Please use this identifier to cite or link to this item: https://ktisis.cut.ac.cy/handle/10488/11874
DC FieldValueLanguage
dc.contributor.authorPapathanassoglou, Elizabeth-
dc.contributor.authorHadjibalassi, Maria-
dc.contributor.authorMiltiadous, Panagiota-
dc.contributor.authorLambrinou, Ekaterini-
dc.contributor.authorPapastavrou, Evridiki-
dc.contributor.authorPaikousis, Lefkios-
dc.contributor.authorKyprianou, Theodoros-
dc.date.accessioned2018-07-11T05:18:32Z-
dc.date.available2018-07-11T05:18:32Z-
dc.date.issued2018-05-01-
dc.identifier.citationAmerican Journal of Critical Care, 2018, vol. 27, no.3, pp. 172-185en_US
dc.identifier.issn1062-3264-
dc.description.abstractBackground Pain, a persistent problem in critically ill patients, adversely affects outcomes. Despite recommendations, no evidence-based nonpharmacological approaches for pain treatment in critically ill patients have been developed. Objectives To investigate the effects of a multimodal integrative intervention on the incidence of pain and on secondary outcomes: intensity of pain, hemodynamic indices (systolic and mean arterial pressure, heart rate), anxiety, fear, relaxation, optimism, and sleep quality. Methods A randomized, controlled, double-blinded repeated-measures trial with predetermined eligibility criteria was conducted. The intervention included relaxation, guided imagery, moderate pressure massage, and listening to music. The primary outcome was incidence of pain (score on Critical Care Pain Observation Tool > 2). Other outcomes included pain ratings, hemodynamic measurements, self-reported psychological outcomes, and quality of sleep. Repeated-measures models with adjustments (baseline levels, confounders) were used. Results Among the 60 randomized critically ill adults in the sample, the intervention group experienced significant decreases in the incidence (P = .003) and ratings of pain (P < .001). Adjusted models revealed a significant trend for lower incidence (P = .002) and ratings (P < .001) of pain, systolic arterial pressure (P < .001), anxiety (P = .01), and improved quality of sleep (P = .02). Conclusion A multimodal integrative intervention may be effective in decreasing pain and improving painrelated outcomes in critically ill patients. (American Journal of Critical Care. 2018; 27:172-185).en_US
dc.formatpdfen_US
dc.language.isoenen_US
dc.publisherAmerican Association of Critical Care Nursesen_US
dc.relation.ispartofAmerican Journal of Critical Careen_US
dc.rights© American Association of Critical-Care Nurses.en_US
dc.subjectMultimodal integrative interventionen_US
dc.subjectIncidence of painen_US
dc.subjectMean arterial pressureen_US
dc.subjectQuality of sleepen_US
dc.titleEffects of an integrative nursing intervention on pain in critically ill patients: a pilot clinical trialen_US
dc.typeArticleen_US
dc.collaborationUniversity of Albertaen_US
dc.collaborationCyprus University of Technologyen_US
dc.collaborationImprovast Analytical Services Companyen_US
dc.collaborationUniversity of Nicosiaen_US
dc.collaborationEdmonton Clinic Health Academyen_US
dc.subject.categoryClinical Medicineen_US
dc.journalsSubscriptionen_US
dc.countryCanadaen_US
dc.countryCyprusen_US
dc.subject.fieldMedical and Health Sciencesen_US
dc.publicationPeer Revieweden_US
dc.identifier.doi10.4037/ajcc2018271en_US
dc.relation.issue3en_US
dc.relation.volume27en_US
cut.common.academicyear2017-2018en_US
dc.identifier.spage172en_US
dc.identifier.epage185en_US
item.openairecristypehttp://purl.org/coar/resource_type/c_6501-
item.openairetypearticle-
item.fulltextNo Fulltext-
item.languageiso639-1en-
item.cerifentitytypePublications-
item.grantfulltextnone-
crisitem.journal.journalissn1937-710X-
crisitem.journal.publisherAmerican Association of critical-care nurses-
crisitem.author.deptDepartment of Nursing-
crisitem.author.deptDepartment of Nursing-
crisitem.author.deptDepartment of Nursing-
crisitem.author.deptDepartment of Nursing-
crisitem.author.deptDepartment of Nursing-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.orcid0000-0002-7439-1492-
crisitem.author.orcid0000-0002-7782-3131-
crisitem.author.orcid0000-0002-2601-8861-
crisitem.author.orcid0000-0001-5128-3651-
crisitem.author.parentorgFaculty of Health Sciences-
crisitem.author.parentorgFaculty of Health Sciences-
crisitem.author.parentorgFaculty of Health Sciences-
crisitem.author.parentorgFaculty of Health Sciences-
crisitem.author.parentorgFaculty of Health Sciences-
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