增加探视时间对重症监护病房患者疼痛参数及意识水平的影响

davood hekmat po, F. Rafiei, Mohammad Khajehgoodari, Mokhtar Mahmoudi, P. Asgari
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引用次数: 2

摘要

增加探视时间对重症监护病房患者疼痛参数和意识水平的影响作者:asgari, Mahmoudi M. *, davood hekmatpou, mohammad khajeh goodary, fatemeh rafiei摘要:目的:重症监护病房住院患者最重要的需求之一是患者家属的探视,但这种需求在重症监护病房非常有限。本研究的目的是确定增加探视时间对重症监护病房住院患者疼痛和意识水平的影响。材料与方法:本临床试验采用方便抽样法,选取2013-2014年伊朗阿拉克市Vali-Asr医院重症监护病房住院患者60例,随机分为干预组和对照组。干预组每天3次(上午9点、12点和下午15点),每次10分钟;对照组每天一次(下午15点),每次10分钟。然后分别在家属探视前、探视中、探视后10分钟和30分钟测量患者的疼痛和意识水平。数据在SPSS 20软件中进行分析,采用卡方、配对T、独立T和重复测量方差分析检验。结果:干预前两组患者的疼痛和意识水平比较,差异均无统计学意义(p>0.05)。对照组患者就诊前与就诊后30min疼痛程度及意识水平差异无统计学意义(p>0.05)。干预组患者就诊前、就诊后30min (9am、12am、15pm)疼痛程度差异有统计学意义(p < 0.05)。结论:增加对病人的探视时间可以减轻重症监护病房住院病人的痛苦。关键词:病人探访,疼痛,意识监测仪,重症监护病房,
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Effect of Increasing the Visitation Time on Pain Parameters and Consciousness Level of Intensive Care Unit’s Patients
Effect of Increasing the Visitation Time on Pain Parameters and Consciousness Level of Intensive Care Unit’s Patients Author(s): asgari, Mahmoudi M. *, davood hekmatpou, mohammad khajeh goodary , fatemeh rafiei Abstract: Aims: One of the most important needs of hospitalized patients in intensive care units is patients visiting by their family members, but it is very limited in these units. The aim of this study was to determine the effect of increased visiting to patients’ time on pain and level of consciousness of hospitalized patients in intensive care units. Materials & Methods: In this clinical trial, 60 hospitalized patients in intensive care units of Vali-Asr Hospital in Arak City, Iran, in 2013-2014 were selected by convenience sampling method and were randomly assigned into intervention and control groups. Each visiting was done for 10 minutes, 3 times a day (9- and 12am and 15pm) in the intervention group and for 10 minutes once a day (15pm) in the control group. Then patients’ pain and level of consciousness was measured before, during, and after 10 and 30 minutes of visiting by family. Data was analyzed in SPSS 20 software using Chi-square, paired T, independent T, and repeated measure ANOVA tests. Findings: There was no significant difference between pain and level of consciousness between 2 groups before intervention (p>0.05). There was no significant difference between the means of pain and level of consciousness before and 30min after the visiting at 15pm in control group (p>0.05). There were significant differences between the means of pain before and 30min after visiting at 9am, 12am and 15pm in intervention group (p 0.05). Conclusion: Increasing the time of visiting to patients decreases the pain of the hospitalized patients in intensive care units. Keywords: Visitors to Patients, Pain, Consciousness Monitors, Intensive Care Units,
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