Pain in adults post surgical repair of congenital heart defects
| Autor: | Louise, Jensen, Darlene, Rebeyka, Gayle, Urquhart, Sylvia, Roschkov |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Heart Defects Congenital Male Pain Postoperative Time Factors Adolescent Nursing Methodology Research Middle Aged Severity of Illness Index Alberta Hospitals University Self Care Predictive Value of Tests Risk Factors Surveys and Questionnaires Adaptation Psychological Humans Female Prospective Studies Analgesia Attitude to Health Aged Pain Measurement |
| Zdroj: | Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires. 14(1) |
| ISSN: | 0843-6096 |
| Popis: | The purpose of this study was to describe pain in adults post surgical repair for congenital heart defects. What is the intensity, sensory, and affective dimensions of pain experienced post-operatively? What is the trend in pain experienced post-operatively over time? What is the effectiveness of post-operative pain management strategies? What factors influence the dimensions of post-operative pain experienced? A descriptive prospective repeated measures design was used with 30 adult congenital heart (ACH) post-operative patients. Pain assessments using the McGill Short Form Questionnaire (MSFQ), a visual analogue pain scale (VAP), and recordings of other variables (analgesic, anxiety, activity level, non-pharmacologic intervention) were performed three times daily until hospital discharge. Mean pain intensity scores ranged from 2.44 +/- 1.31 following extubation to 1.30 +/- 0.66 on post-operative day (POD) five (scale, 0-5). Mean MSFQ scores ranged from 9.26 +/- 7.21 following extubation to 4.40 +/- 5.22 on POD five (scale, 0-45). Mean VAP scores ranged from 50.77 +/- 25.79 following extubation to 18.76 +/- 18.50 on POD five (scale, 0-100). Mean number of narcotic doses per day ranged from 4.61 +/- 2.01 to 1.88 +/- 1.98 on PODs one and five, respectively. Anxiety predicted VAP and MSFQ scores on PODs one and two; anxiety and analgesia doses predicted VAP and MSFQ scores on POD three; analgesia doses predicted MSFQ scores, analgesia and anxiety predicted VAP scores on POD four; analgesia doses and anxiety predicted VAP and MSFQ scores on POD five. No relationships were found among pain and other demographic, treatment, or clinical variables. Overall, pain was reported as mild to moderate intensity, variable in sensations, decreased over time, and adequately managed. |
| Databáze: | OpenAIRE |
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