Prevalencia, manejo y registro del dolor en unidades de Medicina Interna

  1. Laura Muñoz-Alvaredo 1
  2. María López Vallecillo 2
  3. José María Jiménez Pérez 3
  4. Belén Martín-Gil 4
  5. M. Fe Muñoz Moreno 5
  6. Mercedes Fernández-Castro 6
  1. 1 Unidad de Medicina Interna y Enfermedades Infecciosas, Hospital Clínico Universitario de Valladolid, Valladolid, España
  2. 2 Unidad de Gestión de Cuidados Gacela, Hospital Clínico Universitario de Valladolid, Valladolid, España
  3. 3 Facultad de Enfermería, Universidad de Valladolid, Valladolid, España
  4. 4 Unidad de Medicina Nuclear, Hospital Clínico Universitario de Valladolid, Valladolid, España
  5. 5 Estadística, Unidad de Apoyo a la Investigación, Hospital Clínico Universitario de Valladolid, Valladolid, España
  6. 6 Sección de Enfermería, Unidad de Apoyo a la Investigación, Hospital Clínico Universitario de Valladolid, Valladolid, España
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Revista:
Enfermería clínica

ISSN: 1130-8621

Ano de publicación: 2020

Volume: 30

Número: 4

Páxinas: 275-281

Tipo: Artigo

DOI: 10.1016/J.ENFCLI.2018.11.004 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Enfermería clínica

Resumo

Objective To analyze the prevalence and management of pain episodes, their evaluation and recording in internal medicine hospitalization units in a third level public hospital of the regional health service of Castilla y León. Method A descriptive cross-sectional study. The study population comprised patients hospitalized in internal medicine units. Pain prevalence was detected by the Brief Pain Inventory questionnaire. The management of pain episodes was analyzed as recorded in the clinical records. Results 83 patients were included, 73.5% of them reported pain and 67.2% did not know their analgesia regimen. More episodes of pain were identified in the women (P=.006) than in the men. The pharmacological administration was recorded in all cases; however, nurses recorded the episode in the clinical history of 29.5% of the patients. In no case, was the pain intensity or degree of relief recorded using the visual analogical scale. Conclusions There is evidence of a high prevalence of pain in hospitalized patients and deficiencies in the management of pain episodes by nurses, both in evaluation and recording. This implies the need for pain control protocols and the implementation of evidence-based best practice guidelines to provide nurses with the means and support for adequate pain management.

Referencias bibliográficas

  • E. Ista, M. van Dijk, T. van Achterberg Do implementation strategies increase adherence to pain assessment in hospitals? A systematic review Int J Nurs Stud [Internet]., 50 (2013), pp. 552-568
  • W. Song, L.H. Eaton, D.B. Gordon, C. Hoyle, A.Z. Doorenbos Evaluation of evidence-based nursing pain management practice Pain Manag Nurs [Internet]., 16 (2015), pp. 456-463
  • Palanca Sánchez I (Dir.), Puig Riera de Conías MM (Coord. Cient.), Elola Somoza J (Dir.), Bernal Sobrino JL (Comit. Redac.), Paniagua Caparrós JL (Comit. Redac.) G de E. Unidad de Tratamiento del Dolor. Estándares y recomendaciones de calidad y seguridad. Madrid: Ministerio de Sanidad, Política Social e Igualdad [Internet]; 2011
  • D.L. Schroeder, L.A. Hoffman, M. Fioravanti, D.P. Medley, T.G. Zullo, P.K. Tuite Enhancing nurses’ pain assessment to improve patient satisfaction Orthop Nurs., 35 (2016), pp. 108-117
  • Williams ACDC, Craig KD. Updating the definition of pain [Internet]. Pain. 2016; 157: 2420-3
  • J.M. Pedrajas Navas, Á.M. Molino González Bases neuromédicas del dolor Clínica y Salud [Internet]., 19 (2008), pp. 277-293
  • J.M. Sepúlveda-Sánchez, J.C. Canca-Sánchez, F. Rivas-Ruiz, M. Martín-García, M.J. Pérez-González, E.M. Timonet-Andreu Gestión enfermera del dolor en pacientes hospitalizados con patologías médicas no oncológicas Enferm Clin [Internet]., 26 (2016), pp. 137-141
  • A. Torralba, A. Miquel, J. Darba Situación actual del dolor crónico en España: iniciativa “Pain Proposal” Rev Soc Esp Dolor., 21 (2014), pp. 16-22
  • K.M. Jabusch, B.J. Lewthwaite, L.L. Mandzuk, K.N. Schnell-Hoehn, B.J. Wheeler The pain experience of inpatients in a teaching hospital: Revisiting a strategic priority Pain Manag Nurs [Internet]., 16 (2015), pp. 69-76
  • M.A. Erazo, L. Pérez, C.C. Colmenares, H. Álvarez, I. Suárez, F. Mendivelso Prevalencia y caracterización del dolor en pacientes hospitalizados Rev Soc Esp Dolor [Internet]., 2222 (2015), pp. 241-248
  • S. Zoëga, S. Gunnarsdottir, M.E. Wilson, D.B. Gordon Quality pain management in adult hospitalized patients Nurs Forum., 51 (2016), pp. 3-12
  • S. Slatyer, A.M. Williams, R. Michael Seeking empowerment to comfort patients in severe pain: A grounded theory study of the nurse's perspective Int J Nurs Stud [Internet]., 52 (2015), pp. 229-239
  • J.A. Schreiber, D. Cantrell, K.A. Moe, J. Hench, E. McKinney, C. Preston Lewis, et al. Improving knowledge, assessment, and attitudes related to pain management: Evaluation of an intervention Pain Manag Nurs [Internet]., 15 (2014), pp. 474-481
  • L. Purser, K. Warfield, C. Richardson Making pain visible: An audit and review of documentation to improve the use of pain assessment by implementing pain as the fifth vital sign Pain Manag Nurs [Internet]., 15 (2014), pp. 137-142
  • J.M. Brant, C. Mohr, N.C. Coombs, S. Finn, E. Wilmarth Nurses’ knowledge and sttitudes about pain: Personal and professional characteristics and patient reported pain satisfaction Pain Manag Nurs [Internet]., 18 (2017), pp. 214-223
  • A. Pretorius, J. Searle, B. Marshall Barriers and enablers to emergency department nurses’ management of patients’ pain Pain Manag Nurs [Internet]., 16 (2015), pp. 372-379
  • A. Keen, B. McCrate, S. McLennon, A. Ellis, D. Wall, S. Jones Influencing nursing knowledge and attitudes to positively affect care of patients with persistent pain in the hospital setting Pain Manag Nurs [Internet]., 18 (2017), pp. 137-143
  • E. Gretarsdottir, S. Zoëga, G. Tomasson, H. Sveinsdottir, S. Gunnarsdottir Determinants of knowledge and attitudes regarding pain among nurses in a university hospital: A cross-sectional study Pain Manag Nurs., 18 (2017), pp. 144-152
  • J. De Andrés, J. Acuña, A. Olivares Dolor en el paciente de la tercera edad Rev Médica Clínica Las Condes [Internet]., 25 (2014), pp. 674-686
  • C. Malcolm Acute pain management in the older person J Perioper Pr [Internet]., 25 (2015), pp. 134-139
  • M.E. Muntinga, A.P.D. Jansen, F.G. Schellevis, G. Nijpels Expanding access to pain care for frail, older people in primary care: A cross-sectional study BMC Nurs [Internet]., 15 (2016)
  • L.A.H. Hermsen, E.O. Hoogendijk, J.C. van der Wouden, M. Smalbrugge, S.S. Leone, H.E. van der Horst, et al. Self-perceived care needs in older adults with joint pain and comorbidity Aging Clin Exp Res [Internet]., 30 (2018), pp. 449-455
  • J. De Andrés Ares, L.M. Cruces Prado, M.A. Canos Verdecho, L. Penide Villanueva, M. del Valle Hoyos, M. Herdman, et al. Validation of the short form of the Brief Pain Inventory (BPI-SF) in Spanish patients with non-cancer-related pain Pain Pract [Internet]., 15 (2014 Apr 1), pp. 643-653
  • D. Fetherstonhaugh, V. Lewis, L. McAuliffe, M. Bauer Pain in older adults: Development of a tool for measuring knowledge of residential aged care staff Int J Geriatr Psychiatry., 31 (2016), pp. 428-434
  • K. Herr Pain in the older adult: An imperative across all health care settings Pain Manag Nurs [Internet]., 11 (2010), pp. S1-S10
  • M. Rico-Blázquez, S. Sánchez Gómez, C. Fuentelsaz Gallego El cuidado como elemento transversal en la atención a pacientes crónicos complejos Enferm Clin [Internet]., 24 (2014), pp. 44-50
  • R. Latina, L. Mauro, L. Mitello, D. D’Angelo, L. Caputo, M.G. de Marinis, et al. Attitude and knowledge of pain management among Italian nurses in hospital settings Pain Manag Nurs [Internet]., 16 (2015), pp. 959-967
  • L. Albornos-Muñoz, E. González-María, T. Moreno-Casbas Implantacion de guías de buenas prácticas. Programa de centros comprometidos con la excelencia en cuidados MedUNAB., 17 (2015), pp. 163-169
  • J.M. Muñoz-Ramn, A. Mañas Rueda, P. Aparicio Grande La Comisión «hospital sin Dolor» en la estructura de gestión de la calidad de un hospital universitario Rev Soc Esp Dolor., 17 (2010), pp. 343-348
  • J.G. Samuels, P. Eckardt The impact of assessment and reassessment documentation on the trajectory of postoperative pain severity: A pilot study Pain Manag Nurs [Internet]., 15 (2014), pp. 652-653
  • J.M. Lee, Y.A. Kim, H. Jung, M. Song Development of pain flowsheet based on electronic nursing record system Stud Health Technol Inform., 180 (2012), pp. 1065-1069
  • Registered Nurses’ Association of Ontario. Valoración y manejo del dolor. 3.a ed. Toronto: ia BPG; 2014. p. 1-14.
Fonte de datos: Dialnet