The Effect of Using Behavioral Pain Scale (BPS) by Nurses on Diagnosis of Pain and Relief Care in ICU Patients

Abstract

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.

effect of controlled sedation based on Richmond scale on the duration of mechanical ventilation in patients admitted to ICU

“…In Iran, this tool was translated by Tadrissi in 2009 and its validity and reliability were evaluated. The reliability of this questionnaire was confirmed with a correlation coefficient of 95% 25 . The second tool used in this study was the Bern Separation Program Checklist, which is a standard checklist developed by Burns et al (1990) 26 .…”

The Effect of Training the Nonverbal Pain Scale (NVPS) on the Ability of Nurses to Monitor the Pain of Patients in the Intensive Care Unit

“…In line with this finding, Sedighi et al showed that after training on the BPS, the ability of ICU nurses to recognize the presence of pain in the procedure of changing position increases from 58% to more than 76%. 11 Also, Asadi-Noghabi et al show less than half of the nurses had relatively favorable scores before the intervention of training the CPOT for patients with a decreased level of consciousness, while more than half of the nurses have better pain diagnosis conditions after the intervention. 10 …”

“…Similarly, Sedighi et al showed after the intervention, nurses report moderate to severe patient pain during suction. 11 Also, Soltanian et al showed nurses can diagnose the severity of pain up to 80% after the BPS training. 12 Contrary to the findings of the present study, in the Akhond study, after providing NVPS training, the nurses were asked to identify, measure, and manage the pain for three months in the patients hospitalized in the surgical ICU.…”

“…The checklist used in this research was taken from the study of Sedighi et al and Saltanian et al which referred to pain monitoring during nociceptive procedures (positioning and airway suctioning). 11 , 12 According to the clinical experiences of the research team and literature, several other painful procedures including venous/arterial blood sampling, mouth care, eye care, NGT placement, and physiotherapy (such as moving the joint in the range of motion) were added to the checklist. To determine the qualitative content validity, 10 experts in intensive care and in the psychometrics of the instruments were asked to give their views on grammar, using appropriate and correct words, applying correct and proper order of words in items, and appropriate scoring.…”

“…9 Studies have been conducted on the effects of CPOT and BPS training on nurse's ability to diagnose and manage pain in patients admitted to intensive care units. 10 , 11 However, there is insufficient information on the ability of intensive care unit nurses to diagnose pain after training in NVPS. Therefore, researchers have investigated the effect of NVPS scale training on the ability of nurses to monitor the pain of patients hospitalized in the ICU.…”