Yıl: 2023 Cilt: 21 Sayı: 1 Sayfa Aralığı: 8 - 15 Metin Dili: İngilizce DOI: 10.4274/tybd.galenos.2022.72621 İndeks Tarihi: 07-06-2023

Pain Behaviors and Physiological Parameters During Painful Procedures in Surgical Intensive Care Patients

Öz:
Objective: This research was conducted to determine the pain behaviors and physiological parameters of patients connected to mechanical ventilators in the postoperative surgical intensive care unit. Materials and Methods: This study was conducted descriptively and observationally with 176 patients. The introductory information form, physiological parameters follow-up form, behavioral pain scale (BPS), and Ramsey sedation scale were used to collect data. Descriptive statistics, Two- Way variance in repeated measures, Friedman analysis, post-hoc Bonferroni analysis, One-Way variance analysis, Kruskal-Wallis analysis, and Spearman correlation analysis were used. Results: The mean arterial pressure (MAP), heart rate and mean BPS scores increased (p<0.001), and oxygen saturation decreased during aspiration, wound care, and position change (p<0.001). Additionally, while a moderate, positive correlation was found between BPS and MAP and heart rate during wound care (r=0.447; p=0.001, r=0.306; p=0.033). A moderate negative correlation was found between oxygen saturation and BPS during aspiration (r=-0.389; p=0.000). Conclusion: It has been revealed that individuals connected to mechanical ventilators experience pain during wound care, position change and aspiration. Physiological parameters and behavioral symptoms resulting from pain should be analyzed together. Pain should be relieved with pharmacological and non-pharmacological nursing interventions in pain management.
Anahtar Kelime:

Cerrahi Yoğun Bakım Hastalarının Ağrılı İşlemler Sırasında Ağrı Davranışları ve Fizyolojik Parametreleri

Öz:
Amaç: Bu araştırma ameliyat sonrası cerrahi yoğun bakımda mekanik ventilatöre bağlanmış hastaların ağrı davranışlarının ve fizyolojik parametrelerinin belirlenmesi amacıyla yürütülmüştür. Gereç ve Yöntem: Yüz yetmiş altı hasta ile tamamlanan araştırma, tanımlayıcı ve gözlemsel tiptedir. Verilerin toplanmasında hasta tanıtım formu, fizyolojik parametreler takip formu, davranışsal ağrı ölçeği (DAÖ) ve Ramsey sedasyon skalasından yararlanılmıştır. Verilerin analizinde; tanımlayıcı istatistikler, tekrarlı ölçümlerde İki-Yönlü varyans, Friedman analizi, post-hoc Bonferroni analizi, Tek- Yönlü varyans analizi, Kruskal-Wallis analizi ve Spearman korelasyon analizi kullanılmıştır. Bulgular: Pozisyon değişikliği, yara bakımı ve aspirasyon, yapılırken DAÖ ortalaması, nabız ve ortalama arter basıncı (OAB) yükselmiştir; oksijen satürasyonu ise düşmüştür (p<0,001). Yara bakımı yapılırken DAÖ ortalaması ile nabız ve OAB arasında pozitif yönlü orta düzeyde bir ilişki saptanmıştır (sırasıyla r=0,306; p=0,033; r=0,447; p=0,001). Aspirasyon yapılırken ise sadece DAÖ ortalaması ile oksijen satürasyonu arasında negatif yönlü orta düzeyde bir ilişki bulunmuştur (r=-0,389; p=0,000). Sonuç: Mekanik ventilatöre bağlanmış bireylerin yara bakımı, pozisyon değişikliği ve aspirasyon yapılırken ağrı yaşadıkları ortaya konmuştur. Ağrı sonucu ortaya çıkan fizyolojik parametreler ve davranışsal belirtiler beraber analiz edilmelidir. Ağrı yönetiminde farmakolojik ve farmakolojik olmayan hemşirelik girişimleri ile ağrı dindirilmelidir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA sürme y, Yüceler Kaçmaz H, ceyhan o, yılmaz i (2023). Pain Behaviors and Physiological Parameters During Painful Procedures in Surgical Intensive Care Patients. , 8 - 15. 10.4274/tybd.galenos.2022.72621
Chicago sürme yeliz,Yüceler Kaçmaz Hatice,ceyhan ozlem,yılmaz ilker Pain Behaviors and Physiological Parameters During Painful Procedures in Surgical Intensive Care Patients. (2023): 8 - 15. 10.4274/tybd.galenos.2022.72621
MLA sürme yeliz,Yüceler Kaçmaz Hatice,ceyhan ozlem,yılmaz ilker Pain Behaviors and Physiological Parameters During Painful Procedures in Surgical Intensive Care Patients. , 2023, ss.8 - 15. 10.4274/tybd.galenos.2022.72621
AMA sürme y,Yüceler Kaçmaz H,ceyhan o,yılmaz i Pain Behaviors and Physiological Parameters During Painful Procedures in Surgical Intensive Care Patients. . 2023; 8 - 15. 10.4274/tybd.galenos.2022.72621
Vancouver sürme y,Yüceler Kaçmaz H,ceyhan o,yılmaz i Pain Behaviors and Physiological Parameters During Painful Procedures in Surgical Intensive Care Patients. . 2023; 8 - 15. 10.4274/tybd.galenos.2022.72621
IEEE sürme y,Yüceler Kaçmaz H,ceyhan o,yılmaz i "Pain Behaviors and Physiological Parameters During Painful Procedures in Surgical Intensive Care Patients." , ss.8 - 15, 2023. 10.4274/tybd.galenos.2022.72621
ISNAD sürme, yeliz vd. "Pain Behaviors and Physiological Parameters During Painful Procedures in Surgical Intensive Care Patients". (2023), 8-15. https://doi.org/10.4274/tybd.galenos.2022.72621
APA sürme y, Yüceler Kaçmaz H, ceyhan o, yılmaz i (2023). Pain Behaviors and Physiological Parameters During Painful Procedures in Surgical Intensive Care Patients. Türk Yoğun Bakım Dergisi, 21(1), 8 - 15. 10.4274/tybd.galenos.2022.72621
Chicago sürme yeliz,Yüceler Kaçmaz Hatice,ceyhan ozlem,yılmaz ilker Pain Behaviors and Physiological Parameters During Painful Procedures in Surgical Intensive Care Patients. Türk Yoğun Bakım Dergisi 21, no.1 (2023): 8 - 15. 10.4274/tybd.galenos.2022.72621
MLA sürme yeliz,Yüceler Kaçmaz Hatice,ceyhan ozlem,yılmaz ilker Pain Behaviors and Physiological Parameters During Painful Procedures in Surgical Intensive Care Patients. Türk Yoğun Bakım Dergisi, vol.21, no.1, 2023, ss.8 - 15. 10.4274/tybd.galenos.2022.72621
AMA sürme y,Yüceler Kaçmaz H,ceyhan o,yılmaz i Pain Behaviors and Physiological Parameters During Painful Procedures in Surgical Intensive Care Patients. Türk Yoğun Bakım Dergisi. 2023; 21(1): 8 - 15. 10.4274/tybd.galenos.2022.72621
Vancouver sürme y,Yüceler Kaçmaz H,ceyhan o,yılmaz i Pain Behaviors and Physiological Parameters During Painful Procedures in Surgical Intensive Care Patients. Türk Yoğun Bakım Dergisi. 2023; 21(1): 8 - 15. 10.4274/tybd.galenos.2022.72621
IEEE sürme y,Yüceler Kaçmaz H,ceyhan o,yılmaz i "Pain Behaviors and Physiological Parameters During Painful Procedures in Surgical Intensive Care Patients." Türk Yoğun Bakım Dergisi, 21, ss.8 - 15, 2023. 10.4274/tybd.galenos.2022.72621
ISNAD sürme, yeliz vd. "Pain Behaviors and Physiological Parameters During Painful Procedures in Surgical Intensive Care Patients". Türk Yoğun Bakım Dergisi 21/1 (2023), 8-15. https://doi.org/10.4274/tybd.galenos.2022.72621