The Effect of Implementation of a Pain Monitoring Protocol on the Pain Intensity in the Intensive Care Unit Semiconscious Patients

Background: Neglecting the pain assessment in intensive care unit (ICU) patients with decreased level of consciousness (LOC) can lead to inappropriate pain management. Implementation of a pain management protocol may contribute to avoiding such negligence. Aim: This study aimed to determine the effe...

Full description

Saved in:
Bibliographic Details
Published in:Evidence based care : quarterly journal of Mashhad School of Nursing and Midwifery 2017-07, Vol.7 (2), p.37-45
Main Authors: Majid Akhond, Razieh Froutan, Javad Malekzadeh, Seyed Reza Mazlom
Format: Article
Language:eng ; per
Subjects:
Decreased consciousness
ICU
Pain intensity
pain management
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background: Neglecting the pain assessment in intensive care unit (ICU) patients with decreased level of consciousness (LOC) can lead to inappropriate pain management. Implementation of a pain management protocol may contribute to avoiding such negligence. Aim: This study aimed to determine the effect of using a pain monitoring protocol on the pain intensity of ICU patients with decreased LOC. Method: This clinical trial was conducted on 60 nurses and 120 patients in the surgical ICUs of Imam Reza and Ghaem hospitals, Mashhad, Iran, 2016. The nurses in the intervention group were trained about pain management protocol in three 20-minute sessions (each session for 10 nurses). Before and after two weeks of training, the patients' pain intensity was monitored using the Nonverbal Pain Scale (NVPS) for three months during the resting-state, suctioning, and dressing change. The patients in the control group received routine nursery care. Data analysis was performed using independent and paired t-tests in the SPSS software version 22. Results: The nurses in the intervention and control groups had a mean age of 38.1±6.4 and 41.2±7.1 years, respectively. The results of independent t-test demonstrated no difference between overall pain intensity (P=0.08), pain intensity during resting-state (P=0.11), suctioning (P=0.23), and dressing change (P=0.06) scores among two groups before the intervention, however after the intervention, there was a significant reduction in the intervention group in comparison to the control group in all mentioned aspects (P
ISSN:2008-2487
2008-370X
DOI:10.22038/ebcj.2017.23797.1504