ĐÁNH GIÁ MỨC ĐỘ ĐAU KHI THỰC HIỆN THỦ THUẬT CỦA NGƯỜI BỆNH THỞ MÁY TẠI KHOA HỒI SỨC NGOẠI THẦN KINH, BỆNH VIỆN CHỢ RẪY

Abstract

Objectives: To assess the pain levels of mechanically ventilated patients at rest and during daily nursing care procedures. Methods: A descriptive cross-sectional study was conducted on 295 mechanically ventilated patients in the Neurosurgery Intensive Care Unit at Cho Ray Hospital from November 2023 to June 2024. Patients who met the inclusion criteria and whose relatives agreed to participate in the study were included. Data were collected through observation and recording pain scores at three time points: before, during, and after performing the procedures. Results: The percentage of patients experiencing moderate and severe pain at rest was as follows: before suctioning (12.5% and 1.4%); before oral care (7.1% and 0.3%); before repositioning (7.5% and 0.3%); and 5.1% of patients had moderate pain before bathing. During the procedures, the percentage of patients showing pain increased: during suctioning (51.9% and 36.6%); during oral care (65.1% and 11.2%); during repositioning (65.4% and 19.7%); and during bed bathing (41.4% and 3.7%). After the procedures, some patients still exhibited moderate and severe pain: after suctioning (15.2% and 1.4%); after repositioning (7.5% and 0.3%); after bed bathing (3.7% and 0.3%); and 5.8% of patients had moderate pain after oral care. Tracheal suctioning and repositioning were the most painful procedures, followed by oral care and bathing. Conclusions: Pain levels in mechanically ventilated patients during procedures are a significant concern. Pain management measures should be implemented to improve the quality of care and enhance patient comfort.