The effect of chronic pain on health related quality of life amongst intensive care survivors

Boyle, Martin; Murgo, Margherita; Adamson, Harriet; Gill, Jaswin; Elliott, Doug; Crawford, Matthew

doi:10.1016/s1036-7314(04)80012-2

Cited by 65 publications

(73 citation statements)

References 27 publications

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“…Previous studies on such associations have been equivocal [78,79], while the lack of support for age, foreign background, education, and occupational level in the present study does not diverge from earlier findings.…”

Section: Discussioncontrasting

confidence: 99%

The influence of psychosocial factors on quality of life among women with pain: a prospective study in Sweden

2011

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Section: Discussioncontrasting

confidence: 99%

The influence of psychosocial factors on quality of life among women with pain: a prospective study in Sweden

2011

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“…Sample size was calculated for the SF-36 PF scale for a two-sided hypothesis test with a Type I error rate of 0.05 and a Type II error rate of 0.20 (80% power). The clinically important difference and the standard deviation estimates used were based on our pilot data [22,23] and reports for similar cohorts and contexts [15,24-26]. …”

Section: Methodsmentioning

confidence: 99%

Health-related quality of life and physical recovery after a critical illness: a multi-centre randomised controlled trial of a home-based physical rehabilitation program

et al. 2011

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IntroductionSignificant physical sequelae exist for some survivors of a critical illness. There are, however, few studies that have examined specific interventions to improve their recovery, and none have tested a home-based physical rehabilitation program incorporating trainer visits to participants' homes. This study was designed to test the effect of an individualised eight-week home-based physical rehabilitation program on recovery.MethodsA multi-centre randomised controlled trial design was used. Adult intensive care patients (length of stay of at least 48 hours and mechanically ventilated for 24 hours or more) were recruited from 12 Australian hospitals between 2005 and 2008. Graded, individualised endurance and strength training intervention was prescribed over eight weeks, with three physical trainer home visits, four follow-up phone calls, and supported by a printed exercise manual. The main outcome measures were blinded assessments of physical function; SF-36 physical function (PF) scale and six-minute walk test (6MWT), and health-related quality of life (SF-36) conducted at 1, 8 and 26 weeks after hospital discharge.ResultsOf the 195 participants randomised, 183, 173 and 161 completed the 1, 8 and 26 weeks assessments, respectively. Study groups were similar at Week 1 post-hospital; for the intervention and control groups respectively, mean norm-based PF scores were 27 and 29 and the 6MWT distance was 291 and 324 metres. Both groups experienced significant and clinically important improvements in PF scores and 6MWT distance at 8 weeks, which persisted at 26 weeks. Mixed model analysis showed no significant group effects (P = 0.84) or group by time interactions (P = 0.68) for PF. Similar results were found for 6MWT and the SF-36 summary scores.ConclusionsThis individualised eight-week home-based physical rehabilitation program did not increase the underlying rate of recovery in this sample, with both groups of critically ill survivors improving their physical function over the 26 weeks of follow-up. Further research should explore improving effectiveness of the intervention by increasing exercise intensity and frequency, and identifying individuals who would benefit most from this intervention.Trial registrationAustralia and New Zealand Clinical Trials Register ACTRN12605000166673

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“…6 Third, survivors of critical illness experience physical and psychological sequelae for months to years after discharge from the ICU, 7 a situation that might be mitigated by structured pain assessment and management practices in critical care. 8,9 Therefore, structured pain assessment and management are essential aspects of high-quality care in the ICU.…”

Section: Survey Development and Testingmentioning

confidence: 99%

Critical Care Nurses' Pain Assessment and Management Practices: A Survey in Canada

Rose

Smith²,

Gélinas³

et al. 2012

American Journal of Critical Care

111

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Background Regular pain assessment can lead to decreased incidence of pain and shorter durations of mechanical ventilation and stays in the intensive care unit. Objectives To document knowledge and perceptions of pain assessment and management practices among Canadian intensive care unit nurses. Methods A self-administered questionnaire was mailed to 3753 intensive care unit nurses identified through the 12 Canadian provincial/territorial nursing associations responsible for professional regulation. Results A total of 842 nurses (24%) responded, and 802 surveys could be evaluated. Nurses were significantly less likely (P < .001) to use a pain assessment tool for patients unable to communicate (267 nurses, 33%) than for patients able to self-report (712 nurses, 89%). Significantly fewer respondents (P < .001) rated behavioral pain assessment tools as moderately to extremely important (595 nurses, 74%) compared with selfreport tools (703 nurses, 88%). Routine (>50% of the time) discussion of pain scores during nursing handover was reported by 492 nurses (61%), and targeting of analgesia to a pain score or other assessment parameters by physicians by 333 nurses (42%). Few nurses (n = 235; 29%) were aware of professional society guidelines for pain assessment and management. Routine use of a behavioral pain tool was associated with awareness of published guidelines (odds ratio, 2.5; 95% CI, 1.7-3.7) and clinical availability of the tool (odds ratio, 2.6; 95% CI, 1.6-4.3). Conclusions A substantial proportion of intensive care unit nurses did not use pain assessment tools for patients unable to communicate and were unaware of pain management guidelines published by professional societies.

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The effect of chronic pain on health related quality of life amongst intensive care survivors

Cited by 65 publications

References 27 publications

The influence of psychosocial factors on quality of life among women with pain: a prospective study in Sweden

The influence of psychosocial factors on quality of life among women with pain: a prospective study in Sweden

Health-related quality of life and physical recovery after a critical illness: a multi-centre randomised controlled trial of a home-based physical rehabilitation program

Critical Care Nurses' Pain Assessment and Management Practices: A Survey in Canada

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