Patients' satisfaction with the implementation of the concept of pain as the fifth vital sign to control postoperative pain

Iuppen, Lisiane Specht; Sampaio, Fernanda Herbstrith de; Stadnik, Claudio

doi:10.1590/s1806-00132011000100007

Cited by 10 publications

(8 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Even with pointed pain prevalence, the vast majority of patients were still happy with their treatment. This result is consistent with other studies 7,8,14,20 . Patients easily accept distress and pain associated to surgery and hospitalization.…”

Section: Discussionsupporting

confidence: 94%

Prevalência e características de dor em pacientes internados em hospital português

Silva¹,

Dixe²

2013

Rev. dor

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVES:Studies on pain prevalence systematically point to high values. Although not comparable, a global analysis allows inferring that from every two hospitalized patients, one is in pain. This study aimed at determining pain prevalence, its characteristics, analgesic treatment and satisfaction of patients admitted to a hospital in the Center of Portugal with regard to pain evaluation and treatment. METHODS: This is a transversal and observational study with 141 patients admitted for at least 24 hours to surgical and medical units (excluded those unable to communicate), with mean age of 69 years, of both genders, who were interviewed after compliance with respective formal and ethic procedures. RESULTS: Pain prevalence in the 24 hours previous to the study was 52.5% (28.8% severe pain). During interviews, prevalence has decreased to 41.1% (2.7% severe pain). Patients with more severe pain were admitted to surgical services and pain was primarily musculoskeletal. Most patients with pain have waited no more than ten minutes before analgesics were administered. From 57 patients referring pain during data collection, 46 (80.7%) did not require a different drug and 91.3% were happy with their treatment. CONCLUSION: In this institution, there has been pain prevalence and approach similar to the literature, but pain remains undertreated. Such data shall allow the definition and implementation of a more focused and effective pain control program. MÉTODOS:Estudo transversal e observacional realizado com 141 pacientes, internados há pelo menos 24 horas, em unidades cirúrgicas e médicas (excluídos os não comunicantes), com idade média de 69 anos, de ambos os gêneros, a quem foi realizada uma entrevista após o cumprimento dos respetivos procedimentos formais e éticos. RESULTADOS: Obteve-se prevalência de dor nas 24 horas anteriores ao estudo de 52,5% (28,8% dor intensa). Na altura da entrevista, a prevalência diminuiu para 41,1% (2,7% de dor intensa). Os pacientes com mais dor estavam internados nos serviços cirúrgicos e o tipo de dor era sobretudo musculoesquelé-tica. A maioria dos pacientes com dor esperou, no máximo, 10 minutos, para lhe ser administrado um analgésico. Dos 57 que referiram dor no momento da coleta dos dados, 46 (80,7%) não desejaram outro fármaco e 91,3% mostraram-se satisfeitos com o seu tratamento. CONCLUSÃO: Nessa instituição houve prevalência e abordagem da dor semelhantes às da literatura, mas a dor ainda se encontra subtratada. Esses dados permitirão a definição e implementação de um programa de controle de dor mais dirigida e eficaz. Descritores: Dor, Intensidade da dor, Prevalência de dor, Satisfação do paciente, Tratamento da dor. INTRODUCTIONPain is a universal and transversal problem to many diseases. It is subjective, very often difficult to describe, but patients should feel that health professionals are willing to listen to them. If untreated, pain leads to several adverse effects, such as cardiovascular, immunological, thrombotic, psychological, social, sleep...

show abstract

Section: Discussionsupporting

confidence: 94%

Prevalência e características de dor em pacientes internados em hospital português

Silva¹,

Dixe²

2013

Rev. dor

View full text Add to dashboard Cite

show abstract

“…It is worth stressing that it is also important to evaluate patients' satisfaction with analgesia, but this study has not found records about this. However, authors have found that, after implementing the concept of pain as the 5 th vital sign, most patients (54%) have scored pain control as optimal 13 . A study has evaluated POP control quality in a teaching hospital, from the perspective of patients, nurses and medical charts audits, and has found that patients with more pain than expected were less satisfied with the quality of their assistance and had higher levels of pain intensity.…”

Section: Discussionmentioning

confidence: 99%

Dor e analgesia pós-operatória: análise dos registros em prontuários

Oliveira¹,

Leitão²,

Silva³

et al. 2013

Rev. dor

View full text Add to dashboard Cite

“…This result, and the results of this study, shows that women have a lower pain threshold and different responses to stimuli algic than men. The study suggests that many factors contribute to patient satisfaction, despite only assessing the physiological aspect of pain (19) . Research to analyse the complications of 42 adult patients in anaesthesia recovery who underwent elective surgery with general anaesthesia records pain, hypothermia, hypoxemia as the most frequent complications (20) .…”

Section: Discussionmentioning

confidence: 92%

“…Most of the patients received no guidelines on postoperative pain, 61% felt pain, and 80% had pain assessment records, but without the use of scales. In addition to the association between postoperative pain intensity and pain relievers, the occurrence of moderate and severe pain was statistically significant among women (19) . Similarly, in this study older women who underwent open procedures had a lower pain threshold.…”

Section: Discussionmentioning

confidence: 93%

Análise da intensidade, aspectos sensoriais e afetivos da dor de pacientes em pós-operatório imediato

Meier

Siqueira

Pretto

et al. 2017

Rev. Gaúcha Enferm.

View full text Add to dashboard Cite

RESUMO Objetivo Avaliar a dor de pacientes em pós-operatório imediato, na admissão, uma hora após e na alta de uma Unidade de Recuperação Pós-Anestésica quanto a intensidade, aspectos sensoriais e afetivos. Métodos Analítico, transversal, com 336 pacientes, formulário sociodemográfico e clínico, escala numérica da dor e McGill reduzida. Dados coletados em setembro-outubro de 2015 em Unidade de Recuperação Pós-Anestésica (URPA), hospital geral do Noroeste do Rio Grande do Sul. Estatística descritiva, analítica, com significância para p<0,05. Resultados 57,3% não referiram dor, 47% dor da admissão à alta, estatisticamente significativas. Pacientes submetidos a cirurgias oncológicas e traumatológicas relataram mais dor (p<0,01). Na admissão e manutenção prevaleceu dor moderada e intensa; na alta, dor leve e moderada. Conclusões Percentual elevado de pacientes com dor no pós-operatório imediato, desde a admissão na unidade até a alta. Resultados podem instigar pesquisadores e profissionais de saúde às investigações, inclusive com maior número de participantes que permitam inferências.

show abstract

Patients' satisfaction with the implementation of the concept of pain as the fifth vital sign to control postoperative pain

Cited by 10 publications

References 12 publications

Prevalência e características de dor em pacientes internados em hospital português

Prevalência e características de dor em pacientes internados em hospital português

Dor e analgesia pós-operatória: análise dos registros em prontuários

Análise da intensidade, aspectos sensoriais e afetivos da dor de pacientes em pós-operatório imediato

Contact Info

Product

Resources

About