Pain Behaviour of critically ill Patients on Mechanical Ventilation During Nursing Interventions at Governmental Hospital

Pain Behaviour of critically ill Patients on Mechanical Ventilation During Nursing Interventions at Governmental Hospital– Sana'a-Yemen

Published:2023-07-04 Issue: Volume: Page:
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Author:

Haza’a Abdulnasser A.¹,Odhah Marzoq A.¹,Al-Ahdal Saddam A.¹,Al-Awar Muhammad S.¹,Al-Jaradi Abdulfatah S.¹,AlNathari Laila M.¹,Aljaboobi Lama M.¹

Affiliation:

1. Al-Razi University

Abstract

Abstract Background: Patients who are mechanically ventilated frequently feel pain. Mechanically ventilated patients' pain is made worse by factors like illness level, invasive treatments, and surgical interventions. The aim of study: to examine the pain behaviour of patients on mechanical ventilation during nursing interventions. Methods: From November 2022 to February 2023 data collection done, 150 mechanically ventilated patients at a government hospital were included in the sample using a cross-sectional descriptive design. Both before and during nursing interventions, pain evaluations were conducted by "Ramsay Sedation Scale" and "Behavioural Pain Scale". The difference between pain level and hemodynamic parameters before and during the procedure was assessed using the Wilcoxon-signed rank test. It was agreed that a p-value of 0.05 was statistically significant. Results: The majority of patients (62% of them were male and aged between 53 and 69 years) had a history of illness. The interventions that resulted in a difference in pain scores were bed bathing, tracheal suction, oropharyngeal suction, nasogastric intubation, oral care, repositioning, perineum care, and IV catheterization; however, there was no significant increase in SBP scores during eye care or nasotracheal suction, while there was a significant rise in all physiological parameters during these procedures. Conclusion: Patients on mechanical ventilation feel pain before and during nursing intervention. In fact, harmless and comforting operations injure. Nurses must take care-related suffering linked with their interventions into consideration while caring for critically sick nonverbal patients. It might be deceptive to use changes in vital signs as the main indicator of pain.

Publisher

Research Square Platform LLC

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