Akademik Veri Yönetim Sistemi
TURKISH JOURNAL OF INTENSIVE CARE-TURK YOGUN BAKIM DERGISI, cilt.21, ss.8-15, 2023 (ESCI)
Objective: This research was conducted to determine the pain behaviors and
physiological parameters of patients connected to mechanical ventilators in the postoperative
surgical intensive care unit.
Materials and Methods: This study was conducted descriptively and observationally with 176
patients. The introductory information form, physiological parameters follow-up form, behavioral
pain scale (BPS), and Ramsey sedation scale were used to collect data. Descriptive statistics, TwoWay variance in repeated measures, Friedman analysis, post-hoc Bonferroni analysis, One-Way
variance analysis, Kruskal-Wallis analysis, and Spearman correlation analysis were used.
Results: The mean arterial pressure (MAP), heart rate and mean BPS scores increased (p<0.001),
and oxygen saturation decreased during aspiration, wound care, and position change (p<0.001).
Additionally, while a moderate, positive correlation was found between BPS and MAP and heart
rate during wound care (r=0.447; p=0.001, r=0.306; p=0.033). A moderate negative correlation was
found between oxygen saturation and BPS during aspiration (r=-0.389; p=0.000).
Conclusion: It has been revealed that individuals connected to mechanical ventilators experience
pain during wound care, position change and aspiration. Physiological parameters and behavioral
symptoms resulting from pain should be analyzed together. Pain should be relieved with
pharmacological and non-pharmacological nursing interventions in pain management.
Keywords: Intensive care, pain, painful procedure, pain assessment, physiological parameters