Responses of Unconscious Patients to Painful Procedures in Intensive Care Units
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 6
Abstract
Purpose: to assess responses of unconscious patients to painful procedures in intensive care units; Design: descriptive cross-sectional research design; Settings: General ICUs namely; (unit I, unit II, and unit III) in Alexandria Main University Hospital, Egypt; Participants: A convenience sample of 70 unconscious intubated critically ill patients of both sexes who were admitted to the previously mentioned intensive care units was included in this study. Quadriplegic patient, patients who receive neuromuscular blockade, and haemodynamically unstable patients were excluded from this study; Methods: Approval of ethics committee of the faculty of nursing was obtained. Permission to conduct the study was obtained from hospital responsible authority after explanation of aim of the study. Tool used for data collection was tested for content validity and reliability. All included patients were assessed for pain intensity during painful procedures; Results: The main results of the current study revealed that 62.9% were male, while 37.1% were females and their age ranging between 18 and 60 years with a mean age of 43.29 ± 14.30. It can be noted that (18.6%) of studied patients had more than two admission diagnoses, whereas (81.4) the majority of the studied patients had one or two admission diagnose. Concerning the number of co-morbidities, it was found that the highest percentage of patients had two or less co-morbidities (88.56%). Regarding the presence of co-morbidities, it can be noted that 35.7 % had no co-morbidities; while 64.3% had co-morbidities. Concerning invasive devices, it was noted that the total number of invasive devices were between 4 to 5 devices. Conclusion: The main findings of the current study revealed that positioning and suctioning were significantly painful procedures as revealed by physiological and behavioral indicators of pain.
Authors and Affiliations
Haitham Mokhtar Abdallah, Nermine M. Elcokany, Hany Eid, Nadia Taha Mohamed
Keywords
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