Research Article
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Year 2022, Volume: 8 Issue: 4, 533 - 549, 30.11.2022
https://doi.org/10.19127/mbsjohs.1129622

Abstract

References

  • 1- Aslan FE, Badir A, Arli SK, Cakmakci H. Pa-tients' experience of pain after cardiac surgery. Contemp Nurse 2009;34:48-54.
  • 2- Payen J-F, Bosson J-L, Chanques G, Mantz J, Labarere J. Pain Assessment is Associated with Decreased Duration of Mechanical Ventilation in the Intensive Care UnitA Post HocAnalysis of the DOLOREA Study. The Journal of the American Society of Anesthesiologists 2009;111:1308-16.
  • 3- Gélinas C, Fortier M, Viens C, Fillion L, Puntillo K. Pain Assessment and Management in Critically Ill Intubated Patients: A Retrospec¬tive Study. American Journal of Critical Care 2004;13:126-36.
  • 4- Yaman Aktaş Y, Karabulut N. A Turkish version of the Critical Care Pain Observation Tool: Reliability and Validity Assessment. Journal of PeriAnesthesia Nursing. 2017;32:341-51.
  • 5- Aljumah MI, Aboshoushah EF, Coric D, Alaithan AM, Almulhim AAA, AlOtaibi NM et al. Assessment and Management of Pain in the Intensive Care Unit. Egyptian Journal of Hospital Medicine. 2018;73:6439-45.
  • 6- Çevik, S. Ağrı. In F. Eti Aslan & N. Olgun (Eds.), Management of Selected Symptoms and Findings in Intensive Care. Ankara: Akade¬misyen Kitabevi; 2016. p. 157-168.
  • 7- Puntillo KA, Morris AB, Thompson CL, Stanik-Hutt J, White CA, Wild LR. Pain Behaviors Observed During Six Common Pro¬cedures: Results from Thunder Project Ii. Critical Care Medicine. 2004;32:421-7.
  • 8- Esen H, Öntürk ZK, Badır A, Aslan Eti F. Pain behaviours of intubated and sedated intensıve care patients during positioning and aspiration. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2010;1:89-93.
  • 9- Terzi B, Kaya N. Nursing care of critically ill patients. Yoğun Bakım Dergisi 2011;1:21-5.
  • 10- Özveren H. Oral Care in Patients Receiving Mechanical Ventilator. Oral Care in Patients Receiving Mechanical Ventilator. 2010;17:92-9.
  • 11- Al Sutari MM, Abdalrahim MS, Hamdan-Mansour AM, Ayasrah SM. Pain Among Mechanically Ventilated Patients in Critical Care Units. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. 2014; 19: 726.
  • 12- Eti Aslan F, Badır A. Reality about pain control: The knowledge and beliefs of nurses on the nature, assessment and management of pain. Ağrı. 2005;17:44-51.
  • 13- Akıncı S, Kanbak M, Güler A, Canbay M, Aypar Ü. Stressful experiences in mechanical ventilated patients. Türk Anest Rean Der Dergisi. 2007;35:320-8.
  • 14- Stanik-Hutt JA, Soeken KL, Belcher AE, Fontaine DK. Pain Experiences of Traumatically Injured Patients in A Critical Care Setting. American Journal of Critical Care. 2001;10:252.
  • 15- Young J, Siffleet J, Nikoletti S, Shaw T. Use of A Behavioural Pain Scale to Assess Pain in Ventilated, Unconscious and/or Sedated Patients. Intensive and Critical Care Nursing. 2006;22:32-9.
  • 16- Demir Dikmen Y, Yıldırım Usta Y, İnce Y, Türken Gel K, Akı Kaya M. Determining of nurses’ knowledge, behavior and clinical decision making regarding pain management. Çağdaş Tıp Dergisi. 2012;2:162-72.
  • 17- Özer S, Akyürek B, Başbakkal Z. Investigation of nurses’ pain related knowledge, attitude and clinical decision making skills. Ağrı. 2006;18:36-43.
  • 18- Eti Aslan F, Badir A, Selimen D. How do intensive care nurses assess patients' pain? Nursing In Critical Care. 2003;8:62-7.
  • 19- Cırık V, Emine E. Pain in intensive care unit and the role of the nurse. Yoğun Bakım Hemşireliği Dergisi 2014;18:15-21.
  • 20- Yaman Aktaş, Y. The Effect of Music Therapy Applying in Endotracheal Suctioning of Mechanically Ventilated Patients on Pain and Physiological Parameters (Doctoral Dissertation). Erzurum: Atatürk University; 2013.
  • 21- Vatansever, H. E. A study on the pain behaviours of patients attached to mechanical ventilators in surgical ıntensive care unit (Master's Thesis). İstanbul: Marmara University; 2004.
  • 22- Güneş, D. Pain behaviours of intubated and sedated intensive care patients during positioning and aspiration (Master's Thesis). İstanbul: Haliç University; 2012.
  • 23- Gélinas C, Fillion L, Puntillo KA, Viens C, Fortier M. Validation of the critical-care pain observation tool in adult patients. American Journal of Critical Care. 2006;15(4):420-7.
  • 24- Karadakovan, A. Consciousness Level Changes. In A. Karadakovan & F. Eti Aslan (Eds.), Dahili ve Cerrahi Hastalıklarda Bakım. Ankara: Akademisyen Kitabevi; 2017. p. 1123.
  • 25- Üzelli Yılmaz D, Akın Korhan E, Baysan B, Tan E, Erem A, Çelik S et al. The effect of music therapy on sedation levels and vital signs of patients under mechanical ventilatory support: A pilot study. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2016;1:21-7.
  • 26- Yaman Aktaş Y, Karabulut N. The Effects of Music Therapy in Endotracheal Suctioning of Mechanically Ventilated Patients. British Association of Critical Care Nurses. 2015;21:44-52.
  • 27- Akın Korhan E, Bor C, Uyar M. An assessment of pain in adult patient in intensive care. Yoğun Bakım Hemşireliği Dergisi. 2012;16:57-65.
  • 28- Detriche O, Berré J, Massaut J, Vincent JL. The Brussels Sedation Scale: Use of A Simple Clinical Sedation Scale Can Avoid Excessive Sedation in Patients Undergoing Mechanical Ventilation in The Intensive Care Unit. British Journal of Anesthesia. 1999;83:698-701.
  • 29- Badır A, Eti Aslan F. The problem of pain in intensive care units: An issue of widespread interest but inadequate questioning. Yoğun Bakım Hemşireliği Dergisi. 2003;7:100-8.
  • 30- Ayasrah SM, O’Neill TM, Abdalrahim MS, Sutary MM, Kharabsheh MS. Pain Assessment and Management in Critically Ill Intubated Patients in Jordan: A Prospective Study. International Journal of Health Sciences. 2014;8: 287.
  • 31- Puntillo KA, Max A, Timsit J-F, Vignoud L, Chanques G, Robleda G et al. Determinants of Procedural Pain Intensity in The Intensive Care Unit. The Europain® Study. American Journal of Respiratory and Critical Care Medicine. 2014;189:39-47.
  • 32- Koçoğlu D, Özdemir L. The relation between pain and pain beliefs and sociodemographic-economic characteristics in an adult population. Ağrı. 2011;23:64-70.
  • 33- Erdine S, Hamzaoðlu O, Özkan Ö, Balta E, Domaç M. Pain Prevalance Among Adults in Turkey. Ağrı. 2001;13:22-30.
  • 34- Demir Y. Pain experience in intensive care unit care and pain assessment: Literature review. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2012;2:24-30.
  • 35- Erden S. Pain behaviours of intubated and sedated intensıve care patients during positioning and aspiration. Van Tıp Dergisi. 2015;22:332-6.
  • 36- Arif-Rahu M, Grap MJ. Facial Expression and Pain in The Critically Ill Non-Communicative Patient: State of Science Review. Intensive and Critical Care Nursing. 2010;26:343-52.
  • 37- Eti Aslan F, Karadağ Arlı Ş, Yavuz M, İlknur A, Temiz K, Çınar E et al. Responses to painful procedures of sedatized patients at intensive care. Anestezi Dergisi. 2010;18:163-7.
  • 38- Ayasrah S. Care-Related Pain in Critically Ill Mechanically Ventilated Patients. Anaesthesia and Intensive Care. 2016;44:458.
  • 39- Gündoğan O, Bor C, Korhan EA, Demirağ K, Uyar M. Pain assessment in critically ill adult patients: Validity and reliability research of the Turkish version of the critical-care pain observation tool. Journal of the Turkish Society of Intensive Care. 2016;14:93-9.
  • 40- Sepit D. Level of Consciousness: Assessment and Glasgow Coma Scale as an Assessment Tool. Hemşirelikte Araştırma Geliştirme Dergisi. 2005;2:12-6.
  • 41- Aïssaoui Y, Zeggwagh AA, Zekraoui A, Abidi K, Abouqal R. Validation of A Behavioral Pain Scale in Critically Ill, Sedated, and Mechanically Ventilated Patients. Anesthesia & Analgesia 2005; 101: 1470-6.
  • 42- Bayrak Kahraman B, Özdemir L. Evaluation of behavioral and physiological pain ındicators during ınvasive procedures on the ıntensive care patients. Turkish Journal of Research & Development in Nursing. 2016;18:13-21.

Determination of Pain Behaviours on Endotracheal Tube and Oral Care Practice in Intubated Intensive Care Patients

Year 2022, Volume: 8 Issue: 4, 533 - 549, 30.11.2022
https://doi.org/10.19127/mbsjohs.1129622

Abstract

Objective: This study was performed to determine the pain behaviors of the adult intubated patients in the intensive care unit before and during the endotracheal tube care and oral care.
Methods: This cross-sectional descriptive study was conducted in level 3 Intensive Care Units of a Training and Research Hospital in Black Sea. The study sample consisted of 62 adult patients who complied with the criteria of inclusion for the study. The data was collected by the researcher using the “Patient Information Form”, “Critical-Care Pain Observation Tool”, “Ramsay Sedation Scale”and “ Glasgow Coma Scale”. Data analysis was performed on computer with a statistical program. Evaluation of data used number, percentage, arithmetic mean, and standard deviation.
Results: The mean score of the Critical Care Pain Observation Scale was 0.21±0.52 before the endotracheal tube and oral care, and the mean score was 3.39 ± 0.98 during the endotracheal tube and oral care, and this difference was statistically significant (p= .000). All subscale point averages of Intensive Care Pain Observation Scale were found to be higher during endotracheal tube and oral care (p= .000).
Conclusion: It was found that the level of pain during oral care and endotracheal tube care for intubated patients in intensive care is higher than immediately before.

References

  • 1- Aslan FE, Badir A, Arli SK, Cakmakci H. Pa-tients' experience of pain after cardiac surgery. Contemp Nurse 2009;34:48-54.
  • 2- Payen J-F, Bosson J-L, Chanques G, Mantz J, Labarere J. Pain Assessment is Associated with Decreased Duration of Mechanical Ventilation in the Intensive Care UnitA Post HocAnalysis of the DOLOREA Study. The Journal of the American Society of Anesthesiologists 2009;111:1308-16.
  • 3- Gélinas C, Fortier M, Viens C, Fillion L, Puntillo K. Pain Assessment and Management in Critically Ill Intubated Patients: A Retrospec¬tive Study. American Journal of Critical Care 2004;13:126-36.
  • 4- Yaman Aktaş Y, Karabulut N. A Turkish version of the Critical Care Pain Observation Tool: Reliability and Validity Assessment. Journal of PeriAnesthesia Nursing. 2017;32:341-51.
  • 5- Aljumah MI, Aboshoushah EF, Coric D, Alaithan AM, Almulhim AAA, AlOtaibi NM et al. Assessment and Management of Pain in the Intensive Care Unit. Egyptian Journal of Hospital Medicine. 2018;73:6439-45.
  • 6- Çevik, S. Ağrı. In F. Eti Aslan & N. Olgun (Eds.), Management of Selected Symptoms and Findings in Intensive Care. Ankara: Akade¬misyen Kitabevi; 2016. p. 157-168.
  • 7- Puntillo KA, Morris AB, Thompson CL, Stanik-Hutt J, White CA, Wild LR. Pain Behaviors Observed During Six Common Pro¬cedures: Results from Thunder Project Ii. Critical Care Medicine. 2004;32:421-7.
  • 8- Esen H, Öntürk ZK, Badır A, Aslan Eti F. Pain behaviours of intubated and sedated intensıve care patients during positioning and aspiration. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2010;1:89-93.
  • 9- Terzi B, Kaya N. Nursing care of critically ill patients. Yoğun Bakım Dergisi 2011;1:21-5.
  • 10- Özveren H. Oral Care in Patients Receiving Mechanical Ventilator. Oral Care in Patients Receiving Mechanical Ventilator. 2010;17:92-9.
  • 11- Al Sutari MM, Abdalrahim MS, Hamdan-Mansour AM, Ayasrah SM. Pain Among Mechanically Ventilated Patients in Critical Care Units. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. 2014; 19: 726.
  • 12- Eti Aslan F, Badır A. Reality about pain control: The knowledge and beliefs of nurses on the nature, assessment and management of pain. Ağrı. 2005;17:44-51.
  • 13- Akıncı S, Kanbak M, Güler A, Canbay M, Aypar Ü. Stressful experiences in mechanical ventilated patients. Türk Anest Rean Der Dergisi. 2007;35:320-8.
  • 14- Stanik-Hutt JA, Soeken KL, Belcher AE, Fontaine DK. Pain Experiences of Traumatically Injured Patients in A Critical Care Setting. American Journal of Critical Care. 2001;10:252.
  • 15- Young J, Siffleet J, Nikoletti S, Shaw T. Use of A Behavioural Pain Scale to Assess Pain in Ventilated, Unconscious and/or Sedated Patients. Intensive and Critical Care Nursing. 2006;22:32-9.
  • 16- Demir Dikmen Y, Yıldırım Usta Y, İnce Y, Türken Gel K, Akı Kaya M. Determining of nurses’ knowledge, behavior and clinical decision making regarding pain management. Çağdaş Tıp Dergisi. 2012;2:162-72.
  • 17- Özer S, Akyürek B, Başbakkal Z. Investigation of nurses’ pain related knowledge, attitude and clinical decision making skills. Ağrı. 2006;18:36-43.
  • 18- Eti Aslan F, Badir A, Selimen D. How do intensive care nurses assess patients' pain? Nursing In Critical Care. 2003;8:62-7.
  • 19- Cırık V, Emine E. Pain in intensive care unit and the role of the nurse. Yoğun Bakım Hemşireliği Dergisi 2014;18:15-21.
  • 20- Yaman Aktaş, Y. The Effect of Music Therapy Applying in Endotracheal Suctioning of Mechanically Ventilated Patients on Pain and Physiological Parameters (Doctoral Dissertation). Erzurum: Atatürk University; 2013.
  • 21- Vatansever, H. E. A study on the pain behaviours of patients attached to mechanical ventilators in surgical ıntensive care unit (Master's Thesis). İstanbul: Marmara University; 2004.
  • 22- Güneş, D. Pain behaviours of intubated and sedated intensive care patients during positioning and aspiration (Master's Thesis). İstanbul: Haliç University; 2012.
  • 23- Gélinas C, Fillion L, Puntillo KA, Viens C, Fortier M. Validation of the critical-care pain observation tool in adult patients. American Journal of Critical Care. 2006;15(4):420-7.
  • 24- Karadakovan, A. Consciousness Level Changes. In A. Karadakovan & F. Eti Aslan (Eds.), Dahili ve Cerrahi Hastalıklarda Bakım. Ankara: Akademisyen Kitabevi; 2017. p. 1123.
  • 25- Üzelli Yılmaz D, Akın Korhan E, Baysan B, Tan E, Erem A, Çelik S et al. The effect of music therapy on sedation levels and vital signs of patients under mechanical ventilatory support: A pilot study. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2016;1:21-7.
  • 26- Yaman Aktaş Y, Karabulut N. The Effects of Music Therapy in Endotracheal Suctioning of Mechanically Ventilated Patients. British Association of Critical Care Nurses. 2015;21:44-52.
  • 27- Akın Korhan E, Bor C, Uyar M. An assessment of pain in adult patient in intensive care. Yoğun Bakım Hemşireliği Dergisi. 2012;16:57-65.
  • 28- Detriche O, Berré J, Massaut J, Vincent JL. The Brussels Sedation Scale: Use of A Simple Clinical Sedation Scale Can Avoid Excessive Sedation in Patients Undergoing Mechanical Ventilation in The Intensive Care Unit. British Journal of Anesthesia. 1999;83:698-701.
  • 29- Badır A, Eti Aslan F. The problem of pain in intensive care units: An issue of widespread interest but inadequate questioning. Yoğun Bakım Hemşireliği Dergisi. 2003;7:100-8.
  • 30- Ayasrah SM, O’Neill TM, Abdalrahim MS, Sutary MM, Kharabsheh MS. Pain Assessment and Management in Critically Ill Intubated Patients in Jordan: A Prospective Study. International Journal of Health Sciences. 2014;8: 287.
  • 31- Puntillo KA, Max A, Timsit J-F, Vignoud L, Chanques G, Robleda G et al. Determinants of Procedural Pain Intensity in The Intensive Care Unit. The Europain® Study. American Journal of Respiratory and Critical Care Medicine. 2014;189:39-47.
  • 32- Koçoğlu D, Özdemir L. The relation between pain and pain beliefs and sociodemographic-economic characteristics in an adult population. Ağrı. 2011;23:64-70.
  • 33- Erdine S, Hamzaoðlu O, Özkan Ö, Balta E, Domaç M. Pain Prevalance Among Adults in Turkey. Ağrı. 2001;13:22-30.
  • 34- Demir Y. Pain experience in intensive care unit care and pain assessment: Literature review. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2012;2:24-30.
  • 35- Erden S. Pain behaviours of intubated and sedated intensıve care patients during positioning and aspiration. Van Tıp Dergisi. 2015;22:332-6.
  • 36- Arif-Rahu M, Grap MJ. Facial Expression and Pain in The Critically Ill Non-Communicative Patient: State of Science Review. Intensive and Critical Care Nursing. 2010;26:343-52.
  • 37- Eti Aslan F, Karadağ Arlı Ş, Yavuz M, İlknur A, Temiz K, Çınar E et al. Responses to painful procedures of sedatized patients at intensive care. Anestezi Dergisi. 2010;18:163-7.
  • 38- Ayasrah S. Care-Related Pain in Critically Ill Mechanically Ventilated Patients. Anaesthesia and Intensive Care. 2016;44:458.
  • 39- Gündoğan O, Bor C, Korhan EA, Demirağ K, Uyar M. Pain assessment in critically ill adult patients: Validity and reliability research of the Turkish version of the critical-care pain observation tool. Journal of the Turkish Society of Intensive Care. 2016;14:93-9.
  • 40- Sepit D. Level of Consciousness: Assessment and Glasgow Coma Scale as an Assessment Tool. Hemşirelikte Araştırma Geliştirme Dergisi. 2005;2:12-6.
  • 41- Aïssaoui Y, Zeggwagh AA, Zekraoui A, Abidi K, Abouqal R. Validation of A Behavioral Pain Scale in Critically Ill, Sedated, and Mechanically Ventilated Patients. Anesthesia & Analgesia 2005; 101: 1470-6.
  • 42- Bayrak Kahraman B, Özdemir L. Evaluation of behavioral and physiological pain ındicators during ınvasive procedures on the ıntensive care patients. Turkish Journal of Research & Development in Nursing. 2016;18:13-21.
There are 42 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research articles
Authors

Alkay Kara 0000-0002-2646-2399

Nurgül Bölükbaş 0000-0001-5684-8359

Publication Date November 30, 2022
Published in Issue Year 2022 Volume: 8 Issue: 4

Cite

Vancouver Kara A, Bölükbaş N. Determination of Pain Behaviours on Endotracheal Tube and Oral Care Practice in Intubated Intensive Care Patients. Mid Blac Sea J Health Sci. 2022;8(4):533-49.

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