Determination of Procedural Pain Intensity: Adult Intensive Care Unit Survey

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Yılmaz M.

International Journal of Caring Sciences, vol.13, no.1, pp.497-506, 2020 (Refereed Journals of Other Institutions)

  • Publication Type: Article / Article
  • Volume: 13 Issue: 1
  • Publication Date: 2020
  • Title of Journal : International Journal of Caring Sciences
  • Page Numbers: pp.497-506


Background: Pain is a major problem for patients expose to many invasive and noninvasive procedures in the intensive care unit (ICU).

Aim: To determine the procedural pain intensity of adult patients in ICUs.

Methods: This is a prospective observational study. The study was conducted in the general intensive care in the 2nd and 3rd stage clinic of a state hospital in Turkey. 64 patients were evaluated, and data was collected by observation using a questionnaire form and the Critical Care Pain Observation Tool (CPOT). The pain intensity of the patients was determined according to CPOT in endotracheal suctioning (ES) and position change (PC) procedures (before, during, and after 20 minutes).

Results: Most of the patients were male, 70 years and over, 71.9% of which were in the ICUs for 0-10 days. The mean CPOT score of the patients in ES procedures was measured as 0.52 before the procedure, 2.90 during the procedure, and 0.55 after the procedure. Their mean CPOT scores in PC was measured before, during and after the procedure as 0.42, 1.30, and 0.42, respectively (p<0.000).

Conclusion: According to CPOT, the pain intensity scores of the patients were higher during ES than PC in the ICU.

Keywords: Intensive Care, Pain, Position Change, Endotracheal Suctioning.