ĐẶC ĐIỂM ĐAU THÔNG QUA THANG ĐIỂM HÀNH VI (BPS) Ở BỆNH NHÂN THÔNG KHÍ NHÂN TẠO TẠI TRUNG TÂM HỒI SỨC TÍCH CỰC – BỆNH VIỆN BẠCH MAI

Abstract

Objective: To evaluate pain characteristics using the Behavioral Pain Scale (BPS) in mechanically ventilated patients at the Center for Critical Care Medicine, Bach Mai Hospital. Methods: A cross-sectional descriptive study was conducted on mechanically ventilated patients for at least 48 hours from April 2024 to June 2024. Data on pain levels (BPS), clinical characteristics, underlying conditions, and related factors were collected and analyzed. Results: A total of 48 patients were included in the study. The mean BPS score at rest was 3.46 ± 0.87, with 27.0% of patients experiencing pain and 1/48 patients (2.1%) experiencing severe pain (BPS ≥6). During nursing care activities, the highest proportion of patients experiencing severe pain (BPS ≥6) was observed during endotracheal suctioning, affecting 12/48 patients (25%). Female patients exhibited stronger pain responses. Factors such as endotracheal suctioning, postoperative intensive care, and extracorporeal membrane oxygenation (ECMO) were associated with increased pain levels. Conclusion: The prevalence of severe pain among mechanically ventilated patients at the Center for Critical Care Medicine – Bach Mai Hospital was low, at 2.1%. However, pain levels significantly increased during nursing care activities, particularly during endotracheal suctioning.