Vital signs fluctuations and their relationship with pain in the brain-injured adult critically ill - A repeated-measures descriptive-correlational study

被引：5

作者：

Boitor, Madalina ^{[1
,2
,3
]}

Richard-Lalonde, Melissa ^{[2
,3
,4
]}

Berube, Melanie ^{[5
,6
]}

Emilie, Gosselin ^{[7
]}

Gelinas, Celine ^{[2
,3
,4
]}

机构：

[1] McGill Univ, Fac Dent, 3640 Univ St, Montreal, PQ H3A 0C7, Canada

[2] Jewish Gen Hosp, Ctr Nursing Res, 3755 Cote Ste Catherine Rd, Montreal, PQ H3T 1E2, Canada

[3] Jewish Gen Hosp, Lady Davis Inst, 3755 Cote Ste Catherine Rd, Montreal, PQ H3T 1E2, Canada

[4] McGill Univ, Ingram Sch Nursing, 680 Sherbrooke West,Suite 1800, Montreal, PQ H3A 0C7, Canada

[5] Univ Laval, Fac Nursing, 1050 Ave Med,Room 3486, Quebec City, PQ G1V 0A6, Canada

[6] Univ Laval, Populat Hlth & Optimal Hlth Practices Res Unit, Trauma Emergency Crit Care Med, Ctr Rech,CHU Quebec, 1401 18e Rue,Room Z-243, Quebec City, PQ G1J 1Z4, Canada

[7] Sherbrooke Univ, Sch Nursing, 3001 12e Ave N, Sherbrooke, PQ J1H 5N4, Canada

来源：

INTENSIVE AND CRITICAL CARE NURSING | 2019年 / 55卷

关键词：

Brain injury; Critical care; Pain; Vital signs; INTENSIVE-CARE-UNIT; CONFUSION ASSESSMENT METHOD; OBSERVATION TOOL; DELIRIUM; VALIDATION; RELIABILITY; MANAGEMENT; SEDATION; VALIDITY;

D O I：

10.1016/j.iccn.2019.07.002

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Objectives: To evaluate the use of vital signs for pain detection in brain-injured patients in the intensive care unit. Design: A repeated-measures descriptive-correlational study. Setting: Two neurological intensive care units in Montreal, Canada. A total of 101 brain-injured patients were included. Main outcome measures: This study examined the fluctuations in systolic and diastolic blood pressure, heart and respiratory rates, and oxygen saturation in brain-injured critically ill patients before, during, and 15 minutes after turning and soft touch using a data collection computer. When possible, patients' pain self-reports were obtained using a 0-10 Faces Pain Thermometer. Results: The heart and respiratory rates were higher during turning than soft touch and higher during the procedure compared to prior (p < 0.05), but their fluctuation was modest. The systolic blood pressure increased during both turning and soft touch by 2 mmHg, but was 26.6 mmHg higher for those who reported pain versus no pain (Mann-Whitney = 25.00, p = 0.008, n = 28). A moderate correlation was observed between the systolic blood pressure (Spearman's rho = 0.617, p = 0.004, n = 24) and self-reported pain intensity during turning. No significant effects were observed for diastolic blood pressure and oxygen saturation. Conclusion: Only increases in systolic blood pressure were positively associated with pain in this sample and replication studies with larger samples is needed. (C) 2019 Published by Elsevier Ltd.

引用

页数：6