Objective To verify the effects of critical-care pain observation tool ( CPOT) on pain assessment after lung transplantation. Methods 2 critical care nurses applied CPOT scale for pain assessment of 42 cases hospitalized in ICU after lung transplantation who would have pain assessment. The whole investigation were divided into 3 stages and 2 points of each stage ( rest before turning over and the simulation of turning over) with total 6 measuring point (T1-T6). The first stage was patients with general anesthesia ( no awareness) , the second stage ( patients with sanity and applied artificial respirator through oral trachea cannula, the third stage ( patients got off oral trachea cannula and ventilator paused ) . The measurement point was 1 min, recording patient′s value of CPOT from T1 to T6. The second stage was used digital scoring method. Results For 3 stages, the measurement points of turning over for CPOT value was higher than that of rest measurement point before turning over; 2 critical patients had high uniformity for CPOT score;in stage 2, patient′s CPOT score had high uniformity with NRS score. Conclusions CPOT is a effective way to assess pain for mechanically ventilated patients after lung transplantation.%目的 验证危重症患者疼痛观察工具(CPOT)在评估肺移植术后患者疼痛的有效性.方法 2名重症护理人员应用CPOT量表对42例行肺移植手术后入住ICU的成年患者进行疼痛评估,分为3个评估阶段,每个阶段包括2个测评点(翻身前静息时和翻身刺激时),共6个测评点(T1~T6).第1阶段(患者全麻未醒、经口气管插管应用人工呼吸机),第2阶段(患者神志清楚、经口气管插管应用人工呼吸机),第3阶段(患者已拔出经口气管插管,呼吸机暂停).每个观测点的评估时间为1 min,记录患者T1~T6的CPOT值.(第2阶段应用数字评分法).结果 3个阶段,翻身刺激时测评点的CPOT值均高于翻身前静息测评点;2名重症护理人员CPOT评分一致性较高;第二阶段患者CPOT评分与NRS评分结果 一致性较高.结论 CPOT是能有效的判定肺移植术后机械通气患者疼痛的有效手段.
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