瞳孔计、重症监护疼痛观察量表及生命体征在无口头交流重症监护患者疼痛评价中的比较。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Rabia Yaman Gülper, Ruhiye Reisli, Şule Arıcan, Alper Yosunkaya, Sema Tuncer Uzun
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引用次数: 0

摘要

目的:探讨便携式红外瞳孔计、重症监护疼痛观察量表(CPOT)和生命体征变化对重症监护病房(ICU)机械呼吸机患者疼痛过程的影响,并比较这些方法对疼痛存在的检测效果。方法:对50例不能言语描述疼痛的患者,年龄18-75岁,连接机械呼吸机,在气管内吸痰和体位改变过程中进行生命体征变化、CPOT量表评估和便携式红外瞳孔计疼痛评估,定义为疼痛刺激。结果:50例患者资料收集,平均年龄57.4±17.9岁,男性48%。吸痰和体位改变时患者的收缩压、舒张压、平均动脉压和心率值、CPOT评分、瞳孔测量值均显著升高(p)。结论:便携式红外瞳孔测量仪测量瞳孔直径变化可有效、可靠地用于ICU治疗、机械通气支持、不能言语交流的患者的疼痛评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of pupillometer, critical care pain observation scale, and vital findings in the evaluation of pain in intensive care patients without oral communication.

Objectives: The aim of this study was to investigate the effects of portable infrared Pupillometer, Critical Care Pain Observation Scale (CPOT), and vital sign changes during painful procedures on patients with mechanical ventilators in the intensive care unit (ICU), and comparing the efficacy of these methods to detect the presence of pain.

Methods: In 50 patients who could not verbally state pain, admitted to Necmettin Erbakan University Meram Faculty of Medicine ICU, aged 18-75 years, and connected to a mechanical ventilator, vital sign changes, CPOT scale assessments, and pain evaluation with a portable infrared pupillometer were performed during endotracheal aspiration and position changes, which are defined as painful stimuli.

Results: Data were collected from 50 patients with a mean age of 57.4±17.9 years and 48% of males. The systolic, diastolic, and mean arterial pressure and heart rate values, CPOT scores, and pupillometric measurements of the patients increased significantly at the time of aspiration and change of position (p<0.05). Neurological pupil index scores showed a significant decrease at the time of painful stimulation (p<0.05).

Conclusion: It was found that pupil diameter changes evaluated using a portable infrared pupillometric measuring device can be used effectively and reliably in pain assessment in patients who are treated in the ICU, supported by mechanical ventilation and who cannot communicate verbally.

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来源期刊
CiteScore
1.00
自引率
16.70%
发文量
22
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