pain score was 6.66 versus 4.63 (P ≤ .05). Cryoanalgesia is a feasible and effective method incorporate during arterial puncture along with standard procedure elements to achieve maximum pain reduction for unconscious patients during arterial punctures.

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来源期刊
Critical Care Nursing Quarterly
Critical Care Nursing Quarterly CRITICAL CARE MEDICINE-
CiteScore
2.60
自引率
0.00%
发文量
76
期刊介绍: Critical Care Nursing Quarterly (CCNQ) is a peer-reviewed journal that provides current practice-oriented information for the continuing education and improved clinical practice of critical care professionals, including nurses, physicians, and allied health care professionals.
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