Investigation of pain associated with endotracheal aspiration and affecting factors in an intensive care setting: A prospective observational study

dc.authorscopusid57195460533
dc.authorscopusid57217071340
dc.authorscopusid57206547677
dc.authorscopusid58043706400
dc.contributor.authorÖzsaban, A.
dc.contributor.authorÜzen, Cura
dc.contributor.authorYılmaz Coşkun, E.
dc.contributor.authorKibar, D.
dc.date.accessioned2023-05-06T17:23:47Z
dc.date.available2023-05-06T17:23:47Z
dc.date.issued2023
dc.departmentYüksekokullar, Sağlık Yüksekokulu, Hemşirelik Bölümü
dc.description.abstractBackground: Endotracheal aspiration is a painful nociceptive procedure. There is still a gap in the literature on studies to determine the pain level and nursing interventions for aspiration. Objectives: This study evaluated pain during endotracheal aspiration and examined the factors affecting pain. Methods: This prospective observational study was conducted with 105 inpatients meeting the inclusion criteria in the internal intensive care unit of a public hospital. Two hundred ten aspiration procedures were monitored for pain and other variables. ASPMN 2019 Position Statement recommendations were followed in designing the study and determining the procedure. The pain score range obtained from The Critical Care Pain Observation Tool was 0–8. A score of 2 or more is considered to indicate the presence of pain. The primary outcome measures were pain associated with endotracheal aspiration and affecting factors in this study. The generalised linear mixed model established for aspiration procedure-associated pain and affecting factors was analysed. Results: Patients' mean pain score was 1.24 ± 2.05 before, 3.07 ± 2.17 during, and 2.35 ± 1.94 after aspiration and 0.89 ± 1.40 at 15 min after aspiration. The pain rate was 26.1% before, 71% during, and 60.9% after the aspiration procedure and 18.8% after 15 min. There was a statistically significant difference between all pain scores evaluated. The difference in aspiration-related pain scores by age, respiratory diseases, sedation status, aspiration pressure, and tube diameter was statistically significant. Conclusions: The pain score due to aspiration procedure increased significantly in intensive care unit inpatients and is an important risk factor for patient safety. More focus is needed on the causes and measures of aspiration-related pain. © 2022 Australian College of Critical Care Nurses Ltd
dc.description.sponsorshipThe authors thank all patients and their relatives who participated the study.
dc.identifier.doi10.1016/j.aucc.2022.11.010
dc.identifier.issn1036-7314
dc.identifier.pmid36604267
dc.identifier.scopus2-s2.0-85145736275
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1016/j.aucc.2022.11.010
dc.identifier.urihttps://hdl.handle.net/20.500.11776/12302
dc.identifier.wosWOS:001061009100001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYılmaz Coşkun, E.
dc.language.isoen
dc.publisherElsevier Ireland Ltd
dc.relation.ispartofAustralian Critical Care
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectEndotracheal aspiration
dc.subjectIntensive care
dc.subjectPatient safety
dc.subjectProcedural pain
dc.titleInvestigation of pain associated with endotracheal aspiration and affecting factors in an intensive care setting: A prospective observational study
dc.typeArticle

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