Limits...
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

Adult Non-Verbal Pain Scale score algorithm from (www.baccnconference.org.uk/Studio/O30%20Lindsay%20Kirwan.pdf)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4525351&req=5

Figure 3: Adult Non-Verbal Pain Scale score algorithm from (www.baccnconference.org.uk/Studio/O30%20Lindsay%20Kirwan.pdf)

Mentions: To administer the pain management program [presented in Figure 2], the subjects were selected based on the inclusion criteria, and then, pain management was applied among the subjects in the study group. Before intervention, pain severity scores of the patients, connected to Raphael ventilation and SADAT monitor, were determined by NVPS, and their BP, pulse, and arterial O2 and respiration rate were used to score the tool and recorded in the related chart. Then, pain management program was used based on pain severity graded in four levels [Figure 3]. In addition, the sedative selected, based on physician's order, was fentanyl if patient's systolic pressure was between 90 and 100 mm/Hg and morphine if it was more than 100 mm/Hg.


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)

Adult Non-Verbal Pain Scale score algorithm from (www.baccnconference.org.uk/Studio/O30%20Lindsay%20Kirwan.pdf)
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Adult Non-Verbal Pain Scale score algorithm from (www.baccnconference.org.uk/Studio/O30%20Lindsay%20Kirwan.pdf)
Mentions: To administer the pain management program [presented in Figure 2], the subjects were selected based on the inclusion criteria, and then, pain management was applied among the subjects in the study group. Before intervention, pain severity scores of the patients, connected to Raphael ventilation and SADAT monitor, were determined by NVPS, and their BP, pulse, and arterial O2 and respiration rate were used to score the tool and recorded in the related chart. Then, pain management program was used based on pain severity graded in four levels [Figure 3]. In addition, the sedative selected, based on physician's order, was fentanyl if patient's systolic pressure was between 90 and 100 mm/Hg and morphine if it was more than 100 mm/Hg.

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