Examination of Pain Assessment and Multimodal Analgesia Records in Trauma Patients

Abstract

Objective: This study aimed to reduce the side effects of multiple pain sources and investigate the effectiveness of multiple analgesics in trauma pain. Materıals and Methods: The research was conducted with nurse observation forms of 190 trauma patients hospitalised in the emergency unit of a university hospital between March 1 and September 30, 2019. In the statistical analysis, per cent mean, min-max values and standard deviation were used for descriptive data. Paired Simle t-test was used for repeated measurements of the double-dependent variable. Results: The mean age of the patients included in the study was 40.94±15.18 years, and 65.8% were male. While the cause of 47.9% of traumas is traffic accidents, 37.9% of the patients have multiple traumas. The pain was evaluated in 55.7% of the patients, and multimodal analgesia was applied in 71.6% of the patients, and it was determined that the pain of the patients decreased. Conclusions: Accordingly, this study supports the treatment of trauma pain with multiple sources of pain with a multimodal analgesia approach. In addition, the pain was not appropriately assessed as recommended in the acute pain guidelines. Therefore, nurses should increase awareness of pain assessment records for effective pain management.

Keywords

• Emergency department
• multimodal analgesia
• nursing
• pain

Travma Hastalarında Multimodal Analjezi ve Ağrı Değerlendirme Kayıtlarının İncelenmesi

Öz

Amaç: Bu çalışmada, travma hastalarında ağrı değerlendirmesi ve multimodal analjezi kayıtlarının incelenmesi amaçlanmıştır. Materyal ve Metot: Araştırma 1 Mart-30 Eylül 2019 tarihleri arasında, bir üniversite hastanesinin acil ünitesinde yatan, 190 travmalı hastanın hemşire gözlem formlarıyla yapıldı. Araştırmanın verileri Hasta Bilgi Formu ve Multimodal Analjezi Değerlendirme Formu ile toplanmıştır. Verilerin istatistiksel analizinde tanımlayıcı verilerde yüzde ortalama, min-maks değerleri ve standart sapma kullanıldı. İkili bağımlı değişkene ait tekrarlı ölçümler için Paired Simle t- testi kullanıldı. Bulgular: Araştırmaya dâhil edilen hastaların yaş ortalaması 40,94±15,18 olup, %65,8’i erkektir. Travmaların %47,9’unun nedeni trafik kazaları iken, hastaların %37,9’unda multiple travma mevcuttur. Hastaların %55,7’sine ağrı değerlendirmesi yapılmış olup, %71,6’sına multimodal analjezi uygulandığı ve hastaların ağrısının azaldığı saptandı. Ayrıca, gözlem formlarında farmakolojik olmayan ağrı tedavisine ilişkin hemşire kaydına rastlanmadı. Sonuç: Buna göre, bu çalışma travma ağrısının çoklu ağrı kaynakları ile multimodal analjezi yaklaşımı ile tedavisini desteklemektedir. Ek olarak, ağrı, akut ağrı kılavuzlarında önerildiği gibi uygun şekilde değerlendirilmemiştir. Bu nedenle hemşireler, etkili ağrı yönetimi için ağrı değerlendirme kayıtlarının farkındalığını arttırmalıdır.

Anahtar Kelimeler

• Ağrı
• acil servis
• hemşirelik
• multimodal analjezi

Kaynakça

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