Jooyoung Oh1, Jeong-Hyun Sohn2, Cheung Soo Shin3, Se Hee Na3, Hyung-Jun Yoon4, Jae-Jin Kim2, Sunyoung Park2, Jin Young Park5. 1. Department of Psychiatry and Institute of Behavioral Science in Medicine, College of Medicine, Yonsei University, Gangnam Severance Hospital, Seoul, South Korea; Department of Medical System Engineering (DMSE), Gwangju Institute of Science and Technology (GIST), Gwangju, South Korea. 2. Department of Psychiatry and Institute of Behavioral Science in Medicine, College of Medicine, Yonsei University, Gangnam Severance Hospital, Seoul, South Korea. 3. Department of Anesthesiology, College of Medicine, Yonsei University, Seoul, South Korea. 4. Department of Psychiatry, Glory Hospital, Incheon, South Korea. 5. Department of Psychiatry and Institute of Behavioral Science in Medicine, College of Medicine, Yonsei University, Gangnam Severance Hospital, Seoul, South Korea. Electronic address: empathy@yuhs.ac.
Abstract
PURPOSE: Little is known about the relationship between anxiety and pain in intensive care unit (ICU) patients despite its importance. The aims of the present study are to examine the correlation between pain and anxiety during ICU care and to investigate its effects on the dose of opioids and anxiolytics administered. METHODS: The study subjects were awake critically ill patients admitted to an ICU over a 2-month period. Trained psychiatrists evaluated the nondelirious, noncomatose patients daily for anxiety and pain using the Numeric Rating Scale for Pain (NRS-Pain), Faces Anxiety Scale (FAS), and Hamilton Anxiety Rating Scale. RESULTS: Daily alterations of anxiety and pain were significantly correlated with one another among 123 patients. Both the FAS and the Hamilton Anxiety Rating Scale were positively correlated with the NRS-Pain (P < .001 for both). The NRS-Pain score (P = .016) and the FAS score (P = .007) both significantly correlated with the dose of anxiolytics. The dose of opioids was unaffected by the severity of pain or anxiety. CONCLUSIONS: Pain and anxiety among critically ill patients in the ICU were closely correlated. Pain and anxiety influenced the dose of anxiolytics administered. Therefore, a precise evaluation and comprehensive approach to the management of pain and anxiety are important for treating ICU patients.
PURPOSE: Little is known about the relationship between anxiety and pain in intensive care unit (ICU) patients despite its importance. The aims of the present study are to examine the correlation between pain and anxiety during ICU care and to investigate its effects on the dose of opioids and anxiolytics administered. METHODS: The study subjects were awake critically ill patients admitted to an ICU over a 2-month period. Trained psychiatrists evaluated the nondelirious, noncomatose patients daily for anxiety and pain using the Numeric Rating Scale for Pain (NRS-Pain), Faces Anxiety Scale (FAS), and Hamilton Anxiety Rating Scale. RESULTS: Daily alterations of anxiety and pain were significantly correlated with one another among 123 patients. Both the FAS and the Hamilton Anxiety Rating Scale were positively correlated with the NRS-Pain (P < .001 for both). The NRS-Pain score (P = .016) and the FAS score (P = .007) both significantly correlated with the dose of anxiolytics. The dose of opioids was unaffected by the severity of pain or anxiety. CONCLUSIONS:Pain and anxiety among critically ill patients in the ICU were closely correlated. Pain and anxiety influenced the dose of anxiolytics administered. Therefore, a precise evaluation and comprehensive approach to the management of pain and anxiety are important for treating ICU patients.
Authors: Jaesub Park; Seung-Taek Oh; Sunyoung Park; Won-Jung Choi; Cheung Soo Shin; Se Hee Na; Jae-Jin Kim; Jooyoung Oh; Jin Young Park Journal: Acute Crit Care Date: 2018-02-06