کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2652264 1139615 2011 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Survey of assessment and management of pain for critically ill adults
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
Survey of assessment and management of pain for critically ill adults
چکیده انگلیسی

SummaryObjectiveTo investigate critical care nurses’ current practice and knowledge related to pain assessment and management for critically ill adults able and unable to self-report pain.DesignCross sectional self-report survey.ResultsSurvey response rate was 57%. Though more respondents used formal pain assessment tools often or routinely for patients able to self-report compared to patients unable to communicate (P < 0.0001), there was no difference in perceived importance of pain assessment tools. Nurses were less confident in their ability to accurately assess pain for patients unable to self-report (P < 0.0001). Behaviours most frequently considered routinely indicative of pain were grimacing (88/140, 62.9%), vocalisation (78/140, 55.7%) and wincing (73/140, 52.1%). Haemodynamic instability, nursing workload and patient inability to communicate were the barriers considered to interfere with pain assessment and management most frequently. Enablers to effective management included pain prioritisation, and adequate prescription of analgesia. Most respondents (118/140 84.3%) had received continuing education on topics related to pain.ConclusionsThough nurses considered pain assessment equally important for patients unable and able to selfreport, formal assessment tools were used less frequently and nurses were less confident in their ability to assess pain for patients unable to self-report.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Intensive and Critical Care Nursing - Volume 27, Issue 3, June 2011, Pages 121–128
نویسندگان
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