Harrison M, Cotanch P H
Nurs Clin North Am. 1987 Sep;22(3):691-7.
The milieu of the critical care unit is stressful for both the patient and health care professionals. As such, it has the potential to increase pain perception in patients, and decrease the nurse's awareness of pain relief needs of the patient. Several physical and pharmacologic methods of pain relief were discussed in this article. Nontechnologic analgesia such as hypnosis and relaxation were introduced as adjuncts or alternatives to more familiar methods of pain relief. Although critically ill patients are not always able to express their discomfort, it is the responsibility of the nurse to recognize the potential for pain, and plan treatment accordingly. This article suggests several strategies for dealing with pain in critically ill patients.
重症监护病房的环境对患者和医护人员来说都充满压力。因此,它有可能增加患者的疼痛感知,并降低护士对患者疼痛缓解需求的认知。本文讨论了几种物理和药物止痛方法。诸如催眠和放松等非技术镇痛方法被作为更常见止痛方法的辅助手段或替代方法引入。尽管重症患者并不总是能够表达他们的不适,但识别疼痛的可能性并据此制定治疗计划是护士的职责。本文提出了几种应对重症患者疼痛的策略。