중환자실 내 간호시술에 대한 간호사의 통증인식과 환자의 통증반응 = Pain Perception of Nurses and Pain Expression of Patients in Critical Care Units

다국어 초록 (Multilingual Abstract)

Purpose: This study was done to identify pain perception (P-PER) by nurses and pain expression (P-EXP) by patients in critical care units(ICUs) and degree of agreement between nurses’ P-PER and patients’ P-EXP. Methods: Nurses’ P-PER was measured with a self-administeredquestionnaire completed by 99 nurses working in ICUs during May, 2013. Patients’ P-EXP was measured with the Critical CareNon-Verbal Pain Scale through observations of 31 ICU patients during nine nursing procedures (NPs) performed between May and July,2013. Results: Nurses’ P-PER was from 4.49 points for nasogastric tube (NGT) insertion to 0.83 for blood pressure (BP) measurementbased on a 9-point scale, Patients’ P-EXP was 4.48 points for NGT to 0.18 for BP measurement based on a 10-point scale. Eight NPs exceptoral care showed higher scores for nurses’ P-PER than for patients’ P-EXP. Position change (p=.019), subcutaneous injection(p<.001), blood sugar test (p<.001), and BP measurement (p<.001) showed significant differences between nurses’ P-PER and patients’P-EXP. Conclusion: Nasogastric tube (NGT) insertion was scored highest by both nurses and patients. Eight NPs except ‘oral care’showed nurses’ P-PER was higher or similar to patients’ P-EXP, which indicates that nurses may overestimate procedural pain experiencedby patients.

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