Invasive and noninvasive procedures performed in the cardiac surgical intensive care and postoperative pain Kardiyak cerrahi yoǧun bakimda uygulanan i̇nvaziv ve noninvaziv girişimler ve postoperatif aǧri
Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi, cilt.19, sa.4, ss.184-190, 2013 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 19 Sayı: 4
- Basım Tarihi: 2013
- Doi Numarası: 10.5222/gkdad.2013.184
- Dergi Adı: Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.184-190
- Anahtar Kelimeler: Cardiac surgery, Hemodynamic parameters, Invasive and noninvasive interventions, Pain
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
Aim: To determine the effect of invasive and noninvasive interventions implemented in intensive care unit on the pain and hemodynamic parameters of cardiac surgery patients. Material and Method: This study was a prospective, pre-post measured clinical trial. Invasive and noninvasive interventions were determined as coughing, and breathing exercises, milking drains, mobilization, removal of the drain, and endoracheal aspiration. Numerical Rating Scale was used for determining pain perceptions immediately before and after interventions. Blood pressures and heart rates (pulses) were also recorded prior to the procedure and immediately following the interventions. Pain treatment applications were recorded before one hour after these implementations. Sixty two patients were included in the study. Wilcoxon Signed Rank test was used for statistical analyses and p values of <0.05 were accepted as being statistically significant. Results: Mean age of the patients were 51.25±18.05 years, most of them were (87.1%) male, and 74.2% of the patients had undergone coronary by-pass grafting surgery. The patients' pain scores increased statistically significantly after all invasive and noninvasive interventions (p<0.05). The highest pain scores were recorded in endotracheal suctioning before and after endotracheal applications (7.30±1.04 and 8.80±1.25, respectively). The patients' systolic and diastolic blood pressures and pulse rates statistically significantly increased after drain removal and endotracheal aspiration interventions (p<0.05). Conclusion: All patients' pain scores and hemodynamic parameters increased after invasive and noninvasive interventions. It was concluded that individual pain assessment and proper pain treatment needed before such interventions.