NURSING IN CRITICAL CARE, cilt.28, sa.5, ss.1-9, 2023 (SCI-Expanded)
Aim: This study was conducted to examine the pain perceptions of intensive care
patients after cardiac surgery according to Roy's Adaptation Model (RAM).
Study Design: A qualitative design with a phenomenological approach was used in
the study. The research data were collected by using a “descriptive information
form”, a “semi-structured interview form”, and the “numerical rating scale” through
the “in-depth interview method”. The study sample consisted of 16 patients who were
aged 18 years or older, had undergone cardiac surgery, experienced pain postoperatively in the intensive care unit at least once, and had intensive care experience.
Patients with neuropathic or chronic pain or neurological or psychiatric disorders were
not included in the study. Data were classified into physiologic, self-concept, and interdependence modes according to RAM.
Results: The themes and sub-themes that emerged included physiologic modes (pain
responses), self-concept modes (pain self-management), role-function modes (effects
of pain), and interdependence modes (support systems in pain).
Conclusions: The results of our study can enable patients and nurses to communicate
effectively about pain. In future studies, the effect of model-based pain management
programs on cardiac surgery patients can be investigated.
Relevance to Clinical Practice: Examining the pain perceptions of intensive care
patients after cardiac surgery according to RAM will guide the improvement and
development of pain management. It is thought that the model addresses intensive
care patients experiencing pain holistically.