Shahriari Mohsen, Golshan Alireza, Alimohammadi Nasrollah, Abbasi Saeid, Fazel Kamran
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
MSc. Nursing Student Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2015 Jul-Aug;20(4):502-7. doi: 10.4103/1735-9066.160996.
Critical care patients are at higher risk for untreated pain. Pain has persistent and untreated effects on most of the body systems and results in development of complications, chronic pain, and increased length of stay. The aim of this study was to determine the effects of the implementation of a pain management program on the length of stay in patients with decreased level of consciousness, admitted in Al-Zahra hospital intensive care units (ICUs) in 2013.
In this clinical trial, 50 subjects with decreased level of consciousness were selected by convenient sampling from the ICU wards of Al-Zahra hospital, Isfahan, Iran and were randomly assigned to two groups of study and control. Pain management program was applied on the study group and routine care was implemented in the control group. Data including demographic data and length of stay of patients in the ICUs were collected and analyzed using descriptive statistics and Chi-square test, independent t-test, and paired t-test.
Results showed that out of 50 subjects attending the study, there were 40% female and 60% male subjects in study, and 52% female and 48% male subjects in control group. (P = 0.395). Overall mean length of stay of the patients in the ICUs was significantly lower in the case group [3.2 (1.4)] days compared to the control group [7.4 (4.8) days] (P < 0.001).
This study showed that overall mean length of stay of patients in the ICUs was significantly lower in the study group compared to the control group. It is suggested to use this program for patients in ICUs with decreased level of consciousness after a general surgery.
重症监护患者面临未治疗疼痛的风险更高。疼痛会对大多数身体系统产生持续且未得到治疗的影响，并导致并发症、慢性疼痛的发生以及住院时间延长。本研究的目的是确定实施疼痛管理计划对2013年入住伊斯法罕扎赫拉医院重症监护病房（ICU）的意识水平下降患者住院时间的影响。
在这项临床试验中，通过便利抽样从伊朗伊斯法罕扎赫拉医院的ICU病房选取了50名意识水平下降的受试者，并将其随机分为研究组和对照组。研究组实施疼痛管理计划，对照组实施常规护理。收集包括人口统计学数据和患者在ICU的住院时间等数据，并使用描述性统计、卡方检验、独立t检验和配对t检验进行分析。
结果显示，参与研究的50名受试者中，研究组女性占40%，男性占60%，对照组女性占52%，男性占48%。（P = 0.395）。病例组患者在ICU的总体平均住院时间[3.2（1.4）]天显著低于对照组[7.4（4.8）天]（P < 0.001）。
本研究表明，与对照组相比，研究组患者在ICU的总体平均住院时间显著更短。建议对普通外科手术后意识水平下降的ICU患者使用该计划。
