ObjectiveThe objective of this study was to translate and culturally adapt the Behavioral
Pain Scale to Brazilian Portuguese and to evaluate the psychometric properties of
this scale.MethodsThis study was conducted in two phases: the Behavioral Pain Scale was translated
and culturally adapted to Brazilian Portuguese and the psychometric properties of
this scale were subsequently assessed (reliability and clinical utility). The
study sample consisted of 100 patients who were older than 18 years of age,
admitted to an intensive care unit, intubated, mechanically ventilated, and
subjected or not to sedation and analgesia from July 2012 to December 2012.
Pediatric and non-intubated patients were excluded. The study was conducted at a
large private hospital that was situated in the city of São Paulo (SP).ResultsRegarding reproducibility, the results revealed that the observed agreement
between the two evaluators was 92.08% for the pain descriptor “adaptation to
mechanical ventilation”, 88.1% for “upper limbs”, and 90.1% for “facial
expression”. The kappa coefficient of agreement for “adaptation to mechanical
ventilation” assumed a value of 0.740. Good agreement was observed between the
evaluators with an intraclass correlation coefficient of 0.807 (95% confidence
interval: 0.727-0.866).ConclusionThe Behavioral Pain Scale was easy to administer and reproduce. Additionally, this
scale had adequate internal consistency. The Behavioral Pain Scale was
satisfactorily adapted to Brazilian Portuguese for the assessment of pain in
critically ill patients.
Resumo Objetivo Conhecer os benefícios das práticas de enfermagem aos pacientes com dor acompanhados na clinica de dor. Métodos Revisão integrativa de literatura, sendo utilizado o portal eletrônico SCIELO, e base de dados CINAHL e PubMed Central, com recorte temporal de 2008 a 2018 e período de coleta de dados entre junho e julho de 2018. Como descritores em saúde (DeCs): Pacientes, Dor crônica, Cuidados de Enfermagem, Clínicas de dor; e, o Medical Subject Heading (MeSH): Patients, Chronic pain, Nurse Care, Pain clinic. Resultados Evidenciou-se que a produção analisada é, majoritariamente, sobre práticas de enfermagem não farmacológica a pacientes com dor crônica, com publicações reduzidas no Brasil e tendem a se concentrar nos últimos cinco anos. O paciente com este tipo de agravo, vivencia condições multifatoriais que influenciam diretamente na condição de saúde, e necessitando de acompanhamento integral por equipe interprofissional, com inclusão da rede cuidadora, através intervenções qualificadas e resolutivas, visando adaptação e ou melhora da sua condição de saúde. Conclusão Os estudos indicam benefícios gerados pelas práticas sistematizadas implementadas por enfermeiros, por meio de instrumentos e ferramentas para detecção, intervenção e avaliação, além de apoio clínico.
BACKGROUND AND OBJECTIVES:Notwithstanding several studies pointing to a relationship between psychological aspects and pain, the scientific literature still lacks articles specifically addressing the psychological assessment process. This study aimed at answering to three questions: Why, when and how to refer painful patients to a psychological assessment? With this, we intend to cooperate with professionals of different areas by offering them guidelines about major indications for psychological assessment, what should be expected from this process and how to effectively refer patients.
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