دورية أكاديمية
أعرض في EDS

Predicting Who Receives Nonpharmacologic Pain Interventions in the Pediatric Intensive Care Unit.

التفاصيل البيبلوغرافية
العنوان: Predicting Who Receives Nonpharmacologic Pain Interventions in the Pediatric Intensive Care Unit.
المؤلفون: Bohr NL; Department of Nursing Research and Evidence-Based Practice, University of Chicago Medicine, Chicago, Illinois; Section of Vascular Surgery and Endovascular Therapy, University of Chicago Biological Sciences Division, Chicago, Illinois. Electronic address: nicole.pierce@uchospitals.edu., Ely E; Department of Nursing Research and Evidence-Based Practice, University of Chicago Medicine, Chicago, Illinois., Hanrahan KS; Nursing Research and Evidence-Based Practice, University of Iowa Hospitals & Clinics, Iowa City, Iowa., McCarthy AM; College of Nursing, University of Iowa College of Nursing, Iowa City, Iowa., LaFond CM; Rush University Medical Center, Chicago, Illinois.
المصدر: Pain management nursing : official journal of the American Society of Pain Management Nurses [Pain Manag Nurs] 2022 Jun; Vol. 23 (3), pp. 267-272. Date of Electronic Publication: 2022 Feb 16.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: WB Saunders Co Country of Publication: United States NLM ID: 100890606 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8635 (Electronic) Linking ISSN: 15249042 NLM ISO Abbreviation: Pain Manag Nurs Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Philadelphia : WB Saunders Co., c2000-
مواضيع طبية MeSH: Intensive Care Units, Pediatric* , Pain*, Child ; Hospitalization ; Humans ; Pain Management ; Pain Measurement ; United States
مستخلص: Aims: The majority of patients in the pediatric intensive care unit (PICU) experience pain daily, while nonpharmacologic interventions are indicated for pain management in children, there is limited information on which nonpharmacologic interventions are provided in the PICU and which patients receive those interventions. The aim of this descriptive correlational secondary data analysis was to determine what nonpharmacologic interventions were recorded in the electronic health record of PICU patients and patterns in use by patient demographics.
Setting/subjects: All patients hospitalized in 15 participating PICUs are located within 12 unique children's hospitals across the United States were eligible for participation.
Methods: Nonpharmacologic interventions used in the PICU were identified and differences between patients who did and did not receive those interventions were examined using Fisher's exact test. A generalized linear mixed effects model was constructed to determine patient characteristics that predict nonpharmacologic pain intervention application.
Results: Of 220 enrolled patients, 97 (44%) had nonpharmacologic pain interventions recorded in their electronic health record. The most frequently recorded interventions included repositioning (65%), decreasing environmental stimuli (55%), caregiver presence (37%), distraction (23%), and music therapy (20%). Children who had moderate to severe pain were most likely to receive nonpharmacologic pain interventions.
Conclusions: Nonpharmacologic pain management is applied inconsistently across PICUs and may be underdocumented or underutilized. Additional research is needed to determine when nurses use nonpharmacologic pain interventions, their rationale for applying these interventions across differing groups, and the effectiveness of these interventions in managing pain in critically ill children.
(Copyright © 2022 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.)
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معلومات مُعتمدة: T32 NR011147 United States NR NINR NIH HHS
تواريخ الأحداث: Date Created: 20220220 Date Completed: 20220621 Latest Revision: 20230602
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9232846
DOI: 10.1016/j.pmn.2022.01.005
PMID: 35183457
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-8635
DOI:10.1016/j.pmn.2022.01.005