Pain management in patients with aids: analysis of the management structure of a reference hospital

Detalhes bibliográficos
Autor(a) principal: Oliveira, Roberta Meneses
Data de Publicação: 2013
Outros Autores: Silva, Lucilane Maria Sales da, Pereira, Maria Lúcia Duarte, Moura, Maria Aparecida Vasconcelos
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista da Escola de Enfermagem da USP (Online)
Texto Completo: https://www.revistas.usp.br/reeusp/article/view/58526
Resumo: The objective of this study was to analyze the structure for the management of pain in patients with AIDS in a reference hospital in Fortaleza, Brazil. This is a descriptive study with a qualitative approach, developed in 2010. Twenty interviews were performed with health care professionals (physicians and nurses), and analyzed according to the methodology of content analysis. Data were organized into categories: favorable and unfavorable structural conditions. A prevalence of unfavorable conditions was found in the discourse of the interviewees, such as an emphasis on pharmacologic treatment, absence of specific care strategies for pain, lack of experienced professionals in handling pain, and a high demand and failure in the referral and counter-referral system. It is suggested that a new management care model be instituted for patients with AIDS, emphasizing an interdisciplinary approach to pain, training of health care professionals and improvement of chart records for use in evaluating pain relief methods and more effective treatments.
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spelling Pain management in patients with aids: analysis of the management structure of a reference hospitalManejo del dolor en pacientes con sida: análisis de la estructura administrativa en hospital de referenciaManejo da dor de pacientes com aids: análise da estrutura gerencial em hospital de referênciaSíndrome de imunodeficiência adquiridaHIVDorCuidados de enfermagemAdministração dos cuidados ao pacienteSíndrome de inmunodeficiencia adquiridaVIHDolorAtención de enfermeiraManejo de atención al pacienteAcquired immunodeficiency syndromeHIVPainNursing carePatient care managementThe objective of this study was to analyze the structure for the management of pain in patients with AIDS in a reference hospital in Fortaleza, Brazil. This is a descriptive study with a qualitative approach, developed in 2010. Twenty interviews were performed with health care professionals (physicians and nurses), and analyzed according to the methodology of content analysis. Data were organized into categories: favorable and unfavorable structural conditions. A prevalence of unfavorable conditions was found in the discourse of the interviewees, such as an emphasis on pharmacologic treatment, absence of specific care strategies for pain, lack of experienced professionals in handling pain, and a high demand and failure in the referral and counter-referral system. It is suggested that a new management care model be instituted for patients with AIDS, emphasizing an interdisciplinary approach to pain, training of health care professionals and improvement of chart records for use in evaluating pain relief methods and more effective treatments.El estudio objetivó analizar la estructura administrativa para el manejo del dolor en pacientes con SIDA en un hospital de referencia de Fortaleza-CE, Brasil. Investigación descriptiva, con enfoque cualitativo, desarrollada en 2010. Fueron realizadas 20 entrevistas con profesionales de salud (médicos y enfermeros), analizadas según referencial de análisis de contenido. Los datos se organizaron en las categorías: Condiciones estructurales favorables y desfavorables. Se constató prevalencia de condiciones desfavorables en el discurso de los entrevistados, con énfasis en el tratamiento farmacológico, inexistencia de atención específica del dolor, insuficiencia de profesionales expertos en manejo del dolor, demanda elevada y fallas en el sistema de referencia y contra-referencia. Se sugiere instituir un nuevo modelo administrativo de cuidado al paciente con SIDA, enfatizando atención interdisciplinaria del dolor, capacitación de profesionales y mejora de historias clínicas para utilizar métodos de evaluación y tratamientos más eficaces.O objetivo deste estudo foi analisar a estrutura gerencial para o manejo da dor em pacientes com aids em um hospital de referência de Fortaleza, CE, Brasil. Pesquisa descritiva com enfoque qualitativo, desenvolvida no ano de 2010. Foram realizadas 20 entrevistas com profissionais de saúde (médicos e enfermeiros), analisadas segundo o referencial da análise de conteúdo. Os dados foram organizados em categorias: condições estruturais favoráveis e desfavoráveis. Constatou-se prevalência de condições desfavoráveis no discurso dos entrevistados, como ênfase no tratamento farmacológico, inexistência de atendimento específico para dor, insuficiência de profissionais experientes no manejo da dor, demanda elevada e falhas no sistema de referência e contrarreferência. Sugere-se instituir novo modelo gerencial de cuidado aos pacientes com aids, enfatizando atendimento interdisciplinar à dor, treinamento de profissionais e aprimoramento de registros em prontuários para utilização de métodos de avaliação e tratamentos mais eficazes.Universidade de São Paulo. Escola de Enfermagem2013-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/reeusp/article/view/5852610.1590/S0080-62342013000200026Revista da Escola de Enfermagem da USP; v. 47 n. 2 (2013); 456-463Revista da Escola de Enfermagem da USP; Vol. 47 No. 2 (2013); 456-463Revista da Escola de Enfermagem da USP; Vol. 47 Núm. 2 (2013); 456-4631980-220X0080-6234reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/reeusp/article/view/58526/61537https://www.revistas.usp.br/reeusp/article/view/58526/61538http://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessOliveira, Roberta MenesesSilva, Lucilane Maria Sales daPereira, Maria Lúcia DuarteMoura, Maria Aparecida Vasconcelos2013-07-12T18:47:11Zoai:revistas.usp.br:article/58526Revistahttps://www.revistas.usp.br/reeuspPUBhttps://www.revistas.usp.br/reeusp/oai||nursingscholar@usp.br1980-220X0080-6234opendoar:2013-07-12T18:47:11Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Pain management in patients with aids: analysis of the management structure of a reference hospital
Manejo del dolor en pacientes con sida: análisis de la estructura administrativa en hospital de referencia
Manejo da dor de pacientes com aids: análise da estrutura gerencial em hospital de referência
title Pain management in patients with aids: analysis of the management structure of a reference hospital
spellingShingle Pain management in patients with aids: analysis of the management structure of a reference hospital
Oliveira, Roberta Meneses
Síndrome de imunodeficiência adquirida
HIV
Dor
Cuidados de enfermagem
Administração dos cuidados ao paciente
Síndrome de inmunodeficiencia adquirida
VIH
Dolor
Atención de enfermeira
Manejo de atención al paciente
Acquired immunodeficiency syndrome
HIV
Pain
Nursing care
Patient care management
title_short Pain management in patients with aids: analysis of the management structure of a reference hospital
title_full Pain management in patients with aids: analysis of the management structure of a reference hospital
title_fullStr Pain management in patients with aids: analysis of the management structure of a reference hospital
title_full_unstemmed Pain management in patients with aids: analysis of the management structure of a reference hospital
title_sort Pain management in patients with aids: analysis of the management structure of a reference hospital
author Oliveira, Roberta Meneses
author_facet Oliveira, Roberta Meneses
Silva, Lucilane Maria Sales da
Pereira, Maria Lúcia Duarte
Moura, Maria Aparecida Vasconcelos
author_role author
author2 Silva, Lucilane Maria Sales da
Pereira, Maria Lúcia Duarte
Moura, Maria Aparecida Vasconcelos
author2_role author
author
author
dc.contributor.author.fl_str_mv Oliveira, Roberta Meneses
Silva, Lucilane Maria Sales da
Pereira, Maria Lúcia Duarte
Moura, Maria Aparecida Vasconcelos
dc.subject.por.fl_str_mv Síndrome de imunodeficiência adquirida
HIV
Dor
Cuidados de enfermagem
Administração dos cuidados ao paciente
Síndrome de inmunodeficiencia adquirida
VIH
Dolor
Atención de enfermeira
Manejo de atención al paciente
Acquired immunodeficiency syndrome
HIV
Pain
Nursing care
Patient care management
topic Síndrome de imunodeficiência adquirida
HIV
Dor
Cuidados de enfermagem
Administração dos cuidados ao paciente
Síndrome de inmunodeficiencia adquirida
VIH
Dolor
Atención de enfermeira
Manejo de atención al paciente
Acquired immunodeficiency syndrome
HIV
Pain
Nursing care
Patient care management
description The objective of this study was to analyze the structure for the management of pain in patients with AIDS in a reference hospital in Fortaleza, Brazil. This is a descriptive study with a qualitative approach, developed in 2010. Twenty interviews were performed with health care professionals (physicians and nurses), and analyzed according to the methodology of content analysis. Data were organized into categories: favorable and unfavorable structural conditions. A prevalence of unfavorable conditions was found in the discourse of the interviewees, such as an emphasis on pharmacologic treatment, absence of specific care strategies for pain, lack of experienced professionals in handling pain, and a high demand and failure in the referral and counter-referral system. It is suggested that a new management care model be instituted for patients with AIDS, emphasizing an interdisciplinary approach to pain, training of health care professionals and improvement of chart records for use in evaluating pain relief methods and more effective treatments.
publishDate 2013
dc.date.none.fl_str_mv 2013-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/reeusp/article/view/58526
10.1590/S0080-62342013000200026
url https://www.revistas.usp.br/reeusp/article/view/58526
identifier_str_mv 10.1590/S0080-62342013000200026
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/reeusp/article/view/58526/61537
https://www.revistas.usp.br/reeusp/article/view/58526/61538
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Escola de Enfermagem
publisher.none.fl_str_mv Universidade de São Paulo. Escola de Enfermagem
dc.source.none.fl_str_mv Revista da Escola de Enfermagem da USP; v. 47 n. 2 (2013); 456-463
Revista da Escola de Enfermagem da USP; Vol. 47 No. 2 (2013); 456-463
Revista da Escola de Enfermagem da USP; Vol. 47 Núm. 2 (2013); 456-463
1980-220X
0080-6234
reponame:Revista da Escola de Enfermagem da USP (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista da Escola de Enfermagem da USP (Online)
collection Revista da Escola de Enfermagem da USP (Online)
repository.name.fl_str_mv Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||nursingscholar@usp.br
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