Reducing the effects of acute pain in critically ill patients

Cheever, Kerry H.

doi:10.1097/00003465-199905000-00003

Cited by 10 publications

(8 citation statements)

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“…[26] Hastaların ağrıya verdikleri konfüzyon, korku, öfke, tedirginlik, anksiyete, sözel işlevlerde değişmeler, huzursuzluk gibi tepkiler psikolojik belirtiler olarak tanımlanmaktadır. [33,34] Ağrı nedeniyle oluşan davranışsal tepkiler, kasılma, hasara uğrayan organ ya da bölgenin uyarandan uzağa çekilmesi, insizyon yerinin desteklenmesi, hareketsiz kalma, bacaklarının karına doğru çekilmesi, yüzünü buruşturma, entübasyon tüpünü çiğneme, ritmik hareketlerle sallanma, bacaklarını sallama, tekmeleme, hemşire ve doktorun kolunu çekme, yatak kollarına vurma kişiye özgü pozisyon ve postür olarak belirtilmektedir. [6,[34][35][36][37] Ağrının giderilmesine yönelik alınan önlemlerin ise son derece yetersiz olduğu ve hastaların büyük bir kısmının ağrısının geçirilmediği ağrı nedeniyle yaşam kalitelerinin düştüğü, hastanede kalış süresinin uzadığı ve mortalite oranının arttığı belirtilmektedir.…”

Section: Yoğun Bakım Hastalarında Ağrıunclassified

The Effect Of Music Therapy On Pain And Anxiety In Intensive Care Patients

Uyar

Korhan²

2011

Agri

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In recent years, intensive care units have been using advanced technology that provides significantly improved results in clinical treatment and care practices. However, this results in intensive care patients experiencing pain and anxiety. This pain and anxiety is generally brought under control with various pharmacological preparations. When a pharmacological approach is not used or is ineffective, doctors and nurses also use non-pharmacological approaches such as music to control pain and anxiety. Research has found music therapy to be an effective method of reducing pain intensity and anxiety levels in intensive care patients. Therefore, the use of music therapy is important for intensive care patients. This article will deal with the effects of music therapy on pain and anxiety management in intensive care patients.

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Section: Yoğun Bakım Hastalarında Ağrıunclassified

The Effect Of Music Therapy On Pain And Anxiety In Intensive Care Patients

Uyar

Korhan²

2011

Agri

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“…5 The reactions given by patients such as confusion, fear, anger, unrest, anxiety, changes in verbal functions and uneasiness are defined as psychological symptoms. 14,15 The percutaneous implementations to be administered to the coronary artery are often performed through the femoral artery because it is easily accessible and has a high chance of success. 16 Using sandbags for compression after the procedure requires patients to rest in bed without movement for a long time.…”

Section: Discussionmentioning

confidence: 99%

The effect on anxiety level of coronary angiographic result and the perception of pain

Atik

Atık²,

Karatepe

et al. 2015

Int J Res Med Sci

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The most common diseases in adults is Coronary Artery Disease (CAD). 1 According to the report on Cardiac Diseases in Turkish Adults and Risk Factors (RCDTARF) in 2009, CAD is in the first place as a cause of death both in males and females and CAD-related deaths are higher than in all of the European countries. 2 Coronary angiography (CAG) is a common invasive diagnostic method used for diagnosing and assessing CAD and heart valve diseases. 3,4 The CAG implementation causes to experience intensive stress, pain and anxiety as well as fear of death in many patients. 5 Many factors including previous experience, pain, anxiety, foreign environment and fear contribute to ABSTRACT Background: The problems and complications experienced by the patients who underwent a CAG due to their pain and anxiety can be minimized through a care plan prepared to meet their needs and a coordinated teamwork. In this prospective and descriptive study we aimed at determining the effect of coronary angiography results and perceived pain on anxiety level in patients who undergoing coronary angiography. Methods: The study was carried out with patients who were implemented coronary angiography for the first time at the cardiology clinic of Osmaniye private new life hospital between May 2014 and August 2014. The study data were collected using the State-Trait Anxiety Inventory (STAI), a verbal pain rating scale and a questionnaire that was prepared by the investigators. The descriptive data are given in the form of arithmetic mean Standard Deviation (SD), numbers and percentage distribution. The correlations between the variables were assessed using crosstabs, one-way ANOVA and the Pearson's correlation analysis. The data were evaluated in 95% confidence interval and at a significance level of P <0.05. Results: 35.9% of the patients stated that they felt severe pain. The mean anxiety score was 36.746.81 and those who felt very severe and unbearable pain had higher mean anxiety scores (P <0.01). Those who had three coronary diseases had higher anxiety levels (41.149.30) than those who had an atherosclerotic stenosis and #8805;50% (normal) (35.945.49) (P <0.01). Gender had an influence on pain levels (P <0.01). Conclusion: Coronary angiography results and pain perception were determined to be statistically significant effects on anxiety level. A statistically significant correlation was found between pain and anxiety. In general, pain and anxiety affect each other positively; an increase in one results in an increase in the other.

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“…Future prospective studies that examine the relations between acute pain, opioid analgesic relief practices, and morbidity among postoperative patients need to ensure proactive measurement of postoperative patients' pain intensity to gain reliable measures of patients' self-reported pain. Propositions derived from psychoneuroimmunology suggest that trends in pain intensity levels are preferable to a singular measure (Cheever, 1999), as was implemented in this small-scale study. In other words, patients who experience severe pain intensity over a longer period of time may have more complications than do those patients whose pain levels peak once and then experience sustained pain relief.…”

Section: Discussionmentioning

confidence: 99%

“…assert that acute pain can exacerbate the systemic inflammatory response syndrome in the critically ill, which can lead to multiple organ dysfunction syndrome (Cheever, 1999), others believe that pain can encourage tumor growth in those with cancer (Page & Ben-Eliyahu, 1997).…”

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confidence: 99%

Pain, Analgesic Use, and Morbidity in Appendectomy Patients

Cheever

1999

Clin Nurs Res

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Pain has immunosuppressive effects among the critically and chronically ill, and opioids may immunomodulate pain's deleterious effects. However, little is known about the relations between acute pain, acute illness, and morbidity among previously healthy surgical patients. This study retrospectively examined these relations in appendectomy patients (N = 61). Eleven patients (18%) had morbidity, with atelectasis (11.5%) the most frequent complication. There were no differences between those patients with and without morbidity and pain intensity, method of opioid administration, and total opioid dose. Patients who received nonopioid analgesics received fewer opioids, less preemptive analgesia, and had less morbidity, whereas patients whose appendixes perforated received higher opioid doses and received more preemptive analgesia. Although the relations between acute pain, opioid use, and morbidity among previously healthy surgical patients are unclear, findings infer that clinical practice does not follow guidelines advocated by analgesic experts.

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Reducing the effects of acute pain in critically ill patients

Cited by 10 publications

References 0 publications

The Effect Of Music Therapy On Pain And Anxiety In Intensive Care Patients

The Effect Of Music Therapy On Pain And Anxiety In Intensive Care Patients

The effect on anxiety level of coronary angiographic result and the perception of pain

Pain, Analgesic Use, and Morbidity in Appendectomy Patients

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