Abstract
to verify whether comatose patients feel pain during the bed bath nursing procedure. nineteen patients aged 61 ± 17.39 years participated in the study. A quantitative analysis was conducted on the P substance (PS) in the saliva collected before and during a bed bath, using the ELISA method. Program Graph Pad Prisma 6 was used to analyze the data. The verification of normality was made through the Shapiro Wilk test, which determined the choice for the Wilcoxon nonparametric test. the study showed a statistically significant increase (∆= 5.62%, p<0.001) in the PS level of the patients studied during the nursing procedure. when caring for comatose patients during a bed bath, professionals cause or add painful stimuli; therefore, they feel pain.
Highlights
Pain is essential for human integrity and survival of the species
A description of the sample was elaborated with mean, median, standard deviation, and minimum and maximum values. This was followed by the verification of normality measured by the Shapiro-Wilk test, which determined the choice for the Wilcoxon nonparametric test with p
The results provided researchers with a global, instructive composition for clinical practice and showed that only 68% of the patients had received analgesic or sedative drugs at some point during mechanical ventilation, with a mean of three days of use[17]
Summary
Pain is essential for human integrity and survival of the species. According to the International Association for the Study of Pain (IASP), it is defined as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage”(1). PS is still considered the main nociceptive transmitter in afferent sensory fibers and it is activated in response to cutaneous stimuli, participating in the conduction in afferent sensitive nerves (C fibers). It is involved in various physiological activities, including cardiovascular tonus change, stimulation of salivary secretion, contraction of smooth muscles, vasodilation, behavioral changes as part of the defense response to threatening stimuli, and stimulation of the amygdala in response to fear or anxiety, triggering autonomous responses and adaptive behaviors. The objective of this study was to verify whether comatose patients feel pain during the bed bath nursing procedure
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