Pain in patients undergoing appendectomy

Ribeiro, María do Carmo de Oliveira; Simone, Jéssica Carolina Chagas; Ramiro, Tainah Hanne Santos; Santos, Victor Santana; Nunes, Mariangela da Silva; Alves, José Antônio Barreto

doi:10.5935/1806-0013.20140043

Cited by 3 publications

(4 citation statements)

References 11 publications

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“…No presente estudo, ocorreu a maior presença e escores de dor nos dois primeiros dias de pós-operatório de apendicectomia. Corroborando com o estudo há pesquisas que evidenciam a cirurgia do tipo apendicectomia como um fator para a alta frequência de episódios dolorosos no pós-operatório (9)(10) . Talvez, por ser uma região com muitas terminações nervosas, pela pressão da flatulência no local e por maior restrição de mobilidade em comparação a outras cirurgias.…”

Section: Discussionunclassified

“…A dor da criança hospitalizada, quando tratada de forma inadequada, compromete sua qualidade de vida (16) . A avaliação adequada e o registro da dor são indispensáveis para inibir complicações cirúrgicas e sofrimento do paciente (17) . Os profissionais de enfermagem têm papel de grande relevância no alívio da dor apresentada pelos indivíduos hospitalizados, pois estão diretamente relacionados ao cuidado durante todo o período e assistência hospitalar, sendo responsáveis pelo auxílio na escolha do analgésico a ser administrado (18) .…”

Section: Discussionunclassified

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Dor no pós-operatório em crianças submetidas a procedimentos cirúrgicos

Santos¹,

Machado²,

Ribeiro³

et al. 2019

Rev. Enferm. Atual In Derme

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O objetivo deste estudo foi avaliar os fatores sociodemográficos, clínicos e cirúrgicos relacionados com a intensidade dador no pós-operatório de crianças. Estudo descritivo e exploratório com abordagem quantitativa, realizado com 31 crianças de cinco a 12 anos nas primeiras 72 horas de pós-operatório utilizou-se um questionário com perguntas clínicas, sociodemográficas e as escalas de faces e numérica de dor. Foram realizados os testes Qui-quadrado e Exato de Fisher paraa análise dos resultados. Evidenciou-se que o tipo de cirurgia realizada influencia significativamente (p-valor= 0,036) napresença de dor nas 24h, após a cirurgia. A intensidade da dor com o tipo de cirurgia nos dois primeiros dias de pós-operatório apresentou valor significativo (p-valor=0,044) no primeiro dia e (p-valor=0,021) no segundo. No 2º dia de internação,a variável sexo (feminino) mostrou diferença significativa com relação à média de intensidade de dor (p-valor=0,032) eno 3º dia, a característica clínica que se fez significativa foram os antecedentes patológicos (p-valor=0,031) quando relacionado à intensidade da dor. Conclui-se que as variáveis sociodemográficas, clínica e cirúrgica interferem na presença eintensidade de dor em crianças no pós-operatório, principalmente tipo de cirurgia, sexo e antecedentes patológicos.Palavras-chave: Criança; Dor; Dor pós-operatória; Perfil de saúde.ABSTRACTThe aim of this study is evaluating the socio-demographic, clinical and surgical factors related to the pain intensity inthe children´s post-surgery. Descriptive and exploratory study with a quantitative approach conducted with 31 five totwelve-year-old children in the first 72 hours of the post-surgery, where it was applied a questionnaire with clinical andsocio- demographic questions, and the face and numerical scales of pain. The Chi-square and the Fischer Exact tests wereused for the analysis of the results. It was observed that the kind of surgery performed influences significantly (p-value=0.036) in the presence of pain in the first 24 hours, after the surgery. The intensity of pain with the kind of surgery in thefirst two post-surgery days presented a significant value (p-value=0.044) in the first day and (p-value=0.021) in the secondday. In the 2nd day of admission the variable sex (female) showed a significant difference in relation to the intensity of painaverage (p-value=0.032), and in the 3rd day the significant characteristic was the pathological background (p-value=0.031)when related to the intensity of pain. It is concluded that socio-demographic, clinical and surgical variables interfere in thepresence and intensity of pain in children in post-surgery, especially kind of surgery and pathological background.Keywords: Child; Health profile; Pain; Postoperative pain.

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Section: Discussionunclassified

Dor no pós-operatório em crianças submetidas a procedimentos cirúrgicos

Santos¹,

Machado²,

Ribeiro³

et al. 2019

Rev. Enferm. Atual In Derme

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“…Considering that a number of surgeries are appendectomies, it is critical to control postoperative pain effectively (17).…”

Section: Introductionmentioning

confidence: 99%

“…However, its effect on delirium has been studied without any positive results ( 16). Considering that a number of surgeries are appendectomies, it is critical to control postoperative pain effectively (17).…”

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confidence: 99%

The Effect of Melatonin on Appendectomy Postoperative Pain: A Randomized Clinical Trial

Khoramvar,

Moallemy,

Jarineshin

et al. 2024

Journal of Kerman University of Medical Sciences

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Background: Melatonin is synthesized from the tryptophan amino acid in the pineal gland. Its role in sleep has been confirmed in other studies. Several studies have also shown the effect of melatonin on postoperative pain and sedation. This study aimed to evaluate the effect of melatonin on postoperative pain in patients undergoing appendectomy. Methods: In a double-blind clinical trial, 64 patients aged 18–50 years with ASA I/II anesthesia class who were candidates for appendectomy with general anesthesia were enrolled. The patients were randomly divided into two groups: melatonin and placebo (32 people in each group). The first group received 6 mg of oral melatonin one hour before sleep, while the second group received a placebo. Before surgery and 2, 12, and 24 hours after surgery, patients’ pain was measured using the Visual Analogue Scale (VAS). The Ramsay sedation score measured the patients’ sedation, and rescue analgesia was measured at the above time points. SPSS software was used to analyze the data, and P-values<0.05 were considered significant. Results: Our study showed that pain levels in the melatonin group were lower at the 2nd, 12th, and 24th hours after the appendectomy surgery than in the placebo group. Sedation rates were not significantly different between the two groups. Analgesic consumption was lower in the melatonin group than in the placebo group. Conclusion: Melatonin can reduce the degree of pain (VAS) after appendectomy.

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Determining the Difficulties Experienced by Patients in Activities of Daily Living After Appendectomy: A Prospective Observational Study

BOZKUL,

BULUT

2023

Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi

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Introduction: Appendectomies are among the most frequently performed emergency surgical procedures. Following this surgery, patients often encounter difficulties in performing daily life activities. Aim: The aim of this study was to determine the difficulties patients experience after undergoing an appendectomy. Methods: A total of 60 patients who underwent an appendectomy were included in the study was conducted using a cross-sectional research design. The data of the study were collected using questionnaires. Questionnaires were administered to the patients face-to-face on the day of discharge and in the postoperative 1st, 2nd, 3rd and 4th weeks via tele-follow up visits. Descriptive statistical methods, Mann Whitney U, and Friedman tests were used in evaluating the data. Results: The results indicated that the patients experienced difficulties and statistically significantly decreased over time. The difficulties they experienced, postoperative nausea and vomiting, pain, loss of appetite, body image were more common in the female patients than in the male patients after the appendectomy. Furthermore, it was found that the patients whose appendectomy was performed using the open method experienced more postoperative difficulties and that the level of difficulties experienced by the patients gradually decreased over time. Conclusion: From the results of the study, the patients who have undergone an appendectomy experienced difficulties. It is recommended that patients who have undergone an appendectomy be followed up by phone and provided counseling after discharge in order to prevent the potential difficulties they may experience.

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Pain in patients undergoing appendectomy

Cited by 3 publications

References 11 publications

Dor no pós-operatório em crianças submetidas a procedimentos cirúrgicos

Dor no pós-operatório em crianças submetidas a procedimentos cirúrgicos

The Effect of Melatonin on Appendectomy Postoperative Pain: A Randomized Clinical Trial

Determining the Difficulties Experienced by Patients in Activities of Daily Living After Appendectomy: A Prospective Observational Study

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