지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 147 - 159 (13page)
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초록· 키워드
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In most cases, patients admitted to an intensive care unit (ICU) have suffered from severe trauma, undergone major surgery or been treated for a serious medical illness. Although they often experience more intense pain than general ward patients, they are frequently unable to communicate their experiences to health care providers, thus preventing accurate assessment and treatment of their pain. If appropriate measures are not taken to treat pain in critically ill patients, stress response or sympathetic overstimulation can lead to complications. The short-term consequences of untreated pain include higher energy expenditure and immunomodulation. Longer-term, untreated pain increases the risk of post-traumatic stress disorder. Because pain is quite subjective, the accurate assessment of pain is very difficult in the patients with impaired communication ability. The current most valid and reliable behavioral pain scales used to assess pain in adult ICU patients are the Behavioral Pain Scale and the Critical-Care Pain Observation Tool. Once pain has been accurately assessed using these methods, various pharmacologic and non-pharmacologic therapies should be performed by the multidisciplinary care team. Accurate assessment and proper treatment of pain in adult ICU patients will improve patients outcome, which reduces the stress response and decreases the risk of post-traumatic stress disorder.
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참고문헌 (28)
참고문헌 신청
American Pain Society / 1999 / Principles of analgesic use in the treatment of acute pain and cancer pain
Azzam PN / 2013 / Pain in the ICU: a psychiatric perspective / J Intensive Care Med 28 : 140 ~ 150
Brame AL / 2010 / Stressing the obvious? An allostatic look at critical illness / Crit Care Med 38 : S600 ~ S607
Cade CH / 2008 / Clinical tools for the assessment of pain in sedated critically ill adults / Nurs Crit Care 13 : 288 ~ 297
Cross SA / 1994 / Pathophysiology of pain / Mayo Clin Proc 69 : 375 ~ 383
Azzam PN / 2013 / Pain in the ICU: a psychiatric perspective / J Intensive Care Med 28 : 140 ~ 150
Brame AL / 2010 / Stressing the obvious? An allostatic look at critical illness / Crit Care Med 38 : S600 ~ S607
Cade CH / 2008 / Clinical tools for the assessment of pain in sedated critically ill adults / Nurs Crit Care 13 : 288 ~ 297
Cross SA / 1994 / Pathophysiology of pain / Mayo Clin Proc 69 : 375 ~ 383
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