تقييم الالم والرضا عن طرق معالجة الالم للمرضى الراقدين في وحدات العناية الحرجه في مستشفيات الحلة التعليمية == Pain Assessment and Patient's Satisfaction on Pain Management for Adult Patients in Critical Care units in Al - Hilla Teaching Hospitals
Author name:
امنه عبد الحسن جبر الجشعمي
Supervisor name:
سحر ادهم علي | حسن علوان بيعي
General topic:
Medicine
Specific topic:
Nursing
Degree:
Master
University:
University of Babylon - Faculty Of Medicine
Language:
English
University location:
Babylon
First pages:
19T1710 - p.pdf
Abstract:
Background : Pain is almost considered a significant problem for critically ill patients. Assessment is essential to reach the optimal pain management to improve quality of care which provided for critically adult patients who suffered acute pain especially with cardiac disease mainly chest pain, either prevent complications which occurs or prevention of the adverse effects of drug that associated with overdose from analgesics, Therefore the WHO recommended that the importance of pain management is one of the major challenges in medical field.Objectives : A current study aims to assess the level of pain of critically adult patients who admitted to the Coronary care Unit (C.C.U), as well as patient's satisfaction on pain management, and findout the relationship between pain level and patient's satisfaction.Methodology : Descriptive Cross - sectional design was carried out to assess pain for critically adult patients and their satisfaction on pain management in Al Hillah teaching hospitals. From 11 October.2016 to 31 August.2017 to achieve the objectives by selected purposive (Non - probability) sample consisted of (92) patients who admitted to C.C.U who were selected according to the specific criteria, data were collected from 12th March - to 26th May 2017 by using designed questionnaire through direct face - to - face interview method.The questionnaire divided of (5) parts, part one : contained demographical data, part two : contained general information, part threeVIIMcGill Pain Questionnaire, part four : contained pain killer medications while the last part is the satisfaction scale.The validity of the questionnaire obtained by reviews of (15) experts in different field, a Cronbach alpha used as statistical method to calculate the reliability of the study questionnaire which recorded as α = (0.742) which is statistically accepted, the statistical package of social sciences (SPSS, version 22) was used to analyze data.Results : Most of the study sample (57.61%) were male (61.96%) middle adult age group between (41 - 65) years, married, with low educational level who recorded sever pain intensity and moderate satisfaction related to the pain management strategies which received during their study in critical care units.Conclusion : Pain is stilled unsolved problem for adult patients in critical care units, who reported sever pain level, most of the sample expressed moderate satisfied level related to pain management.Recommendations : According to results of this study the researcher recommended : 1. Pain assessment and its documentation is essential by using a validated and accurate pain scale.2. Health care professionals should change their concept related to pain and be aware to assessing and managing their patient's pain, furthermore health planning department should concentrate more on patient's pain management within the criteria as important aspect of care when evaluating the quality of care.