Psychophysical evaluation of the descriptors of pain in the postoperative

Pereira, Lílian Varanda; Sousa, Fátima Aparecida Emm Faleiros

doi:10.1590/s0104-11692007000300017

Cited by 13 publications

(13 citation statements)

References 10 publications

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“…However, available studies showed results similar to those of the present study, especially investigations on the ND Acute pain, which is one of the most established for surgical patients (8,(15)(16) . The ND Acute pain (5) was established for 99.3% of patients in our study and have been investigated in several practice scenarios for nurses, who are responsible for diagnosing accurately, intervening appropriately and reassess the results obtained at a later time.…”

Section: Discussionsupporting

confidence: 89%

Perfil clínico, diagnósticos e cuidados de enfermagem para pacientes em pós-operatório de cirurgia bariátrica

Steyer

Oliveira

Gouvêa

et al. 2016

Rev. Gaúcha Enferm.

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Objective:To analyze the clinical profi le, nursing diagnoses, and nursing care established for postoperative bariatric surgery patients. Method: Cross-sectional study carried out in a hospital in southern Brazil with a sample of 143 patients. Data were collected retrospectively from electronic medical records between 2011 and 2012 and analyzed statistically. Results:We found a predominance of adult female patients (84%) with class III obesity (59.4%) and hypertension (72%). Thirty-fi ve nursing diagnoses were reported, among which the most frequent were: Acute Pain (99.3%), Risk for perioperative positioning injury (98.6%), and Impaired tissue integrity (93%). The most frequently prescribed nursing care were: to use protection mechanisms in the surgical patient positioning, to record pain as 5th vital sign, and to take vital signs. There was an association between age and comorbidities. Conclusion:The nursing diagnoses supported the nursing care prescription, which enables the qualifi cation of nursing assistance. Keywords: Bariatric surgery. Nursing diagnosis. Nursing care. RESUMO RESUMEN Objetivo:Analizar el perfi l clínico, diagnósticos de enfermería y cuidados de enfermería establecidos para los pacientes en postoperatorio de cirugía bariátrica. Método: Estudio transversal con la muestra de 143 pacientes. El estudio se realizó entre 2011-2012, en un hospital en el sur de Brasil. Los datos fueron recolectados retrospectivamente de los registros médicos electrónicos y analizados estadísticamente. Resultados: Se identifi caron pacientes femeninas adultas (84%), con obesidad clase III (59,4%), hipertensión (72%) y con 35 diagnósticos de enfermería, siendo los más frecuentes: el Dolor agudo (99,3%), Riesgo de lesión perioperatoria de posicionamiento (98,6%) y la Integridad del tejido deteriorado (93%). Entre los cuidados de enfermería prescritos los más utilizados fueron: utilizar los mecanismos de protección en el posicionamiento quirúrgico del paciente, registrar el dolor como quinto signo vital y verifi car los signos vitales. Se observó una asociación entre la edad y las comorbilidades. Conclusión: Los diagnósticos de enfermería apoyaron la prescripción de los cuidados de enfermería, lo que permite califi car la asistencia de enfermería. Palabras clave: Cirugía bariátrica. Diagnóstico de enfermería. Atención de enfermería. How to cite this article:Steyer NH, Oliveira MC, Gouvêa MRF, Echer IC, Lucena AF. Clinical profi le, nursing diagnoses and nursing care for postoperative bariatric surgery patients. Rev Gaúcha Enferm. 2016 mar;37(1):e50170.

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Section: Discussionsupporting

confidence: 89%

Perfil clínico, diagnósticos e cuidados de enfermagem para pacientes em pós-operatório de cirurgia bariátrica

Steyer

Oliveira

Gouvêa

et al. 2016

Rev. Gaúcha Enferm.

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“…In addition, methods to quantify the subjective experience with scientific rigor and reproducibility are needed as well as follow-up and analysis of the mechanisms of action of different drugs and therapies, monitoring changes in the quality and/ or dimensions of pain, permitting the client him/herself to opt to report, describe and evaluate his/her own perception of pain (1)(2) .…”

Section: Introductionmentioning

confidence: 99%

Multidimensional pain evaluation scale

Sousa

Pereira

Cardoso

et al. 2010

Rev. Latino-Am. Enfermagem

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This study developed a pain evaluation scale and validated it for the Portuguese language.Development of the inventory -308 readily available pain descriptors -were searched in international literature and validated by six judges. One hundred descriptors of acute pain and 100 descriptors of chronic pain were found, which were used in the next stage. Statistical validation -493 health professionals and 146 patients experiencing acute and chronic pain participated in the study. Instructions, pain descriptors and respective definitions, pen and measuring tape were provided to participants. Psychophysical methods were used to establish categories, magnitude and cross-modality matching using line-length. Results revealed the ranking of the most frequently used descriptors of acute and chronic pain, with power equal to 0.99, close to the predicted (one), using line-length estimations. The Multidimensional Pain Evaluation Scale is thus validated for the Portuguese language. Escala Multidimensional de Evaluación del Dolor (EMEDOR)Los objetivos de este estudio fueron elaborar una escala de evaluación del dolor y validarla para la lengua portuguesa. Elaboración de inventario -fueron investigados 308 descriptores del dolor en la literatura mundial y, a partir de estos, seis jueces realizaron la validación aparente y de contenido. Como resultados fueron encontrados 100 descriptores del dolor agudo y 100 del crónico, los cuales fueron utilizados en la próxima etapa. Validación estadística -participaron 493 profesionales de la salud y 146 portadores de dolor agudo y de crónico. Se usó, como material, instrucciones a los participantes, descriptores de dolor y sus definiciones, lápiz y cinta de medir. Fueron utilizados métodos psicofísicos: estimación de categorías, estimación de magnitudes y emparejamiento intermodal con modalidad en largo de líneas. Los resultados muestran escalonamiento de los descriptores de mayor caracterización para el dolor agudo y para el dolor crónico, fue encontrado exponente igual a 0,99, próximo al predicho (uno) al utilizar el largo de líneas y estimativas numéricas. Fue validado para la lengua portuguesa la Escala Multidimensional de Evaluación del Dolor (EMEDOR).Descriptores: Descriptores; Dolor; Dimensión del Dolor.

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“…Literature points out as the triggering factors of these problems: sub treatment of pain, its undervaluation, the reduced use of opioids, inadequate training of health professionals on pain and medication phenomena, erroneous beliefs and values regarding pain and analgesia, the difficulty to assess pain or no systematic evaluation (3,(13)(14) . Regarding the origin of acute pain, the majority of studies analyzes its effects in the postoperative period, which also involves inflammatory or infectious processes, followed by pain resulting from trauma and burns, the latter concentrated in two authors in the national scene (13,15) . As for the use of scales for acute pain assessment, stand out the numerical scale (0 to 10), the visual analogue scale, the verbal descriptor scale (no pain/mild pain/moderate pain/severe pain/unbearable pain) and the body chart (16)(17) .…”

Section: Discussionmentioning

confidence: 99%

Acute and chronic pain: a narrative review of the literature

Sallum¹,

Garcia²,

Sanches³

2012

Acta paul. enferm.

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The study objectives were to identify the organic, emotional and psychic prevalent consequences in patients with acute and chronic pain and punctuate the main assessment tools for these pains. A narrative review of the literature was conducted using descriptors related to pain measurement, signs and symptoms, totalizing 184 articles. The electronic databases MEDLINE and LILACS were searched from January 2000 to December 2010. The review pointed out a series of conclusive studies about the organic repercussions more frequent in acute and chronic pain conditions and the use of different rating scales for both situations. It is believed that these findings could be of great values for health teams, could contribute with a better practice and with customer satisfaction in the hospital scenario and at home. Keywords: Pain measurement; Nursing care; Signs and symptoms; Quality of healthcare. resumoOs objetivos do estudo foram identificar as repercussões orgânicas, emocionais e psíquicas prevalentes em pacientes com dor aguda e dor crônica e pontuar os principais instrumentos de avaliação para essas dores. Foi realizada uma revisão narrativa da literatura, utilizando-se descritores relacionados a medição da dor, cuidados de enfermagem, sinais e sintomas, totalizando 184 artigos. As bases eletrônicas pesquisadas foram LILACS e MEDLINE, entre janeiro de 2000 a dezembro de 2010. Esta revisão pontuou uma série de estudos conclusivos sobre as repercussões orgânicas mais freqüentes nos quadros álgicos agudos e crônicos e o uso de escalas de avaliação distintas para ambas as situações. Acredita-se que esses achados possam ser de grande valia para as equipes de saúde, contribua com melhores práticas e satisfação do cliente nos cenários intra hospitalar e domiciliário. Descritores: Medição da dor; Cuidados de enfermagem; Sinais e sintomas; Qualidade da assistência à saúde resumen Los objetivos del estudio fueron identificar las repercusiones orgánicas, emocionales y psíquicas prevalentes en pacientes con dolor agudo y dolor crónico y puntuar los principales instrumentos de evaluación para esos dolores. Se realizó una revisión narrativa de la literatura, utilizándose descriptores relacionados a la medición del dolor, cuidados de enfermería, signos y síntomas, en un total de 184 artículos. Las bases electrónicas investigadas fueron LILACS y MEDLINE, entre enero de 2000 a diciembre de 2010. Esta revisión puntuó una serie de estudios conclusivos sobre las repercusiones orgánicas más frecuentes en los cuadros álgicos agudos y crónicos y el uso de escalas de evaluación distintas para ambas situaciones. Se cree que esos hallazgos podrán ser de gran valía para los equipos de salud y que contribuya con mejores prácticas y satisfacción del cliente en los escenarios intra hospitalario y domiciliario. Descriptores: Dimensión del dolor; Atención de enfermería; Signos y síntomas; Calidad de la atención de salud

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Psychophysical evaluation of the descriptors of pain in the postoperative

Cited by 13 publications

References 10 publications

Perfil clínico, diagnósticos e cuidados de enfermagem para pacientes em pós-operatório de cirurgia bariátrica

Perfil clínico, diagnósticos e cuidados de enfermagem para pacientes em pós-operatório de cirurgia bariátrica

Multidimensional pain evaluation scale

Acute and chronic pain: a narrative review of the literature

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