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Pain and anxiety and their relationship with medication doses in the intensive care unit

Authors
 Sunyoung Park  ;  Se Hee Na  ;  Jooyoung Oh  ;  Jong Seok Lee  ;  Seung-Taek Oh  ;  Jae-Jin Kim  ;  Jin Young Park 
Citation
 JOURNAL OF CRITICAL CARE, Vol.47 : 65-69, 2018 
Journal Title
 JOURNAL OF CRITICAL CARE 
ISSN
 0883-9441 
Issue Date
2018
Keywords
Analgesics ; Anti-anxiety agents ; Anxiety ; Critical illness ; Intensive care units ; Pain
Abstract
PURPOSE: Pain and anxiety are understudied despite their importance to the general medical condition. The aim of the present study was to examine the effects of pain and anxiety and their relationship to the doses of opioids and anxiolytics administered in intensive care unit (ICU) patients. METHODS: The subjects included 1349 conscious, critically ill patients admitted to an ICU. Psychiatrists evaluated the patients daily for pain and anxiety. Data regarding the doses of opioids and benzodiazepines administered were gathered. Linear mixed model was used for analysis. RESULTS: The pain and anxiety experienced by patients in the ICU were significantly correlated. Pain had significant main effects on the dose of opioids administered. No significant effects of anxiety on the daily dose of anxiolytics or opioids given were detected. CONCLUSIONS: Due to their closely linked relationship, pain and anxiety, can affect one another, and one can influence the other to appear more severe. In addition, anxiety can be underestimated in ICU patients. The present study suggests the need for precise evaluation and a comprehensive approach to the management of pain and anxiety. In addition, this study implies that management of anxiety may affect pain reduction, given the close correlation between the two.
Full Text
https://www.sciencedirect.com/science/article/pii/S088394411731835X
DOI
10.1016/j.jcrc.2018.05.014
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jae Jin(김재진) ORCID logo https://orcid.org/0000-0002-1395-4562
Park, Jin Young(박진영) ORCID logo https://orcid.org/0000-0002-5351-9549
Oh, Jooyoung(오주영) ORCID logo https://orcid.org/0000-0001-6721-399X
Lee, Jong Seok(이종석) ORCID logo https://orcid.org/0000-0002-7945-2530
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/169805
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