Effectiveness of the visually enlarged numerical rating scale for pain management in mechanically ventilated patients: A retrospective before-and-after study
DOI:
https://doi.org/10.29173/ijcc53Keywords:
critical care, pain, pain management, critical care nursingAbstract
Background: Self-report pain assessment scales help avoid underestimating patients’ pain.
Aims: To assess the effectiveness of the visually enlarged 0–10 numerical rating scale (NRS-V) for pain management in mechanically ventilated patients.
Methods: The NRS-V was used at each bedside during the intervention phase. Patients mechanically ventilated for ≥48 h were included. The pain assessment rates using the NRS and patient outcomes were compared between the control and intervention groups.
Findings: Overall, 196 patients were enrolled (control group, 97; intervention group, 99). The pain assessment rate using the NRS was significantly higher during the intervention than during the control phase (63.3% vs 36.7%, P<0.001). On multivariate regression analysis, the intervention was associated with a decreased agitation incidence (Poisson coefficient, -0.82; 95% confidence interval, -1.47– -0.16).
Conclusion: NRS-V was associated with an increased pain assessment rate and a decreased agitation incidence in mechanically ventilated patients.
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Copyright (c) 2023 Akira Ouchi, RN, PhD, Hideaki Sakuramoto, RN, PhD, Ruriko Kikuchi, RN, Gen Aikawa, RN, MSN, Shunsuke Kobayashi, RN, MS, Yuki Enomoto, MD, PhD, Tetsuya Hoshino, MD, Nobutake Shimojo, MD, PhD, Yoshiaki Inoue, MD, PhD
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
