Introduction: Today, pain is important since it is considered as the fifth vital sign. In patients with decreased consciousness, it is often difficult to detect pain due to the communication barriers. Therefore, this study was conducted to evaluate effect of using Behavioral Pain Scale (BPS) by nurses on diagnosis of Pain and Relief Care in ICU Patients.Methods: This semi-experimental single-group study was conducted with the participation of 68 nurses in the intensive care unit of Hamadan hospitals and selected by census sampling method. The ability to diagnose pain and determine its severity in patients, and pain management methods used by nurses, were evaluated based on the researcher made checklist of evaluation of pain relief before and after the training of behavioral pain monitoring. The collected data were analyzed using SPSS 18. Descriptive statistics were used to determine the frequency, mean, and analytical statistics for comparing ratios and Kolmogorov-Smirnov and Chi-square (P<0.05).
Results:The findings showed that after the intervention, the ability to diagnose pain by nurses has optimally changed. The frequency of use of pain relief drug methods increased from 625 to 1222, and the use of non-pharmacological pain relief also increased significantly (P< 0/001).
Conclusion:The results of this study indicated that the use of BPS scale has been effective in diagnosing and monitoring pain in patients with decreased consciousness, and has led to optimal changes in the use of non-pharmacological pain relief medications as complementary therapies in intensive care units.
Introduction: Satisfaction of patients' families is one of the criteria for assessing the quality of nurses' performance. Considering the low satisfaction of stroke patient's families in received information, the present study was done to determine effect of informational support on satisfaction of family caregivers of patients with hemiplegic stroke from received Information. Methods: In this semi-experimental study, 78 family caregivers of patients with hemiplegic stroke admitted to the neurology department of Farshchian (Sina) Hospital of Hamadan (2017), were selected by Convenience sampling, and were divided continuously into two groups: control (n=38) and intervention (n=40). The research intervention was conducted from third to eleventh day of hospitalization. Information was provided about the department, equipment, patient status, home care individually and as a group method. The control group received routine care. Satisfaction of family caregivers was measured before and after the intervention in both groups. The data collecting tool was a questionnaire of demographic characteristics of the caregiver and patient, a researcher-made questionnaire to assess the satisfaction analyzing the received information. Data were analyzed using SPSS16. Results: Groups were similar in terms of demographic variables. There was a significant difference between before (79.15±21) and after (121.4±9.93) intervention at satisfaction scores in intervention group, and between the two groups (intervention and control) after intervention (P<0.001). Conclusion: Informational support is effective on increasing the satisfaction of family caregivers of patients with stroke. Therefore, informational support is recommended as an important nursing intervention.
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