Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2010 , Vol 1, Issue 2
Pain Behaviours of Intubated and Sedated Intensive Care Patients During Positioning and Aspiration
Hasibe Esen1, Zehra Kan Öntürk2, Aysel Badır3, Fatma Eti Aslan2
1Uludağ Üniversitesi, Sağlık Araştırma ve Uygulama Merkezi, Bursa, Türkiye
2Acıbadem Üniversitesi, Sağlık Bilimleri Fakültesi Hemşirelik Bölümü, İstanbul, Türkiye
3Koç Üniversitesi , Sağlık Yüksekokulu, İstanbul, Türkiye
The patient self report is the most reliable source of pain assesment, intensive care unit (ICU) patients are unable to self report because of intubation and sedation.

Aim: This is a descriptive study that defined the pain behaviours of (ICP) ‘s who were intubated and sedated.

Materials and Methods: The study group (n=38) was selected among consecutive patients treated in a university hospital ICU patients intubated and sedated. 228 behaviors were observed during aspiration and changing position. Data Collection Form, Behavioral Pain Scale (BPS) and Ramsay Sedation Scale (RSO) were used in data collection and interpretation. Statistical Package for Social Sciences program (SPSS 11.0) was used and p<0.05 accepted as statistically significant.

Results: Pain behaviors were determined at 30.3 % (n=69) of the total 228 observations. Aspiration caused more pain behaviours (65.2 %; n=45) than position change in the study group. The most seen pain behaviour (50%; n=33) was to “pull the legs to the stomach”.

Conclusion: Approximately one-third of patients felt pain during care practices such as aspiration and changing position. Healthcare professionals must take as primary concern. the fact that non verbal, sedated ICU patients display their pain by behaviours. Keywords : Intensive care patients, pain behavior, pain, changing position, aspiration