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Amaç: Araştırma 2. ve 3. basamak yoğun bakım ünitesinde yatan, mekanik ventilatore bağlı entübe ya da trakeostomili ve hafif düzeyde sedatize hastaların intravasküler girişimler (arteriyel, santral ve periferik) sırasında yaşadığı ağrı deneyimlerine yönelik davranışsal ve fizyolojik tepkilerini belirlemek amacı ile yapıldı. Yöntem: Tanımlayıcı ve kesitsel tipteki bu araştırmaya Türkiye’nin batı bölgesindeki bir Eğitim ve Araştırma Hastanesi Anestezi Yoğun Bakım Ünitesinde yatan 70 hasta alındı. Veriler kişisel bilgi formu, Davranışsal Ağrı Ölçeği (DAÖ), Ramsey Sedasyon Ölçeği (RSÖ) ve fizyolojik ağrı göstergeleri formu kullanılarak toplandı. Verilerin analizinde tanımlayıcı istatistikler ve Wilcoxon işaretli sıra testi kullanıldı. Bulgular: Araştırma kapsamında alınan hastaların yaş ortalaması 64,53±13,54 yıl, %55,7’si 65 ve üzeri yaş grubunda ve %54,3’ünün erkek hastalardan oluştuğu saptandı. Hastaların %98,6’sının mekanik ventilatöre bağlı olduğu, %87,1’ine sedasyon uygulandığı, RSÖ ortalamasının 2,93±1,12 ve %57,1’inin uyanık olduğu belirlendi. Hastaların intravasküler girişimler sırasında işlem öncesine göre DAÖ puanlarının, ortalama arter basıncı (OAB), nabız ve solunum değerlerinin arttığı gözlendi. Sonuç: Araştırma sonucunda; hastaların intravasküler girişimler sırasında farklı düzeylerde ağrı yaşadığı ve bu ağrının fizyololojik parametre (OAB, solunum ve nabız) değerlerini arttırdığı saptandı. Yoğun bakım ünitesinde yatan hastaların intravasküler girişimler sırasında ağrıları değerlendirilmeli ve etkili ağrı yönetimi yapılmalıdır.
Objective: The aim of this study was to determine the behavioral and physiological responses of the patients with intubated or tracheostomy and mild sedated patients who were hospitalized in the 2nd and 3rd level intensive care unit (ICU) to the pain experiences experienced during intravascular intervention (arterial, central and peripheral). Methods: In this descriptive and cross-sectional study included 70 patients who were hospitalized in anesthesia ICU of Training and Research Hospital in the western of Turkey. The data were collected using the personal information form, the Behavioral Pain Scale (BPS), the Ramsey Sedation Scale (RSS) and the Physiological Pain Indicators Form. Descriptive statistics and Wilcoxon signed rank were used to analyze the data. Results: The average age of the patients included in the study was 64.53±13.54 years, and 55.7% of the patients were in the 65 and over age group and 54.3% were male patients. It was found that 98.6% of the patients were connected to the mechanical ventilation, 87.1% was applied sedation, RSS of the patients was 2.93±1.12, and 57.1% were awake. It was observed that the BPS scores, MAP, pulse and respiration values were raised during intravascular interventions. Conclusion: As a result of the research; it was found that the patients experienced different levels of pain during intravascular interventions and this pain increased the physiological parameters (MAP, pulse, and respiratory). Patients in ICU should be evaluated for pain while performing intravascular interventions and effective pain management should be performed.
Objective: The aim of this study was to determine the behavioral and physiological responses of the patients with intubated or tracheostomy and mild sedated patients who were hospitalized in the 2nd and 3rd level intensive care unit (ICU) to the pain experiences experienced during intravascular intervention (arterial, central and peripheral). Methods: In this descriptive and cross-sectional study were included 70 patients who were hospitalized in anesthesia ICU of Training and Research Hospital in the western of Turkey. The data were collected by using the personal information form, the Behavioral Pain Scale (BPS), the Ramsey Sedation Scale (RSS) and the Physiological Pain Indicators Form. Descriptive statistics and Wilcoxon signed rank were used to analyze the data. Results: The mean age of the patients included in the study was 64.53±13.54 years, and 55.7% of the patients were in the 65 and over age group and 54.3% were male patients. It was found that 98.6% of the patients were connected to the mechanical ventilation, 87.1% was applied sedation, RSS of the patients was 2.93±1.12, and 57.1% were awake. It was observed that the BPS scores, MAP, pulse and respiration values were raised during intravasculer interventions. Conclusion: As a result of the research; it was found that the patients experienced different levels of pain during intravascular interventions and this pain increased the physiological parameters (MAP, pulse, and respiratory). Patients in ICU should be evaluated for pain while performing intravascular interventions and effective pain management should be performed.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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