Behavioral Pain Scale versus Critical Care Pain Observational Tool on Mechanically Ventilated Patient

Abstract

Background: Critically ill patients frequently experience both procedural pain and pain at rest. Untreated acute pain in adult ICU patients can lead to short- and long-term physiological and psychological complications such as postoperative myocardial infarction, insufficient sleep and posttraumatic stress disorder. Aim: This study was conducted to assess pain intensity for mechanically ventilated patient through: Applying Critical care Pain Observational Tool for mechanically ventilated patient, Applying Behavioral Pain Scale for mechanically ventilated patient and Compare between critical care observational tool and behavioral pain scale. Method: This study was conducted at surgical Intensive care Units at Ain Shams University Hospital. Research Design: A comparative, descriptive study utilized for the conduction of this study. Sample: A purposive sample of (80) patients in surgical intensive care unit at Ain Shams University Hospital. Tools: 1) Patient assessment record 2) Critical care pain observational tool 3) Behavioral pain scale. Results: The results of this study shows that, (62.5%) of them were males with mean age of 54±12.30 years old. 68.8% had mechanical ventilation for the first time While 73.8% of them were on SIMV mode. Regarding internal consistency the critical care observational tool were more than the behavioral pain scale. Regarding inter rater reliability the critical care observational tool was (0.904). While the behavioral pain scale was (0.851). Regarding the inter rater reliability the critical care observational tool was (0.632), while the behavioral pain scale was (0.515). A significant positive correlation of pain score during procedure and 10 minutes after using both scales. at r.0.387 and 0.248. Conclusion: The current study concluded that, the Critical pain observation tool is more accurate than Behavioral pain scale due to: Internal consistency "Cronbach alpha", Inter-rater reliability "ICCs" and test-retest reliability "correlation coefficient" at critical pain observation higher than observational pain scale Recommendations: Developing a simplified and comprehensive booklet including guidelines about how to use and implement the behavioral pain scale and critical care pain observational tool in intensive care units.