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http://hdl.handle.net/2445/174721
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DC Field | Value | Language |
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dc.contributor.author | Bosch Alcaraz, Alejandro | - |
dc.contributor.author | Jordán García, Iolanda | - |
dc.contributor.author | Benito-Aracil, Llúcia | - |
dc.contributor.author | Saz Roy, Mª Ángeles | - |
dc.contributor.author | Falcó Pegueroles, Anna M. (Anna Marta) | - |
dc.date.accessioned | 2021-03-05T12:18:53Z | - |
dc.date.available | 2021-03-05T12:18:53Z | - |
dc.date.issued | 2020-11-01 | - |
dc.identifier.issn | 1036-7314 | - |
dc.identifier.uri | http://hdl.handle.net/2445/174721 | - |
dc.description.abstract | Introduction: the care of critically ill children is usually invasive and aggressive, requiring numerous traumatic procedures that may cause fear, pain, and discomfort. Objectives: the aim of this study was to analyse the level of discomfort of patients admitted to the paediatric intensive care unit of a specialist children's hospital and to determine the sociodemographic and clinical variables that influence the degree of discomfort experienced by critically ill paediatric patients. Methods: we performed a descriptive observational cross-sectional study that included a total of 311 children with a median age of 5.07 y (interquartile range = 0.9-11.7). A team of 10 paediatric critical care nurses assessed the degree of discomfort once for each shift (morning, afternoon, and night) on 2 successive days using the COMFORT Behavior Scale-Spanish version. Results: in total, 49.8% (n = 155) of the patients were free of discomfort (score ≤10 points) vs. 50.2% (n = 156) who experienced discomfort. There was a significant negative correlation between discomfort and the length of stay in days (Rho = 0.16; p = 0.02), that is, the longer the stay, the less discomfort the patient felt. The correlation between age and degree of discomfort was found to be both positive and significant (Rho = 0.230, p < 0.001); the greater the age, the greater the discomfort. In comparison of all children who received analgosedation (n = 205), with discomfort levels of 10.77 ± 2.94, with those who did not receive analgosedation (n = 106), with discomfort levels of 11.96 ± 2.80, we did find a statistically significant difference (χ2 = -4.05; p < 0.001). Conclusions: half of the patients admitted to the paediatric intensive care unit experienced discomfort. Age and analgosedation were the two most important variables involved with a high degree of discomfort. Clinical care practices must consider these factors and try to plan activities designed to relieve discomfort in all critically ill paediatric patients. | - |
dc.format.extent | 7 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Elsevier | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1016/j.aucc.2020.02.009 | - |
dc.relation.ispartof | Australian Critical Care, 2020, vol. 33, num. 6, p. 504-510 | - |
dc.relation.uri | https://doi.org/10.1016/j.aucc.2020.02.009 | - |
dc.rights | cc-by-nc-nd (c) Bosch Alcaraz et al, 2020 | - |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/es | - |
dc.source | Articles publicats en revistes (Infermeria Fonamental i Clínica) | - |
dc.subject.classification | Benestar dels animals | - |
dc.subject.classification | Unitats de cures intensives | - |
dc.subject.classification | Pediatria | - |
dc.subject.other | Animal welfare | - |
dc.subject.other | Intensive care units | - |
dc.subject.other | Pediatrics | - |
dc.title | Discomfort of the critically ill pediatric patient and correlated variables | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 696235 | - |
dc.date.updated | 2021-03-05T12:18:53Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 32605846 | - |
Appears in Collections: | Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil) Articles publicats en revistes (Infermeria Fonamental i Clínica) |
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File | Description | Size | Format | |
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696235.pdf | 580.25 kB | Adobe PDF | View/Open |
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