Authors : Reza Pourmirza Kalhori, Amir Jalali and Maryam Mirzaei
Abstract: Ensuring the adequacy of sedation process in patients was been considered as critical issues in nursing care. Thus, we need to use of standard tools or appropriate measurements to it. The present study examined the association between physiological criteria and Rikersedation-agitation scale. During a clinical trial, 58 patients after undergoing coronary artery bypass graft surgery was been enrolled. From the admission of the subjects in the intensive care unit, the patients hemodynamic parameters (heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure rate, respiratory rate and central venous pressure) were been measured and recorded in each hour in a researcher-made checklist and simultaneously the patients were scored using the Riker sedation-agitation scale. Finally, the correlation between physiological indices changes and Riker sedation-agitation scale changes was been analyzed using Pearson correlation test and SPSS Software, version 18. The results of Pearson correlation test showed the presence of correlation between the scores of Riker sedation-agitation scale and physiological indices in the 1st and 2nd h and 4th and 5th h of intubation. No significant correlation seen between riker scale and physiological parameters at other hours of intubation. Study results showed, control of vital signs cannot be trusted solely as a reliable measure based on which the patient would receive the sedative drugs and the better approach is to use them in combination with other clinical tools such as Riker sedation-agitation scale.
Reza Pourmirza Kalhori, Amir Jalali and Maryam Mirzaei, 2016. Study of the Relationship Between Vital Signs Monitoring and Riker Sedation-Agitation Scale. International Journal of Tropical Medicine, 11: 38-42.