Cuidado à criança com dor pós-operatória: experiências de enfermeiras pediatras / Care of children with post-operative pain: Pediatric nurses experiences

AUTOR(ES)
DATA DE PUBLICAÇÃO

2006

RESUMO

ABSTRACT TACLA, T. G. M. Care of children with post-operative pain: Pediatric nurses experiences. 2006. 251p. PhD Dissertation ¾ Escola de Enfermagem de Ribeirão Preto. Universidade de São Paulo, 2006. All surgical procedures involve tissue lesions, manipulation of structures and organs, causing pain which can be minimized during the process. The objectives of this study are to characterize the process of managing post-operative acute pain in children based on their medical records, to identify how nurses care for children in pain during the post-operative period, and which factors affect their practices. The study evaluated 300 medical records on post-operative pain of 280 children, 0-4 y. o., who underwent surgery in 2004, in 3 hospitals located in a city in the interior of the state of Paraná. An interview with 15 nurses who worked in the Pediatric Ward of these hospitals was also carried out. Characterization of pain management from the medical records revealed that only a few nurses make notes of post-operative pain, and that the majority of the records were made by nursing aides and technicians, with some variations among the researched hospitals. Data were analyzed qualitatively and grouped into three topics: the experiences of pain and its consequences, nurses? performance during post-operative pain management, and pediatric pain knowledge development, acquisition and dissemination. Results from the study showed that nurses evaluate post-operative pain a-systematically, which, in general, is limited to pharmacological pain control. Their management depends on the doctor?s prescription, thus using limited non-pharmacological pain-relief strategies. They show interest in broadening their knowledge in the area and in developing pain groups in their institutions. We believe that the results from this study may generate a discussion on the topic in these hospitals, and, consequently, contribute to the implementation of a systematic evaluation of pain in children and adolescents in these places.

ASSUNTO(S)

criança pain management acute pain pediatric nursing enfermagem pediátrica dor pós-operatória post-operative pain manejo da dor child dor aguda

ACESSO AO ARTIGO

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