Comparison of Two Pain Scales: Behavioral Pain Scale and Critical-care Pain Observation Tool During Invasive and Noninvasive Procedures in Intensive Care Unit-admitted Patients
Autor: | Ladan Sedighie, Shiva Gomarverdi, Mohamad Ali Seifrabiei, Mahshid Nikooseresht |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Wilcoxon signed-rank test Assessment and Diagnosis intensive care unit law.invention 03 medical and health sciences 0302 clinical medicine law Intensive care Maternity and Midwifery Medicine pain 030212 general & internal medicine Respiratory physiotherapy General Nursing Advanced and Specialized Nursing lcsh:RT1-120 Pain score Behavioral pain scale 030504 nursing Mild pain lcsh:Nursing business.industry Critically ill critical-care pain observation tool Pain scale Intensive care unit Issues ethics and legal aspects Physical therapy Original Article 0305 other medical science business |
Zdroj: | Iranian Journal of Nursing and Midwifery Research Iranian Journal of Nursing and Midwifery Research, Vol 24, Iss 2, Pp 151-155 (2019) |
ISSN: | 2228-5504 1735-9066 |
Popis: | Background: Critically ill patients admitted to intensive care units (ICUs) frequently experience pain, but the severity of pain in this group of patients is underestimated by the treatment team due to barriers to verbal communication. The aim of the present study was comparing the severity of pain measured by two scales: behavioral pain scale (BPS) and critical-care pain observation tool (CPOT) in ICU-admitted patients during routine daily procedures. Materials and Methods: Ninety patients were enrolled in the study. The severity of pain was measured during resting, invasive (suctioning) and noninvasive (mouthwash and body position change) procedures, and respiratory physiotherapy with two scales: BPS and CPOT. Wilcoxon and Friedman statistical tests were used to compare the score of pain in different situations, and Spearman correlation coefficient was also used to measure the correlation of pain score measured by two scales. Results: Patients experienced no pain during resting, mild pain during changing position, and respiratory physiotherapy, mild-to-moderate pain during mouthwash and moderate pain during secretion suctioning. Wilcoxon test used for pairwise comparisons between pain score in different situations showed a significant difference in both scales (p < 0.05). There were positive and strong correlations (r > 0.80, p < 0.05) between the pain score measured by BPS and CPOT from ICU-admitted patients in all procedures. Conclusions: Critically ill patients in ICU experience a different range of pain in routine daily care. BPS and CPOT scales could be used successfully for monitoring of pain in this group of patients. |
Databáze: | OpenAIRE |
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