Evaluation of pain levels of critically ill intensive care unit patients, before, during and after a session of chest physical therapy: a pilot study
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/26647 |
Resumo: | *** Evaluation of pain levels of critically ill intensive care unit patients, before, during and after a session of chest physical therapy: a pilot study ***AIMS: To evaluate pain levels of critically ill patients before, during, and after a chest physical therapy intervention.METHODS: Pilot study conducted at the intensive care unit (ICU) of a teaching hospital. Sedated and mechanically ventilated adult patients aged 18 to 60 years were selected. Sociodemographic, clinical, and hemodynamic data were analyzed, and the Behavioral Pain Scale (BPS) scale was used to assess pain in patients unable to be evaluated by self-report questionnaires.The physical therapy protocol consisted of manual vibrocompression maneuvers in both hemithoraces and of intratracheal aspiration. The hemodynamic variables and the BPS were analyzed in three periods: immediately before, in the fifth minute of intervention, and immediately after physical therapy. The Shapiro-Wilk test and ANOVA were used for the statistical analyses. The level of significance was p ≤0.05.RESULTS: The sample consisted of 22 patients, most of them male, aged 55±23.8 years. Nosocomial pneumonia the most prevalent pathology. There were no significant differences in hemodynamic variables and in pain assessment (p = 0.78) of the critically ill patients in any of the evaluated periods.CONCLUSIONS: In this sample of critically ill and mechanically ventilated ICU patients , no alterations in pain levels were detected during or after chest physical therapy. |
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Evaluation of pain levels of critically ill intensive care unit patients, before, during and after a session of chest physical therapy: a pilot studyAvaliação dos níveis álgicos de pacientes críticos em terapia intensiva, antes, durante e após sessão de fisioterapia respiratória: um estudo pilotopain measurementcritical careintensive care unitsrespirationartificialphysical therapy specialtyphysical therapy modalities.medição da dorcuidados críticosunidades de terapia intensivarespiração artificialespecialidade fisioterapiamodalidades de fisioterapia.*** Evaluation of pain levels of critically ill intensive care unit patients, before, during and after a session of chest physical therapy: a pilot study ***AIMS: To evaluate pain levels of critically ill patients before, during, and after a chest physical therapy intervention.METHODS: Pilot study conducted at the intensive care unit (ICU) of a teaching hospital. Sedated and mechanically ventilated adult patients aged 18 to 60 years were selected. Sociodemographic, clinical, and hemodynamic data were analyzed, and the Behavioral Pain Scale (BPS) scale was used to assess pain in patients unable to be evaluated by self-report questionnaires.The physical therapy protocol consisted of manual vibrocompression maneuvers in both hemithoraces and of intratracheal aspiration. The hemodynamic variables and the BPS were analyzed in three periods: immediately before, in the fifth minute of intervention, and immediately after physical therapy. The Shapiro-Wilk test and ANOVA were used for the statistical analyses. The level of significance was p ≤0.05.RESULTS: The sample consisted of 22 patients, most of them male, aged 55±23.8 years. Nosocomial pneumonia the most prevalent pathology. There were no significant differences in hemodynamic variables and in pain assessment (p = 0.78) of the critically ill patients in any of the evaluated periods.CONCLUSIONS: In this sample of critically ill and mechanically ventilated ICU patients , no alterations in pain levels were detected during or after chest physical therapy. *** Avaliação dos níveis álgicos de pacientes críticos em terapia intensiva, antes, durante e após sessão de fisioterapia respiratória: um estudo piloto ***OBJETIVOS: Avaliar os níveis álgicos de pacientes críticos, antes, durante e após uma intervenção de fisioterapia respiratória.MÉTODOS: Estudo piloto realizado na Unidade de Terapia Intensiva de um hospital escola. Foram selecionados pacientes adultos entre 18 e 60 anos, sedados e em ventilação mecânica invasiva. Foram levantados dados sociodemográficos, clínicos e hemodinâmicos e aplicada a escala Behavioural Pain Scale para avaliar a dor em pacientes incapazes de serem avaliados pelo auto relato. O protocolo de fisioterapia consistiu em manobras de vibrocompressão manual em ambos os hemitórax e aspiração intratraqueal. As variáveis hemodinâmicas e a escala de dor foram analisadas em três momentos: imediatamente antes, no quinto minuto de intervenção e imediatamente após a sessão de fisioterapia. Foi aplicada estatística com teste Shapiro-Wilk e análise de variâncias (ANOVA). O nível de significância foi p ≤0,05.RESULTADOS: A amostra foi composta por 22 pacientes, a maioria do sexo masculino, com média de idade de 55±23,8 anos. A doença mais frequente foi a pneumonia nosocomial. Não houve diferenças significativas nas variáveis hemodinâmicas e na avaliação da dor (p=0,78) dos pacientes críticos em nenhum dos momentos avaliados.CONCLUSÕES: Nesta amostra de pacientes críticos, internados em unidade de terapia intensiva e em ventilação mecânica invasiva, não foram detectadas alterações nos níveis de dor durante ou após uma intervenção de fisioterapia respiratória. Editora da PUCRS - ediPUCRS2017-05-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/2664710.15448/1980-6108.2017.2.26647Scientia Medica; Vol. 27 No. 2 (2017); ID26647Scientia Medica; v. 27 n. 2 (2017); ID266471980-61081806-556210.15448/1980-6108.2017.2reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/26647/15662Copyright (c) 2017 Scientia Medicainfo:eu-repo/semantics/openAccessFermiano, Nathalya Tamara CostaCavenaghi, Odete MauadCorreia, Juliana Rodriguesde Brito, Marcus Vinicius CamargoFerreira, Lucas Lima2017-07-25T19:42:14Zoai:ojs.revistaseletronicas.pucrs.br:article/26647Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2017-07-25T19:42:14Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Evaluation of pain levels of critically ill intensive care unit patients, before, during and after a session of chest physical therapy: a pilot study Avaliação dos níveis álgicos de pacientes críticos em terapia intensiva, antes, durante e após sessão de fisioterapia respiratória: um estudo piloto |
title |
Evaluation of pain levels of critically ill intensive care unit patients, before, during and after a session of chest physical therapy: a pilot study |
spellingShingle |
Evaluation of pain levels of critically ill intensive care unit patients, before, during and after a session of chest physical therapy: a pilot study Fermiano, Nathalya Tamara Costa pain measurement critical care intensive care units respiration artificial physical therapy specialty physical therapy modalities. medição da dor cuidados críticos unidades de terapia intensiva respiração artificial especialidade fisioterapia modalidades de fisioterapia. |
title_short |
Evaluation of pain levels of critically ill intensive care unit patients, before, during and after a session of chest physical therapy: a pilot study |
title_full |
Evaluation of pain levels of critically ill intensive care unit patients, before, during and after a session of chest physical therapy: a pilot study |
title_fullStr |
Evaluation of pain levels of critically ill intensive care unit patients, before, during and after a session of chest physical therapy: a pilot study |
title_full_unstemmed |
Evaluation of pain levels of critically ill intensive care unit patients, before, during and after a session of chest physical therapy: a pilot study |
title_sort |
Evaluation of pain levels of critically ill intensive care unit patients, before, during and after a session of chest physical therapy: a pilot study |
author |
Fermiano, Nathalya Tamara Costa |
author_facet |
Fermiano, Nathalya Tamara Costa Cavenaghi, Odete Mauad Correia, Juliana Rodrigues de Brito, Marcus Vinicius Camargo Ferreira, Lucas Lima |
author_role |
author |
author2 |
Cavenaghi, Odete Mauad Correia, Juliana Rodrigues de Brito, Marcus Vinicius Camargo Ferreira, Lucas Lima |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Fermiano, Nathalya Tamara Costa Cavenaghi, Odete Mauad Correia, Juliana Rodrigues de Brito, Marcus Vinicius Camargo Ferreira, Lucas Lima |
dc.subject.por.fl_str_mv |
pain measurement critical care intensive care units respiration artificial physical therapy specialty physical therapy modalities. medição da dor cuidados críticos unidades de terapia intensiva respiração artificial especialidade fisioterapia modalidades de fisioterapia. |
topic |
pain measurement critical care intensive care units respiration artificial physical therapy specialty physical therapy modalities. medição da dor cuidados críticos unidades de terapia intensiva respiração artificial especialidade fisioterapia modalidades de fisioterapia. |
description |
*** Evaluation of pain levels of critically ill intensive care unit patients, before, during and after a session of chest physical therapy: a pilot study ***AIMS: To evaluate pain levels of critically ill patients before, during, and after a chest physical therapy intervention.METHODS: Pilot study conducted at the intensive care unit (ICU) of a teaching hospital. Sedated and mechanically ventilated adult patients aged 18 to 60 years were selected. Sociodemographic, clinical, and hemodynamic data were analyzed, and the Behavioral Pain Scale (BPS) scale was used to assess pain in patients unable to be evaluated by self-report questionnaires.The physical therapy protocol consisted of manual vibrocompression maneuvers in both hemithoraces and of intratracheal aspiration. The hemodynamic variables and the BPS were analyzed in three periods: immediately before, in the fifth minute of intervention, and immediately after physical therapy. The Shapiro-Wilk test and ANOVA were used for the statistical analyses. The level of significance was p ≤0.05.RESULTS: The sample consisted of 22 patients, most of them male, aged 55±23.8 years. Nosocomial pneumonia the most prevalent pathology. There were no significant differences in hemodynamic variables and in pain assessment (p = 0.78) of the critically ill patients in any of the evaluated periods.CONCLUSIONS: In this sample of critically ill and mechanically ventilated ICU patients , no alterations in pain levels were detected during or after chest physical therapy. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-05-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/26647 10.15448/1980-6108.2017.2.26647 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/26647 |
identifier_str_mv |
10.15448/1980-6108.2017.2.26647 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/26647/15662 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Scientia Medica info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Scientia Medica |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 27 No. 2 (2017); ID26647 Scientia Medica; v. 27 n. 2 (2017); ID26647 1980-6108 1806-5562 10.15448/1980-6108.2017.2 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
_version_ |
1809101751369859072 |