Effect of Nociceptive Stimulation on Heart Rate, Respiratory Rate and SPO2 in Patients with Traumatic Brain Injury

Background and purpose: Pain assessment is a challenge in traumatic brain injury (TBI) in critical care units. Therefore, this study aimed at investigating the effect of nociceptive stimulation on heart rate, respiratory rate, and oxygen saturation (SPO2) in patients with traumatic brain injury. Mat...

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Main Authors: Roghieh Nazari, Saeed Pahlevan Sharif, Ali Rahimi, Saman Jamali, Hakimeh Vahedparast, Hamid Sharif Nia
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2019-02-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-10333-en.html
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author Roghieh Nazari
Saeed Pahlevan Sharif
Ali Rahimi
Saman Jamali
Hakimeh Vahedparast
Hamid Sharif Nia
author_facet Roghieh Nazari
Saeed Pahlevan Sharif
Ali Rahimi
Saman Jamali
Hakimeh Vahedparast
Hamid Sharif Nia
author_sort Roghieh Nazari
collection DOAJ
description Background and purpose: Pain assessment is a challenge in traumatic brain injury (TBI) in critical care units. Therefore, this study aimed at investigating the effect of nociceptive stimulation on heart rate, respiratory rate, and oxygen saturation (SPO2) in patients with traumatic brain injury. Materials and methods: A quasi-experimental research was conducted in 35 TBI patients, applying nociceptive and non-nociceptive procedures. Heart rate, respiratory rate, and SPO2 were measured one minute before, during, and 15 minutes after the procedures. Results: There was a significant association between the mean scores for physiological variables before, during, and after the intervention. Eta values of physiological variables in nociceptive procedure were higher than those of the non-nociceptive procedures. There were significant associations between the nociceptive procedure and heart rate and SPO2 changes. But, there was no association between nociceptive procedure and respiratory rate (P<0.05). Conclusion: Current findings suggest that painful stimulation could significantly increase heart rate and decrease SPO2 in patients with traumatic brain injury. Therefore, nurses could use these physiological markers as a convenient and easy-to-access method for initial assessment of pain in traumatic brain injury patients.
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spelling doaj.art-174e5f5db91c4a8c995a1bf9f34cca4a2023-01-25T06:58:45ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792019-02-01281697582Effect of Nociceptive Stimulation on Heart Rate, Respiratory Rate and SPO2 in Patients with Traumatic Brain InjuryRoghieh Nazari0Saeed Pahlevan Sharif1Ali Rahimi2Saman Jamali3Hakimeh Vahedparast4Hamid Sharif Nia5 Assistant Professor, Department of Nursing, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran Senior Lecturer, Taylor’s Business School, Taylor’s University Malaysia, Subang Jaya, Malaysia BS Student in Nursing, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran BS Student in Nursing, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran Assistant Professor, Department of Nursing, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran Background and purpose: Pain assessment is a challenge in traumatic brain injury (TBI) in critical care units. Therefore, this study aimed at investigating the effect of nociceptive stimulation on heart rate, respiratory rate, and oxygen saturation (SPO2) in patients with traumatic brain injury. Materials and methods: A quasi-experimental research was conducted in 35 TBI patients, applying nociceptive and non-nociceptive procedures. Heart rate, respiratory rate, and SPO2 were measured one minute before, during, and 15 minutes after the procedures. Results: There was a significant association between the mean scores for physiological variables before, during, and after the intervention. Eta values of physiological variables in nociceptive procedure were higher than those of the non-nociceptive procedures. There were significant associations between the nociceptive procedure and heart rate and SPO2 changes. But, there was no association between nociceptive procedure and respiratory rate (P<0.05). Conclusion: Current findings suggest that painful stimulation could significantly increase heart rate and decrease SPO2 in patients with traumatic brain injury. Therefore, nurses could use these physiological markers as a convenient and easy-to-access method for initial assessment of pain in traumatic brain injury patients.http://jmums.mazums.ac.ir/article-1-10333-en.htmlpainintensive care unittraumatic brain injurypain assessmentvital sign
spellingShingle Roghieh Nazari
Saeed Pahlevan Sharif
Ali Rahimi
Saman Jamali
Hakimeh Vahedparast
Hamid Sharif Nia
Effect of Nociceptive Stimulation on Heart Rate, Respiratory Rate and SPO2 in Patients with Traumatic Brain Injury
Journal of Mazandaran University of Medical Sciences
pain
intensive care unit
traumatic brain injury
pain assessment
vital sign
title Effect of Nociceptive Stimulation on Heart Rate, Respiratory Rate and SPO2 in Patients with Traumatic Brain Injury
title_full Effect of Nociceptive Stimulation on Heart Rate, Respiratory Rate and SPO2 in Patients with Traumatic Brain Injury
title_fullStr Effect of Nociceptive Stimulation on Heart Rate, Respiratory Rate and SPO2 in Patients with Traumatic Brain Injury
title_full_unstemmed Effect of Nociceptive Stimulation on Heart Rate, Respiratory Rate and SPO2 in Patients with Traumatic Brain Injury
title_short Effect of Nociceptive Stimulation on Heart Rate, Respiratory Rate and SPO2 in Patients with Traumatic Brain Injury
title_sort effect of nociceptive stimulation on heart rate respiratory rate and spo2 in patients with traumatic brain injury
topic pain
intensive care unit
traumatic brain injury
pain assessment
vital sign
url http://jmums.mazums.ac.ir/article-1-10333-en.html
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