Journal article
Predictors and Use of Nonpharmacologic Interventions for Procedural Pain Associated with Turning among Hospitalized Adults
Pain management nursing, Vol.14(2), pp.85-93
06/2013
DOI: 10.1016/j.pmn.2010.02.004
PMCID: PMC3660704
PMID: 23688362
Abstract
Many hospitalized adults cannot reposition themselves in their beds. Therefore, they are regularly turned by their nurses, primarily to prevent pressure ulcer formation. Earlier research indicates that turning is painful and that patients are rarely premedicated with analgesics. Nonpharmacologic interventions may be used to help with this painful procedure. However, no published research was found on the use of nonpharmacologic interventions for turning of hospitalized patients. The objectives of this study were: 1) to describe patient pain characteristics during turning and their association with patient demographic and clinical characteristics; 2) to determine the frequency of use of various nonpharmacologic interventions for hospitalized adult patients undergoing the painful procedure of turning; and 3) to identify factors that predict the use of specific nonpharmacologic interventions for pain associated with turning. Hospitalized adult patients who experienced turning, the nurses caring for them, and others who were present at the time of turning were asked if they used various nonpharmacologic interventions to manage pain during the turning. Out of 1,395 patients, 92.5% received at least one nonpharmacologic intervention. Most frequently used were calming voice (65.7%), information (60.6%), and deep breathing (37.9%). Critical-care patients were more likely to receive a calming voice (odds ratio [OR] 1.66, p < .01), receive information (OR 1.62, p < .001), and use deep breathing (OR= 1.36, p < .05) than those who were not critical-care patients. Those reporting higher pain were consistently more likely to receive each of the three interventions (OR 1.01, p < .05 for all 3). In conclusion, nonpharmacologic interventions are used frequently during a turning procedure. The specific interventions used most often are ones that can be initiated spontaneously. Our data suggest that patients, nurses, and family members respond to patients' turning-related pain by using nonpharmacologic interventions.
Details
- Title: Subtitle
- Predictors and Use of Nonpharmacologic Interventions for Procedural Pain Associated with Turning among Hospitalized Adults
- Creators
- Bonnie Faigeles - Department of Neurosciences, Kaiser-Permanente Medical Center, Redwood City, CaliforniaJill Howie-Esquivel - Acute Care Nurse Practitioner Program, University of California, San FranciscoChristine Miaskowski - Department of Physiological Nursing, University of California, San FranciscoJulie Stanik-Hutt - Johns Hopkins University School of Nursing and Halsted 5 Cardiology NP Service, Johns Hopkins Hospital, Baltimore, MarylandCarol Thompson - University of Tennessee Health Science CenterCheri White - Trauma Program, Sutter Roseville Medical Center, Roseville, CaliforniaLorie Rietman Wild - Patient Care Services, University of Washington School of Nursing, University of Washington Medical Center, Seattle, WashintonKathleen Puntillo - Department of Physiological Nursing, University of California, San Francisco
- Resource Type
- Journal article
- Publication Details
- Pain management nursing, Vol.14(2), pp.85-93
- DOI
- 10.1016/j.pmn.2010.02.004
- PMID
- 23688362
- PMCID
- PMC3660704
- NLM abbreviation
- Pain Manag Nurs
- ISSN
- 1524-9042
- eISSN
- 1532-8635
- Publisher
- Elsevier Inc
- Grant note
- American Association of Critical Care Nurses and the University of California
- Language
- English
- Date published
- 06/2013
- Academic Unit
- Nursing
- Record Identifier
- 9984064160402771
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