Relief of Procedural Pain in Critically Ill Patients by Music Therapy: A Randomized Controlled Trial

2nd Medical and Surgical Intensive Care Unit Nursing Congress -- MAY 19-22, 2016 -- Izmir, TURKEYWOS: 000473598900004PubMed: 30897585Background: This study aimed to determine the effectiveness of music listening for procedural pain relief using two different observational pain tools during endotracheal suctioning. Materials and Methods: This study was a randomized controlled trial. The sample of the study included 98 patients with mechanical ventilation support who met the selection criteria. The patients were randomly assigned to control and music therapy groups. Patients in the control group were routinely suctioned as usual. Patients in the music group received music therapy 20 min before, during, and 20 min after endotracheal suctioning. The primary outcome was the pain relief during suctioning. Results: Forty patients in each arm completed the study. Pain scores in the Critical Care Pain Observation Tool and Behavioral Pain Scale were lower in the music group than in the control group during endotracheal suctioning (group: F = 14.85, p = 0.000; F = 9.04, p = 0.000, respectively). It was also found to be a significant interaction effect between the groups and time (group x time: F = 17.35, p = 0.000; F = 18.00, p = 0.000, respectively). Conclusion: The Critical Care Pain Observation Tool and Behavioral Pain Scale in the current study generally demonstrated similar pain scores during the painful procedure. Our findings support that music therapy may act as a nonpharmacological therapy to relieve procedural pain in patients on mechanical ventilation

A cross sectional study on complementary and alternative medicine use among a sample of Turkish hospital outpatients with chronic lower back pain

WOS: 000417392500005Introduction: Complementary and alternative medicine (CAM) is commonly used to treat chronic lower back pain. This study aimed to explore CAM use among Turkish patients with chronic lower back pain attending a neuro surgery department hospital. Methods: This cross-sectional study was conducted between September 2015 and January 2016 in the neurosurgery clinic of the state hospital in Giresun, in northern Turkey. A random sample of patients (n = 182) with at least three months of pain, and whose pain intensity was 3 or higher (on a 0 (without any pain) to 10 (the worst pain possible) scale) were included. Results: The most frequently used complementary and alternative therapy by patients was prayer (87.4%). Massage was the second most common CAM modality. There was a significant difference between pain intensity and participants' use of prayer and biofeedback (p < 0.05). Pain intensity was associated with an increased use of prayer and biofeedback (p < 0.05) of patients that used CAM modalities. They also reported greater severity. Conclusions: The most utilized CAM modality in patients with low back pain was prayer which is classified as a mind-body intervention. Our findings suggest that patients with chronic lower back pain in Turkey tend to use complementary and alternative therapies for pain management

Problemi povezani s komunikacijom između medicinskih sestara i bolesnika u jedinici intenzivnog liječenja: primjeri iz Poljske i Turske

Th e aim of this study was to determine the problems related to nurse-patient communication in the intensive care unit (ICU), with a focus on diff erences between Poland and Turkey. A descriptive survey design was used. Th e study was conducted in Surgical ICU, Lwowska Hospital in Poland and ICU, Training and Research Hospital in Turkey. Fifty critical care nurses in Poland and 52 critical care nurses in Turkey were included in the study. Patient data were collected using a questionnaire that was prepared by the researchers. In this study, 46% and 42.3% of the nurses reported they had communication problems with patients in Poland and Turkey, respectively. It was also found that the nurses in Poland mostly used therapeutic touch for non-verbal communication (80%), whereas the nurses in Turkey used facial expression (90.4%). Critical care nurses in both countries experienced similar diffi culties in patient communication. It is recommended that the patient to nurse ratio in ICUs be planned according to the intensive care standards.bio je utvrditi probleme povezane s komunikacijom između medicinskih sestara i bolesnika u jedinici intenzivnog liječenja ( JIL), s naglaskom na razlikama između Poljske i Turske. Ovo opisno istraživanje provedeno je na Kirurškoj JIL, Lwowska Hospital u Poljskoj i u JIL, Training and Research Hospital u Turskoj. U istraživanje je bilo uključeno 50 medicinskih sestara u intenzivnoj skrbi iz Poljske i 52 medicinske sestre u intenzivnoj skrbi iz Turske. Podaci o bolesnicima prikupljeni su pomoću upitnika koji su pripremili sami istraživači. U ovom istraživanju je 46% medicinskih sestara iz Poljske i 42,3% medicinskih sestara iz Turske izjavilo da imaju probleme u komunikaciji s bolesnicima. Također je utvrđeno da medicinske sestre u Poljskoj većinom primjenjuju terapijski dodir za neverbalnu komunikaciju (80%), dok medicinske sestre u Turskoj najviše primjenjuju određene izraze lica (90,4%). Medicinske sestre u JIL iz obiju zemalja imale su slične poteškoće u komunikaciji s bolesnicima. Preporuča se omjer bolesnika i medicinskih sestara u JIL planirati prema standardima intenzivne skrbi

Patient satisfaction with their pain management and comfort level after open heart surgery

WOS: 000350724400002Objective The aim of this study is to determine patient satisfaction with pain management and comfort levels after undergoing open heart surgery. Design This descriptive study was performed between January 31 and April 29, 2011. Setting The study was conducted in the cardiovascular surgery clinic of Region Training-Research hospital in Erzurum, Turkey. Subjects Fifty two patients (32 males, 20 females; mean age 58.4 years; range 25 to 77 years) who had undergone open heart surgery were included in the study. Main outcome measure(s) The patient data was collected using Personal Information Form, Pain Satisfaction Surveys and General Comfort Scales at the time of discharge. The Pain Satisfaction Survey is a survey tool which was developed by the 'American Pain Society' in 1991. The General Comfort Scale was developed by Kolcaba in 1992 and its validity and reliability in a Turkish setting was tested by Kuguoglu and Karabacak in 2004. Results In this study, 61.5% of the patients underwent coronary artery bypass graft surgery, 30.7% aorta and/or mitral valve replacement and 7.7% aneurysm repair. The mean scores of pain intensity immediately after surgery, at first post-operative ambulation, at 24 hours before discharge and at discharge were 7.07+2.6, 6.71+2.7, 6.32+2.4 and 4.57+2.3, respectively. Most subjects (88.5%) reported a wait time of 15 min as the longest time they had to wait for pain medication and patient satisfaction with pain management was found to be high. The mean score of comfort level at discharge was 3.16+0.2 and there was no statistically significant difference between the comfort level and pain rating at discharge (r=-0.225, p>0.05). Conclusion It was found that pain intensity gradually decreased as patients neared hospital discharge and their overall satisfaction with the nurses' pain management was high