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...
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| Format: | Article |
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Mashhad University of Medical Sciences
2017-07-01
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| Series: | Journal of Evidence-Based Care |
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| Online Access: | http://ebcj.mums.ac.ir/article_9138_c0fc787bfdafc9dd1c5d821aca5bff95.pdf |
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| author | Majid Akhond Razieh Froutan Javad Malekzadeh Seyed Reza Mazlom |
| author_facet | Majid Akhond Razieh Froutan Javad Malekzadeh Seyed Reza Mazlom |
| author_sort | Majid Akhond |
| collection | DOAJ |
| description | 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 |
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| institution | Directory Open Access Journal |
| issn | 2008-2487 2008-370X |
| language | fas |
| last_indexed | 2024-12-21T17:05:10Z |
| publishDate | 2017-07-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Journal of Evidence-Based Care |
| spelling | doaj.art-8b493e38b0c8448a8178fe7e355526a22022-12-21T18:56:33ZfasMashhad University of Medical SciencesJournal of Evidence-Based Care2008-24872008-370X2017-07-0172374510.22038/ebcj.2017.23797.15049138The Effect of Implementation of a Pain Monitoring Protocol on the Pain Intensity in the Intensive Care Unit Semiconscious PatientsMajid Akhond0Razieh Froutan1Javad Malekzadeh2Seyed Reza Mazlom3MSc Student in Critical Care Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, IranAssistant Professor, Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.Instructor of Nursing, Department of Medical Emergency, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, IranInstructor, Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran; Member of Evidence Based Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.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 (Phttp://ebcj.mums.ac.ir/article_9138_c0fc787bfdafc9dd1c5d821aca5bff95.pdfDecreased consciousnessICUPain intensitypain management |
| spellingShingle | Majid Akhond Razieh Froutan Javad Malekzadeh Seyed Reza Mazlom The Effect of Implementation of a Pain Monitoring Protocol on the Pain Intensity in the Intensive Care Unit Semiconscious Patients Journal of Evidence-Based Care Decreased consciousness ICU Pain intensity pain management |
| title | The Effect of Implementation of a Pain Monitoring Protocol on the Pain Intensity in the Intensive Care Unit Semiconscious Patients |
| title_full | The Effect of Implementation of a Pain Monitoring Protocol on the Pain Intensity in the Intensive Care Unit Semiconscious Patients |
| title_fullStr | The Effect of Implementation of a Pain Monitoring Protocol on the Pain Intensity in the Intensive Care Unit Semiconscious Patients |
| title_full_unstemmed | The Effect of Implementation of a Pain Monitoring Protocol on the Pain Intensity in the Intensive Care Unit Semiconscious Patients |
| title_short | The Effect of Implementation of a Pain Monitoring Protocol on the Pain Intensity in the Intensive Care Unit Semiconscious Patients |
| title_sort | effect of implementation of a pain monitoring protocol on the pain intensity in the intensive care unit semiconscious patients |
| topic | Decreased consciousness ICU Pain intensity pain management |
| url | http://ebcj.mums.ac.ir/article_9138_c0fc787bfdafc9dd1c5d821aca5bff95.pdf |
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