Evaluation of postoperative pain under the nurse's point of view
DOI:
https://doi.org/10.5205/1981-8963-v12i9a234730p2436-2441-2018Keywords:
Cuidados de Enfermagem, Dor, Dor Pós-Operatória, Equipe de Enfermagem, Manejo da Dor, Medição da Dor.Abstract
ABSTRACT
Objective: to identify the form used by nurses to evaluate and control acute pain in patients submitted to general surgery. Method: this is a qualitative, descriptive and exploratory study carried out in a public hospital, with nurses from the sectors of the post-anesthetic recovery room and the surgical clinic, whose data were analyzed using the Collective Subject Discourse technique. Results: the nurses under study do not use any standardized instrument to assess and measure postoperative pain and their control is basically performed by the administration of prescribed drugs. Conclusion: nurses need prior training, as well as the need to implement an evaluation model that is used for more effective control of pain. Descriptors: Nursing Care; Ache; Post-Operative Pain; Nursing team; Pain Management; Pain Measurement.
RESUMO
Objetivo: identificar a forma utilizada pelos enfermeiros para avaliar e controlar a dor aguda em pacientes submetidos à cirurgia geral. Método: trata-se de um estudo qualitativo, descritivo e exploratório, realizado em um hospital público, com enfermeiros dos setores da sala de recuperação pós-anestésica e da clínica cirúrgica, cujos dados foram analisados pela técnica do Discurso do Sujeito Coletivo. Resultados: os enfermeiros em estudo não fazem uso de nenhum instrumento padronizado para avaliar e mensurar a dor pós-operatória e seu controle é realizado, basicamente, pela administração de medicamentos prescritos. Conclusão: os enfermeiros necessitam de capacitação prévia, bem como existe a necessidade de implementar um modelo de avaliação que seja utilizado para o controle mais efetivo da dor. Descritores: Cuidados de Enfermagem; Dor; Dor Pós-Operatória; Equipe de Enfermagem; Manejo da Dor; Medição da Dor.
RESUMEN
Objetivo: identificar la forma utilizada por los enfermeros para evaluar y controlar el dolor agudo en pacientes sometidos a la cirugía general. Método: se trata de un estudio cualitativo, descriptivo y exploratorio, realizado en un hospital público, con enfermeros de los sectores de la sala de recuperación post anestésica y de la clínica quirúrgica, cuyos datos fueron analizados por la técnica del Discurso del Sujeto Colectivo. Resultados: los enfermeros en estudio no hacen uso de ningún instrumento padrón para evaluar y medir el dolor post operatorio y su control es realizado, básicamente, por la administración de medicamentos prescritos. Conclusión: los enfermeros necesitan de capacitación previa, así como existe la necesidad de implementar un modelo de evaluación que sea utilizado para el control más efectivo del dolor. Descriptores: Atención de Enfermería; Dolor; Dolor Posoperatoria; Grupo de Enfermería; Manejo del Dolor; Dimensión del Dolor.
References
Meier AC, Siqueira FA, Pretto CR, Colet CF, Gomes JS, Dezordl CCM, Stunn EMF. Analysis os Intensity, Sensory and Affective Aspects os Pain of Patients in Immediate Postoperative Care. Rev Gaúcha Enferm. 2017; 38(2):1-8. Doi: http://dx.doi.org/10.1590/1983-1447.2017.02.62010
Costa T, Rossato LM, Bueno M, Secco IL, Sposito NPB, Harrison D, Freitas JS. Nurses Knowleged and practices regarding pain management in newborns. Rev Esc Enferm USP. 2017; 51(1):1-7. Doi: 10.1590/s1980-220x2016034403210
Franco LVS, Sugai RFB, Silva SC, Silva TC, Silva RBV, Guimarães RSS, Cerdeira CD, Santos GB. Postoperative pain at a university hospital: perspectives toward health promotion. Rev Bras Promoç Saúde. 2017 Oct/Dec; 30(4):1-8. Doi: http://dx.doi.org/10.5020/18061230.2017.6583
Assis GLC, Sousa CS, Turrini RNT, Poveda VB, Silva RCG. Proposal of nursing diagnoses, outcomes and interventions for postoperative patients of orthognathic surgery. Rev Esc Enferm USP. 2018;52 (1):1-7. Doi: 10.1590/S1980-220X2017025303321
Ribeiro MCO, Teles EBT, Nunes MS, Alves JAB, Santana CDD, Oliveira SJ, et al. Pain in patients subjected to hernioplasty. Rev enferm UFPE on line. 2013 Feb; 7(2):546-52. Doi: 10.5205/reuol.3073-24791-1-LE.0702201329
Barbosa MH, Corrêa TB, Araújo NF, Silva JAJ, Moreira TM, Andrade EV, et al. Pain, physiological alterations and analgesia in patients submitted to medium-sized surgeries. Rev eletrônica enferm. 2014; 16(1):142-50. Doi: https://doi.org/10.5216/ree.v16i1.20991
Barbosa MH, Araújo NF, Silva JAJ, Corrêa TB, Moreira TM, Andrade EV. Pain assessment intensity and pain relief in patients post-operative orthopedic surgery. Esc Anna Nery Rev Enferm. 2014 Jan/Mar; 18(1):143-147. Doi: http://dx.doi.org/10.5935/1414-8145.20140021
Silva MEA, Silva MSL, Dativo VLM, Andrade LL, Costa MML, Bezerra EP. Atitudes de profissionais de enfermagem frente à dor do paciente com ferida operatória. Rev enferm UFPE on line. 2013 July; 7(7):4641-7. Doi: 10.5205/reuol.4656-38001-2-SM.0707201308
Ribeiro SBF, Pinto JCP, Ribeiro JB, Felix MMS, Barroso SM, Oliveira LF, et al. Pain management at inpatient wards of a university hospital. Rev Bras Anestesiol. 2012 Sept/Oct; 62(5): 605–11. Doi: http://dx.doi.org/10.1590/S0034-70942012000500001
Flores PVP, Silva DM, Pereira SK, Cavalcanti ACD, Pereira JMV, Santana FR. Nursing diagnosis on delayed surgical recovery in elderly people: multiple case study. Rev Enferm Cent-Oeste Min. 2018;8:e2519. Doi: 10.19175/recom.v7i0.2519
Oliveira RM, Silva LMS da, Freitas CHA, Oliveira SKP, Pereira MM, Leitão IMTA. Measurement of pain in clinical nursing practice: integrative review. Rev Enferm UFPE on line. 2014 Aug; 8(8):2872-82. Doi: 10.5205/reuol.6081-52328-1-SM.0808201439
Garcia JBS, Bonilla P, Kraychette DC, Flores FC, Valtonila edp, Guerreiro C. Optimizing post‐operative pain management in Latin America. Rev Bras Anestesiol. 2017 July/Aug; 67(4): 395-403. Doi: https://doi.org/10.1016/j.bjan.2016.04.011
Silva MAS, Pimenta CAM, Cruz DALM. Pain assessment and training: the impact on pain control after cardiac surgery. Rev Esc Enferm USP. 2013 Feb; 47(1):83-91. Doi: 10.1590/S0080-62342013000100011
Loalza LFM, Cárdenas CYB. Care and pain management in patients in post-myocardial revascularization. Av Enferm. 2015; 33(2):209-221. Doi: https://doi.org/10.15446/av.enferm.v33n2.52477
Liu D, Ma J, Zhang Z, Yu A, Chen X, Feng C, et al. Management of postoperative pain in medical institutions in Shandong Province in China. Medicine (Baltimore). 2016 Feb; 95(6):e2690. Doi: 10.1097/MD.0000000000002690
Ribeiro COM, Pereira CU, Sallum AMC, Alves JAB, Albuquerque MF, Fujishima PA. Knowledge of doctors and nurses on pain in patients undergoing craniotomy. Rev Latino-Am Enfermagem. 2012 Nov/Dec; 20(6):1057-63. Doi: https://doi.org/10.1590/S0104-11692012000600007
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