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Titre : | Impact of a Clinical Therapeutic Intervention on Pain Assessment, Management, and Nursing Practices in an Intensive Care Unit: A before-and-after Study (2018) |
Auteurs : | Vincenzo Damico ; Flavio Cazzaniga ; Rita Ciceri ; et al. |
Type de document : | Article |
Dans : | Pain Management Nursing (Vol. 19, n°3, June 2018) |
Article en page(s) : | p. 256-266 |
Note générale : | DOI: https://doi.org/10.1016/j.pmn.2018.01.007 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Gestion de la douleur ; Pratique professionnelle ; Psychothérapie ; Unités de soins intensifs |
Résumé : | Background: Accurate pain assessment and management constitute a major challenge for medical and nursing staff in intensive care units (ICUs). A distinct recollection of pain is reported by high proportions of ICU patients. Purpose: A clinical therapeutic intervention directed at improving pain assessment and management in critically ill patients who are unable to communicate was implemented at an Italian ICU. Methods: In this before-and-after study, data were collected before (T0) and after (T1) the adoption of a protocol involving pain assessment with an ad hoc behavioral pain scale and the administration of analgesics, rather than sedatives, to patients with intermediate to high pain scores. Results: The main outcome measure was pain recollection a year after discharge; secondary outcome measures were the use and doses of sedatives and analgesics. A significantly (p = .037) smaller proportion of patients treated after protocol adoption recollected feeling severe pain compared with patients treated before the protocol was introduced. This group also received significantly (p |
Disponible en ligne : | Non |
Exemplaires (2)
Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|
REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |
REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |