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274033

Behavioral Pain Scale versus Critical Care Pain Observational Tool on Mechanically Ventilated Patient

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Last updated: 03 Jan 2025

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Abstract

Background: Critically ill patients frequently experience both procedural pain and pain at rest. Untreated acute pain in adult ICU patients can lead to short- and long-term physiological and psychological complications such as postoperative myocardial infarction, insufficient sleep and posttraumatic stress disorder. Aim: This study was conducted to assess pain intensity for mechanically ventilated patient through: Applying Critical care Pain Observational Tool for mechanically ventilated patient, Applying Behavioral Pain Scale for mechanically ventilated patient and Compare between critical care observational tool and behavioral pain scale. Method: This study was conducted at surgical Intensive care Units at Ain Shams University Hospital. Research Design: A comparative, descriptive study utilized for the conduction of this study. Sample: A purposive sample of (80) patients in surgical intensive care unit at Ain Shams University Hospital. Tools: 1) Patient assessment record 2) Critical care pain observational tool 3) Behavioral pain scale. Results: The results of this study shows that, (62.5%) of them were males with mean age of 54±12.30 years old. 68.8% had mechanical ventilation for the first time While 73.8% of them were on SIMV mode. Regarding internal consistency the critical care observational tool were more than the behavioral pain scale. Regarding inter rater reliability the critical care observational tool was (0.904). While the behavioral pain scale was (0.851). Regarding the inter rater reliability the critical care observational tool was (0.632), while the behavioral pain scale was (0.515). A significant positive correlation of pain score during procedure and 10 minutes after using both scales. at r.0.387 and 0.248. Conclusion: The current study concluded that, the Critical pain observation tool is more accurate than Behavioral pain scale due to: Internal consistency "Cronbach alpha", Inter-rater reliability "ICCs" and test-retest reliability "correlation coefficient" at critical pain observation higher than observational pain scale Recommendations: Developing a simplified and comprehensive booklet including guidelines about how to use and implement the behavioral pain scale and critical care pain observational tool in intensive care units

DOI

10.21608/ejhc.2019.274033

Keywords

critical care pain observational tool, Behavioral pain scale

Authors

First Name

Noha

Last Name

Mohamed El Sayed

MiddleName

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Affiliation

Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University

Email

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City

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Orcid

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First Name

Sahar

Last Name

Yassien

MiddleName

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Affiliation

Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University

Email

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City

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Orcid

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First Name

Dalia

Last Name

Ali Amin

MiddleName

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Affiliation

Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University

Email

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City

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Orcid

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Volume

10

Article Issue

4

Related Issue

9477

Issue Date

2019-12-01

Receive Date

2022-12-13

Publish Date

2019-12-01

Page Start

739

Page End

747

Print ISSN

1687-9546

Link

https://ejhc.journals.ekb.eg/article_274033.html

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https://ejhc.journals.ekb.eg/service?article_code=274033

Order

274,033

Type

Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Behavioral Pain Scale versus Critical Care Pain Observational Tool on Mechanically Ventilated Patient

Details

Type

Article

Created At

22 Jan 2023