Predictors and use of nonpharmacologic interventions for procedural pain associated with turning among hospitalized adults.
Predictors and use of nonpharmacologic interventions for procedural pain associated with turning among hospitalized adults.
复制标题
住院成人翻身相关手术性疼痛的预测因素和非药物干预措施的使用。
DOI：
10.1016/j.pmn.2010.02.004
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发表时间：
2013-06
影响因子：
1.7
通讯作者：
Puntillo, Kathleen
中科院分区：
文献类型：
--
作者：
Faigeles, Bonnie;Howie-Esquive, Jill;Miaskowski, Christine;Stanik-Hutt, Julie;Thompson, Carol;White, Cheri;Wild, Lone Rietman;Puntillo, Kathleen
Many hospitalized adults cannot reposition themselves in their beds. Therefore, they are regularly turned by their nurses, primarily to prevent pressure ulcer formation. Previous research indicates that turning is painful and that patients are rarely pre-medicated with analgesics. Non-pharmacologic interventions may be used to help with this painful procedure. However, no published research was found on the use of non-pharmacologic interventions for turning of hospitalized patients. 1) to describe patient pain characteristics during turning and their association with patient demographic and clinical characteristics; 2) to determine the frequency of use of various non-pharmacologic interventions for hospitalized adult patients undergoing the painful procedure of turning; and 3) to identify factors that predict the use of specific non-pharmacologic interventions for pain associated with turning. Hospitalized adult patients who experienced turning, the nurses caring for them, and others who were present at the time of turning were asked if they used various non-pharmacologic interventions to manage pain during the turning. Of 1395 patients, 92.5% received at least one non-pharmacologic intervention. Most frequently used were calming voice (65.7%), information (60.6%), and deep breathing (37.9%). Critical care patients were more likely to receive a calming voice (OR= 1.66, p<.01); receive information (OR=1.62, p<.001); and use deep breathing (OR= 1.36, p<.05) than those who were not critical care patients. Those reporting higher pain were consistently more likely to receive each of the three interventions (OR=1.01, p<.05 for all 3). Non-pharmacologic interventions are used frequently during a turning procedure. The specific interventions used most often are ones that can be initiated spontaneously. These data suggest that patients, nurses, and family members respond to patients’ turning-related pain by using non-pharmacologic interventions.
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影响因子：
4.7
作者：
Chen, W;Woods, SL;Puntillo, KA
通讯作者：
Puntillo, KA
影响因子：
2.8
作者：
Friesner, Stacy A.;Curry, Donna Miles;Moddeman, Gail R.
通讯作者：
Moddeman, Gail R.
影响因子：
1.9
作者：
Kwekkeboom, Kristine L
通讯作者：
Kwekkeboom, Kristine L
影响因子：
2.7
作者：
Puntillo, KA;Wild, LR;White, C
通讯作者：
White, C
影响因子：
2.7
作者：
Puntillo, K;Ley, SJ
通讯作者：
Ley, SJ