DEMOGRAPHIC PROFILE OF MECHANICALLY VENTILATED CRITICALLY ILL ADULT PATIENT WITH PAIN
Abstract
Background: Pain is experience of critically ill adult patient with ventilator. It is various among patient from moderate to severe. Factors that may affect pain in critical patients include gender, age, severity of the disease and type of sedative use. Objective: to determine the demographics of critically ill adult patients with ventilator who experience pain. Method: This is a non-experimental quantitative study with 66 ventilated adult patient in the ICUs of the 3 hospitals in Semarang. Results: The results showed that critically aged patients with 41-60 years old pain experienced 38.3%, over 60 years of 38.8%, the almost gender is man of 66.7% with the most medical diagnoses were respiratory disorders by 45% and no use sedation is 83.3%. Conclusions: The pain experienced in adult critical patients can be seen from the demographics of patients such as age, gender, medical diagnosis and sedation use.
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Keywords : Pain assessment, criticall ill, adult, ventilatorFull Text:
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Ahlers, S. J. G. M., Gulik, L. Van, Veen, A. M. Van Der, Dongen, H. P. A. Van, Bruins, P., Belitser, S. V, … Knibbe, C. A. J. (2008). Comparison of different pain scoring systems in critically ill patients in a general ICU. Critical Care, 12(1), 1–8. doi:10.1186/cc6789
Aitken, L. M., Marshall, A. P., Elliott, R., & McKinley, S. (2009). Critical care nurses’ decision making: Sedation assessment and management in intensive care. Journal of Clinical Nursing, 18(1), 36–45. doi:10.1111/j.1365-2702.2008.02318.x
Alderson, S. M., & Mckechnie, S. R. (2013). Unrecognised , undertreated , pain in ICU : causes , effects , and how to do better. Open Journal of Nursing, 3(March 2013), 108–113. doi:10.4236/ojn.2013.31014
Arroyo-Novoa, C. M., Figueroa-Ramos, M. I., Puntillo, K. A., Stanik-Hutt, J., Thompson, C. L., White, C., & Wild, L. R. (2008). Pain related to tracheal suctioning in awake acutely and critically ill adults: A descriptive study. Intensive and Critical Care Nursing, 24(1), 20–27. doi:10.1016/j.iccn.2007.05.002
Black, J.M; Hawks, J. . (2014). Keperawatan medikal bedah, manajemen klinis untuk hasil yang diharapkan (8th ed.). Singapore: Elsevier Ltd.
Cade, C. H. (2008). Clinical tools for the assessment of pain in sedated critically ill adults. Nursing in Critical Care, 13(6), 288–297. doi:10.1111/j.1478-5153.2008.00294.x
Egerod, I., Chastensen, B. & Johansen, L. (2006). Nurses’ and Physicians’ sedation practices in Danish ICUs in 2003; A national survey. Intensive and Critical Care Nursing, 22, 22–31.
Fillingim, R. B., King, C. D., Ribeiro-Dasilva, M. C., & Riley III, J. L. (2009). Sex, gender, and pain: a review of recent clinical and experimental findings. Journal of Pain, 10(5), 447–485. doi:10.1016/j.jpain.2008.12.001.Sex
Gelinas, C., Arbour, C., Michaud, C., Vaillant, F., & Desjardins, S. (2011). Implementation of the critical-care pain observation tool on pain assessment/management nursing practices in an intensive care unit with nonverbal critically ill adults: a before and after study. International Journal of Nursing Studies, 48(12), 1495–504. doi:10.1016/j.ijnurstu.2011.03.012
Gelinas, C., Echegaray-Benites, C., & Kapoustina, O. (2014). Validation of the use of the Critical-Care Pain Observation Tool (CPOT) with brain surgery patients in the neurosurgical intensive care unit. Intensive and Critical Care Nursing, 30(5), 257–265. doi:10.1016/j.iccn.2014.04.002
Gelinas, C., Harel, F., Fillion, L., Puntillo, K. A., & Johnston, C. C. (2009). Sensitivity and Specificity of the Critical-Care Pain Observation Tool for the Detection of Pain in Intubated Adults After Cardiac Surgery. Journal of Pain and Symptom Management, 37(1), 58–67. doi:10.1016/j.jpainsymman.2007.12.022
Gelinas, Celine, Chanques, Gerald, Puntillo, K. (2014). In pursuit of pain : recent advances and future directions in pain assessment in the ICU, 1009–1014. doi:10.1007/s00134-014-3299-3
Jacobi, J., Fraser, J. & Cousin, D., et al. (2002). Clinical guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Critical Care Medicine, 30, 119–141.
Logan, E, D., & Rose, B, J. . (2004). Gender differences in post-operative pain and patient controlled analgesia use among adolescent surgical patients. Retrieved from http://www.sciencedirect.com/science/ article/pii/S0304395904001186
Marmo, L., & Fowler, S. (2010). Pain assessment tool in the critically Ill post-open heart surgery patient population. Pain Management Nursing, 11(3), 134–140. doi:10.1016/j.pmn.2009.05.007
Nurdin AE. (2010). Pendekatan Psikoneuroimunologi. Majalah Kedokteran Andalas, 34(2), 92–101.
Payen, J.-F., Bosson, J.-L., Chanques, G., Mantz, J., & Labarere, J. (2009). Pain assessment is associated with decreased duration of mechanical ventilation in the intensive care unit. Anesthesiology, 111(6), 1308–1316.
Puntillo, K., White, C. & Morris., et al. (2001). Patient’s perceptions and responses to procedural pain: Results from Thunder 2 project. American Journal of Critical Care, 10, 238–251.
Rose, L., Smith, O., G??linas, C., Haslam, L., Dale, C., Luk, E., … Watt-Watson, J. (2012). Critical care nurses’ pain assessment and management practices: A survey in Canada. American Journal of Critical Care, 21(4), 251–259. doi:10.4037/ajcc2012611
Stanik, J. (2014). Pain Management in the Critically Ill. Critical Care Nurse, 23(800), 99–103.
Stites M. (2008). Clinical tools for the assessment of pain in sedated critically ill adults. British Association of Critical Care Nurses, Nursing Critical Care.
Sutari, M. M. Al, Abdalrahim, M. S., Hamdan-mansour, A. M., & Ayasrah, S. M. (2014). Pain among mechanically ventilated patients in critical care units, (August), 1–7.
Vazquez, M., Pardavila, M.-I., Lucia, M., Aguado, Y., Margall, M. Ã., & Asiain, M. C. (2011). Pain assessment in turning procedures for patients with invasive mechanical ventilation. Nursing in Critical Care, 16(4), 178–85. doi:10.1111/j.1478-5153.2011.00436.x
Wahyuningsih, I. S., Prasetyo, A., & Utami, R. S. (2017). Sensitivity and Specificity of the Comfort Scale to Assess Pain in Ventilated Critically Ill Adult Patients in Intensive Care Unit, 7(1), 35–45.
DOI: http://dx.doi.org/10.30659/nurscope.3.1.54-61
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