Further training should be provided to professionals caring for patients undergoing craniotomy to better manage post-operative headache.
BACKGROUND AND OBJECTIVES: Pain relief is a basic human right and an ethical issue involving all health professionals. This study aimed at describing what professionals of a multidisciplinary hospital team know about pain and analgesia. METHODS: This is a descriptive, cross-sectional study with quantitative approach, carried out at the Teaching Hospital of the Federal University of Sergipe. Sample was made up of 33 physicians, 26 nurses, 10 physiotherapists, 8 pharmacists and 5 psychologists. Data collection tool was a self-applied questionnaire encompassing knowledge about definitions and types of pain, evaluation and measurement, pharmacological and non-pharmacological management, and professional qualification in pain. Data were analyzed by simple descriptive statistics and are presented as tables. RESULTS: Participants of the study were predominantly females (72.0%), young adults (40.2%), with residence as maximum qualification (53.7%). Pain was considered discomfort/ unpleasant sensation (46.3%) and chronic pain was defined as a symptom 48.8%). Only one professional reported using multimodal treatment for pain relief. Most professionals stated having acquired knowledge about pain and analgesia after graduation (79.3%) and that they feel the need for specific qualification (70.7%). CONCLUSION: This study has provided a situational diagnosis of the knowledge of the multiprofessional team of the hospital, showing that there is inconsistency between participants' theoretical basis and their role in handling pain and humanizing assistance.
the return to productivity was an important factor for the quality of life of the victims of traumatic brain injury and should direct the public policies in promoting the health of these victims.
Introdução: Garantir o ensino de primeiros socorros assegura uma melhor assistência em situações de emergência. Para isso, a população de ambiente escolar é uma parcela importante para propagar esse conhecimento, já que a mesma se encontra em um ambiente propenso a acidentes. Objetivo: Descrever a experiência do processo de ensino-aprendizagem, em primeiros socorros para crianças, adolescentes e professores de uma instituição de ensino, assim como a importância da educação em saúde no ambiente escolar. Métodos: Estudo descritivo, do tipo de relato de experiência, realizado no primeiro semestre de 2017, com público alvo de crianças, adolescentes, professores e responsáveis, proveniente de um projeto de extensão vinculado a Universidade Federal do Rio Grande do Norte. Resultados: Foram realizados seis encontros com assuntos pertinentes aos primeiros socorros, com 21 crianças e 12 responsáveis. Foi utilizada a metodologia de aulas expositivas acerca de situações de primeiros socorros e simulação da prática de imobilização da vítima em acidentes e de reanimação cardiopulmonar. Conclusão: As abordagens metodológicas foram consideradas com êxito pelos organizadores, atingindo o objetivo de educar as crianças, adolescentes e responsáveis acerca dos cuidados de primeiros socorros. É necessário articulação para implementação de educação em saúde nas escolas.Palavras-chave: primeiros socorros, educação em saúde, aprendizagem.
ObjectiveTo evaluate the validity and reliability of the Brazilian version of the Behavioral Pain Scale (BPS-Br) in victims of traumatic brain injury.MethodsObservational prospective study with paired and repeated measures conducted at two intensive care units (clinical and surgical) of a large general hospital. The convenience sample consisted of adult victims of moderate or severe penetrating or blunt craniocerebral trauma who were sedated and mechanically ventilated. A total of 432 paired observations were performed by independent evaluators simultaneously, prior to eye cleaning, during eye cleaning, during tracheal aspiration and after tracheal aspiration. Sociodemographic, clinical, trauma-related, sedoanalgesia and physiological parameter data (heart rate, systolic and diastolic blood pressure) were collected. The discriminant validity was tested using the Friedman and Wilcoxon paired tests. The intraclass correlation coefficient and Cohen's Kappa coefficient were used to evaluate the reliability. The Spearman correlation test was used to test the association between clinical variables and BPS-Br scores during tracheal aspiration.ResultsThere was a significant increase in the physiological parameters during tracheal aspiration, but without correlation with the BPS-Br scores. Pain was significantly more intense during tracheal aspiration (p < 0.005). Satisfactory interobserver agreement was found, with an intraclass correlation coefficient of 0.95 (0.90 - 0.98) and Kappa coefficient of 0.70.ConclusionBrazilian version of the Behavioral Pain Scale scores increased during tracheal aspiration. The Brazilian version of the scale was valid and reliable for pain assessment of traumatic brain injury victims undergoing tracheal aspiration.
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