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Effects of pain management program on the length of stay of patients with decreased level of consciousness: A clinical trial.

Shahriari M, Golshan A, Alimohammadi N, Abbasi S, Fazel K - Iran J Nurs Midwifery Res (2015 Jul-Aug)

Bottom Line: Overall mean length of stay of the patients in the ICUs was significantly lower in the case group [3.2 (1.4)] days compared to the control group [7.4 (4.8) days] (P < 0.001).This study showed that overall mean length of stay of patients in the ICUs was significantly lower in the study group compared to the control group.It is suggested to use this program for patients in ICUs with decreased level of consciousness after a general surgery.

View Article: PubMed Central - PubMed

Affiliation: Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

ABSTRACT

Background: Critical care patients are at higher risk for untreated pain. Pain has persistent and untreated effects on most of the body systems and results in development of complications, chronic pain, and increased length of stay. The aim of this study was to determine the effects of the implementation of a pain management program on the length of stay in patients with decreased level of consciousness, admitted in Al-Zahra hospital intensive care units (ICUs) in 2013.

Materials and methods: In this clinical trial, 50 subjects with decreased level of consciousness were selected by convenient sampling from the ICU wards of Al-Zahra hospital, Isfahan, Iran and were randomly assigned to two groups of study and control. Pain management program was applied on the study group and routine care was implemented in the control group. Data including demographic data and length of stay of patients in the ICUs were collected and analyzed using descriptive statistics and Chi-square test, independent t-test, and paired t-test.

Results: Results showed that out of 50 subjects attending the study, there were 40% female and 60% male subjects in study, and 52% female and 48% male subjects in control group. (P = 0.395). Overall mean length of stay of the patients in the ICUs was significantly lower in the case group [3.2 (1.4)] days compared to the control group [7.4 (4.8) days] (P < 0.001).

Conclusions: This study showed that overall mean length of stay of patients in the ICUs was significantly lower in the study group compared to the control group. It is suggested to use this program for patients in ICUs with decreased level of consciousness after a general surgery.

No MeSH data available.


Related in: MedlinePlus

CONSORT diagram
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Figure 1: CONSORT diagram

Mentions: This is a two-group, multi-stage clinical trial conducted in the ICUs of Al-Zahra hospital in Isfahan in 2013. Fifty subjects meeting the inclusion criteria were selected through convenient sampling from Oct 5, 2013 to Jan 5, 2014, out of the patients hospitalized in Al-Zahra hospital with abdominal and chest surgeries, to complete the sample size, and were randomly allocated to study and control groups. There was no dropping out of the subjects during the study [Figure 1]. The inclusion criteria were: age over 18 years, no severe injury in the face, ability of moving at least one limb, Glasgow Coma Scale GSC between 5 and 8 (despite being intubated), being connected to the ventilation device from the time of arrival to ICU after surgery, not being under muscular relaxant medication, not consuming sedatives continuously, no injury to spinal cord, no dependency on alcohol or drugs, no history of chest and abdominal surgery, no history of hepatic and renal diseases, and being admitted in ICU for less than 24 h. The subjects were excluded in cases of transfer to another ward or hospital, death, or a change in the level of consciousness (higher or lower that the determined level).


Effects of pain management program on the length of stay of patients with decreased level of consciousness: A clinical trial.

Shahriari M, Golshan A, Alimohammadi N, Abbasi S, Fazel K - Iran J Nurs Midwifery Res (2015 Jul-Aug)

CONSORT diagram
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4525351&req=5

Figure 1: CONSORT diagram
Mentions: This is a two-group, multi-stage clinical trial conducted in the ICUs of Al-Zahra hospital in Isfahan in 2013. Fifty subjects meeting the inclusion criteria were selected through convenient sampling from Oct 5, 2013 to Jan 5, 2014, out of the patients hospitalized in Al-Zahra hospital with abdominal and chest surgeries, to complete the sample size, and were randomly allocated to study and control groups. There was no dropping out of the subjects during the study [Figure 1]. The inclusion criteria were: age over 18 years, no severe injury in the face, ability of moving at least one limb, Glasgow Coma Scale GSC between 5 and 8 (despite being intubated), being connected to the ventilation device from the time of arrival to ICU after surgery, not being under muscular relaxant medication, not consuming sedatives continuously, no injury to spinal cord, no dependency on alcohol or drugs, no history of chest and abdominal surgery, no history of hepatic and renal diseases, and being admitted in ICU for less than 24 h. The subjects were excluded in cases of transfer to another ward or hospital, death, or a change in the level of consciousness (higher or lower that the determined level).

Bottom Line: Overall mean length of stay of the patients in the ICUs was significantly lower in the case group [3.2 (1.4)] days compared to the control group [7.4 (4.8) days] (P < 0.001).This study showed that overall mean length of stay of patients in the ICUs was significantly lower in the study group compared to the control group.It is suggested to use this program for patients in ICUs with decreased level of consciousness after a general surgery.

View Article: PubMed Central - PubMed

Affiliation: Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

ABSTRACT

Background: Critical care patients are at higher risk for untreated pain. Pain has persistent and untreated effects on most of the body systems and results in development of complications, chronic pain, and increased length of stay. The aim of this study was to determine the effects of the implementation of a pain management program on the length of stay in patients with decreased level of consciousness, admitted in Al-Zahra hospital intensive care units (ICUs) in 2013.

Materials and methods: In this clinical trial, 50 subjects with decreased level of consciousness were selected by convenient sampling from the ICU wards of Al-Zahra hospital, Isfahan, Iran and were randomly assigned to two groups of study and control. Pain management program was applied on the study group and routine care was implemented in the control group. Data including demographic data and length of stay of patients in the ICUs were collected and analyzed using descriptive statistics and Chi-square test, independent t-test, and paired t-test.

Results: Results showed that out of 50 subjects attending the study, there were 40% female and 60% male subjects in study, and 52% female and 48% male subjects in control group. (P = 0.395). Overall mean length of stay of the patients in the ICUs was significantly lower in the case group [3.2 (1.4)] days compared to the control group [7.4 (4.8) days] (P < 0.001).

Conclusions: This study showed that overall mean length of stay of patients in the ICUs was significantly lower in the study group compared to the control group. It is suggested to use this program for patients in ICUs with decreased level of consciousness after a general surgery.

No MeSH data available.


Related in: MedlinePlus