Anesthesiology and Pain
بیهوشی و درد
JAP
Medical Sciences
http://jap.iums.ac.ir
1
admin
2228-6659
2322-3324
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fa
jalali
1391
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gregorian
2012
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online
1
fulltext
fa
بررسی تاثیر به کارگیری مقیاس رفتاری سنجش درد (BPS) در پایش درد بیماران دچار کاهش سطح هوشیاری
The effectiveness of Behavioral Pain Scale in the assessment of pain in patients with low level of consciousness
عمومى
General
پژوهشي
Original
<p class="MsoNormal" dir="rtl" style="line-height: normal margin: 0cm 18pt 0pt 0cm"><strong><span b="" font-size:="" style="font-family: ">زمینه و هدف:</span></strong><span b="" font-size:="" style="font-family: "> در بیماران کاهش سطح هوشیاری اغلب به دلیل وجود موانع برقراری ارتباط، تشخیص درد کاری دشواراست، لذا این مطالعه با هدف ارزیابی تاثیر به کارگیری مقیاس </span><span 12pt="" b="" font-size:="" mso-bidi-font-family:="" new="" style="font-family: " times="">BPS</span><span b="" font-size:="" style="font-family: "> توسط پرستاران در تشخیص و پایش درد بیماران دچار کاهش سطح هوشیاری بستری در</span><span b="" font-size:="" style="font-family: ">بخش مراقبت­های ویژه</span><span b="" font-size:="" style="font-family: "> جنرال که قادر به گزارش درد خود نبودند</span><span 13pt="" 14pt="" b="" class="MsoNormal" dir="rtl" font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" new="" p="" span="" style="font-family: " times=""> </span></p>
<p class="MsoNormal" dir="rtl" style="text-align: justify line-height: normal margin: 0cm 18pt 0pt 0cm"><strong><span style="text-decoration: underline"><span b="" font-size:="" style="font-family: ">مواد و روش­ها:</span></span></strong><span b="" font-size:="" style="font-family: "> </span><a name="OLE_LINK47"></a><a name="OLE_LINK42"></a><a name="OLE_LINK8"><span style="mso-bookmark: OLE_LINK42"><span style="mso-bookmark: OLE_LINK47"><span b="" font-size:="" style="font-family: ">این<span style="mso-spacerun: yes"> </span>مطالعه نیمه تجربی بر روی کلیه پرستاران شاغل در </span></span></span></a><span style="mso-bookmark: OLE_LINK8"><span style="mso-bookmark: OLE_LINK42"><span style="mso-bookmark: OLE_LINK47"><span .="" 12pt="" 13pt="" 68="" b="" class="MsoNormal" dir="rtl" font-size:="" mso-ascii-font-family:="" mso-bidi-font-family:="" mso-hansi-font-family:="" new="" p="" span="" style="font-family: " times=""> </span></span></span></span></p>
<p class="MsoNormal" dir="rtl" style="line-height: normal margin: 0cm 18pt 0pt 0cm"><span style="mso-bookmark: OLE_LINK8"><span style="mso-bookmark: OLE_LINK42"><span style="mso-bookmark: OLE_LINK47"><a name="OLE_LINK60"></a><a name="OLE_LINK61"><span style="mso-bookmark: OLE_LINK60"><strong><span style="text-decoration: underline"><span b="" font-size:="" style="font-family: ">یافته­ها:</span></span></strong></span></a><span style="mso-bookmark: OLE_LINK61"><span style="mso-bookmark: OLE_LINK60"><strong><span style="text-decoration: underline"><span dir="ltr" lang="FA" style="font-size: 12pt mso-bidi-font-family: &aposB Nazanin&apos"><span style="font-family: Calibri"> </span></span></span></strong></span></span><span style="mso-bookmark: OLE_LINK61"><span style="mso-bookmark: OLE_LINK60"><span b="" font-size:="" style="font-family: "><span style="mso-spacerun: yes"> </span>قبل از مداخله (بکارگیری مقیاس</span></span></span><span style="mso-bookmark: OLE_LINK61"><span style="mso-bookmark: OLE_LINK60"><span 13pt="" b="" font-size:="" mso-bidi-font-family:="" new="" style="font-family: " times=""> </span></span></span><span style="mso-bookmark: OLE_LINK61"><span style="mso-bookmark: OLE_LINK60"><span 12pt="" b="" font-size:="" mso-bidi-font-family:="" new="" style="font-family: " times="">BPS</span></span></span><span style="mso-bookmark: OLE_LINK61"><span style="mso-bookmark: OLE_LINK60"><span b="" font-size:="" style="font-family: ">) درحالت استراحت 5/20 % وپس از مداخله56 %</span></span></span></span></span></span></p>
<p><span style="mso-bookmark: OLE_LINK8"><span style="mso-bookmark: OLE_LINK42"><span style="mso-bookmark: OLE_LINK47"> </span></span></span></p>
<p class="MsoNormal" dir="rtl" style="line-height: normal margin: 0cm 18pt 0pt 0cm"><span style="mso-bookmark: OLE_LINK8"><span style="mso-bookmark: OLE_LINK42"><span style="mso-bookmark: OLE_LINK47"><span b="" font-size:="" style="font-family: ">درهنگام تغییر وضعیت، قبل از مداخله ، 58</span><span 13pt="" calibri="" font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" style="font-family: ">٪ </span><span b="" font-size:="" style="font-family: ">و پس از مداخله 76</span><span 13pt="" calibri="" font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" style="font-family: ">٪</span><span b="" font-size:="" style="font-family: "> و در هنگام ساکشن ترشحات، قبل از مداخله ، 60</span><span 13pt="" calibri="" font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" style="font-family: ">٪</span><span b="" font-size:="" style="font-family: "> و پس از مداخله 80% از پرستاران</span><span style="font-family: " b="" nazanin"="" font-size:="" 13pt="" mso-ascii-font-family:="" "times="" new="" roman"="" mso-hansi-font-family:="" roman""="">وجود درد را در بیماران تشخیص دادند </span><span b="" font-size:="" style="font-family: ">(</span><span dir="ltr" lang="FA" style="font-size: 13pt mso-bidi-font-family: &aposB Nazanin&apos"><span style="font-family: Calibri"> </span></span><span 13pt="" calibri="" font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" new="" style="font-family: " times="">05/0></span><span dir="ltr" style="font-size: 13pt mso-bidi-font-family: &aposTimes New Roman&apos"><span style="font-family: Calibri"> (p</span></span><span b="" font-size:="" style="font-family: ">. </span></span></span></p>
<p class="MsoNormal" dir="rtl" style="text-align: justify line-height: normal margin: 0cm 18pt 0pt 0cm"><span style="mso-bookmark: OLE_LINK8"><span style="mso-bookmark: OLE_LINK42"><strong><span style="text-decoration: underline"><span b="" font-size:="" style="font-family: "><span style="text-decoration: none"> </span></span></span></strong></span></span></p>
<p class="MsoNormal" dir="rtl" style="text-align: justify line-height: normal margin: 0cm 18pt 0pt 0cm"><span style="mso-bookmark: OLE_LINK8"><span style="mso-bookmark: OLE_LINK42"><strong><span style="text-decoration: underline"><span b="" font-size:="" style="font-family: ">نتیجه­گیری:</span></span></strong><strong><span style="text-decoration: underline"><span dir="ltr" lang="FA" style="font-size: 12pt mso-bidi-font-family: &aposB Nazanin&apos"><span style="font-family: Calibri"> </span></span></span></strong><a name="OLE_LINK216"></a><a name="OLE_LINK217"></a><span b="" font-size:="" style="font-family: "><span style="mso-spacerun: yes"> </span>به کارگیری مقیاس </span><span 12pt="" b="" font-size:="" mso-bidi-font-family:="" new="" style="font-family: " times="">BPS</span><span b="" font-size:="" style="font-family: "> در توانایی تشخیص و پایش درد بیماران دچار کاهش سطح هوشیاری، موثر بوده و تیم مراقبت درمانی را قادر می­سازد تا از روی علائم رفتاری، در بیمارانی که قادر به بیان درد خود نیستند، به طور قابل­توجهی درد را<span style="mso-spacerun: yes"> </span>تشخیص و مدیریت نمایند. </span></span></span></p>
<p class="MsoNormal" style="text-align: left margin: 0cm 0cm 10pt unicode-bidi: embed direction: ltr"><span style="font-size: small"><font face="Calibri"><strong>Background and aims: </strong>Pain diagnosis is a frustrating effort especially due to the barriers in communication with patients in low level of consciousness therefore this study ,aimed at the evaluation of<span style="mso-spacerun: yes"> </span>utilizing BPS by nurses for patients who are unable to express their pain because of their low level of consciousness, has been designed. </font></span></p>
<p class="MsoNormal" style="text-align: left margin: 0cm 0cm 10pt unicode-bidi: embed direction: ltr"><span style="font-size: small"><font face="Calibri"><strong>Materials and methods:</strong> This research is a semi-empirical study on sixty eight nurses chosen with a census method from the staff of ICU in selected hospitals of Hamadan University of Medical Sciences. The subjects’ abilities in diagnosis and determining the intensity of pain have been measured in three phases of resting, changing position and secretion suction in ICU patients before and after utilizing behavioral pain scale (BPS)</font></span></p>
<p class="MsoNormal" style="text-align: left margin: 0cm 0cm 10pt unicode-bidi: embed direction: ltr"><span style="font-size: small"><font face="Calibri"><strong>Findings:</strong> In Resting phase %25.5 in BPS pre-training, %56 in BPS post training, in changing position phase %58 in BPS pre-training,%76 in post training , and in secretion suction phase %60 in BPS pre-training and %80 in BPS post training of the nurses were able to determine the pain intensity. After being trained, also the number of the nurses who reported the intensity of pain in the mentioned phases was increased compared to BPS pre-training. (P<0.05)</font></span></p>
<p><strong><span 11pt="" arial="" en-us="" fa="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" style="line-height: 115% font-family: " times="">Conclusion:</span></strong><span 11pt="" arial="" en-us="" fa="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" style="line-height: 115% font-family: " times=""> The results of this study in utilizing BPS indicate that this scale has been effective in diagnosing and monitoring pain in patients with low levels of consciousness Therefore teaching and utilizing this kind of scale can be effective to raise the quality of medical treatment and pain management in ICU.</span></p>
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http://jap.iums.ac.ir/browse.php?a_code=A-10-25-26&slc_lang=fa&sid=1
Mahmood safari1, Ladan Sedighi2, GHolamHossain Fallahi Nia1, Farshid Rahimi Bashar3,
Ali Reza Soltanian4, Mahshid Nikoo Seresht3
محمود صفری، لادن صدیقی، غلامحسین فلاحی نیا،
فرشید رحیمی بشر، علیرضا سلطانیان، مهشید نیکوسرشت
100319475328460013556
100319475328460013556
Yes