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Iranian Heart Journal، جلد ۱۹، شماره ۲، صفحات ۱۳-۱۹
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عنوان انگلیسی Imperative Role of Education of ICU Nurses regarding Postoperative Pain Management After Pediatric Cardiac Surgery
چکیده انگلیسی مقاله Background: Management and evaluation of pain in children can be challenging due to difficulties inexpression and verbalization. The imperative role of nurses in the assessment and managementof pain should be considered. The aim of this study was to evaluate the role of the education ofICU nurses in pain assessment and measurement in order to reduce postoperative pain inchildren.Methods: In this clinical trial, 146 children aged 3 to 15 years who underwent cardiac surgery wereallocated to 2 groups. The control group (n=73) was managed routinely in that analgesics wereadministered as needed at the discretion of each anesthesiologist. In the trained nurses group(n=73), the ICU nurses received an education program including a pain assessment andtreatment protocol. In both groups, pain scores were evaluated and recorded according to theWong–Baker FACES Pain Rating Scale on the first and second postoperative day. Analgesicswere administered to alleviate moderate and severe pain, and the nurse was asked to record allpain scores and analgesic drug doses.Results: Pain scores on the second day decreased in both groups (P< 0.001); however, this decreasingtrend was steeper in the patients with trained nurses. Analgesic use was higher in the trainednurses group than in the control group (P=0.0001). The postoperative use of sedative drugs inthe trained nurses group was less than that in the control group on the first postsurgical day butnot on the second day (P=0.120).Conclusions: Implementation of our pain management protocol by ICU nurses led to an increase inanalgesic use and a decrease in sedative drug administration and better pain control in pediatricpatients undergoing cardiac surgery.
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نویسندگان مقاله Mohsen Ziyaeifard |
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Rasoul Azarfarin |
Echocardiography Research Center, Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran

Khadijeh Zamani |
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran

Azin Alizadehasl |
Echocardiography Research Center, Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran

Yasaman Khalili |
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Maryam Moradian |
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran

Zahrasadat Koleini |
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran

Hamidreza Pouraliakbar |
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

نشانی اینترنتی http://journal.iha.org.ir/article_82809_1b15379cb3544b1f0f2d0fde36c38736.pdf
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/162/article-162-1423872.pdf
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