Impact of acute pain and analgesic adequacy in hospitalized patients

Detalhes bibliográficos
Autor(a) principal: Salvetti,Marina de Góes
Data de Publicação: 2020
Outros Autores: Garcia,Paulo Carlos, Lima,Maria Aparecida Medeiros, Fernandes,Carolina Gallo, Pimenta,Cibele Andrucioli de Mattos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: BrJP (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2595-31922020000400333
Resumo: ABSTRACT BACKGROUND AND OBJECTIVES: Pain is a frequent symptom in the hospital environment. The study aimed to identify the impact of acute pain on activities of daily living and to analyze analgesic adequacy. METHODS: Cross-sectional study carried out in six units of a University Hospital. Patients were assessed for the presence and intensity of pain and impact on activities of daily living. Analgesic adequacy was assessed by the Pain Management Index. The association between pain and sociodemographic and clinical characteristics was investigated using the Chi-square test. A logistic regression model was applied to assess the impact of pain intensity on activities. RESULTS: 134 patients, mean age 53 years, were evaluated. At the moment of the interview 37 (27.6%) participants reported pain and 58 (45.7%) reported pain in the 24 hours before the interview. The average pain intensity was 6.6±2.4 and the pain was more frequent in patients in the Emergency Department, Intensive Care Unit and Internal Medicine. There was an association between pain and the female sex and there was no association with hospitalization unit, diagnosis, and specialty. Pain affected the ability to eat (p=0.036) and sleep (p=0.008). Most prescriptions (68%) were unsuitable for pain intensity. CONCLUSION: Frequency of pain was high, was more prevalent in women, and significantly impaired the ability to eat and sleep. Inadequacy of the analgesic regimen regarding intensity of pain was found in more than half of the patients, indicating that it's necessary to improve pain control in the hospital environment.
id SBED-2_2e1ad9b16119e5a680f113f8e68c498e
oai_identifier_str oai:scielo:S2595-31922020000400333
network_acronym_str SBED-2
network_name_str BrJP (Online)
repository_id_str
spelling Impact of acute pain and analgesic adequacy in hospitalized patientsAcute painAnalgesiaPainNursingABSTRACT BACKGROUND AND OBJECTIVES: Pain is a frequent symptom in the hospital environment. The study aimed to identify the impact of acute pain on activities of daily living and to analyze analgesic adequacy. METHODS: Cross-sectional study carried out in six units of a University Hospital. Patients were assessed for the presence and intensity of pain and impact on activities of daily living. Analgesic adequacy was assessed by the Pain Management Index. The association between pain and sociodemographic and clinical characteristics was investigated using the Chi-square test. A logistic regression model was applied to assess the impact of pain intensity on activities. RESULTS: 134 patients, mean age 53 years, were evaluated. At the moment of the interview 37 (27.6%) participants reported pain and 58 (45.7%) reported pain in the 24 hours before the interview. The average pain intensity was 6.6±2.4 and the pain was more frequent in patients in the Emergency Department, Intensive Care Unit and Internal Medicine. There was an association between pain and the female sex and there was no association with hospitalization unit, diagnosis, and specialty. Pain affected the ability to eat (p=0.036) and sleep (p=0.008). Most prescriptions (68%) were unsuitable for pain intensity. CONCLUSION: Frequency of pain was high, was more prevalent in women, and significantly impaired the ability to eat and sleep. Inadequacy of the analgesic regimen regarding intensity of pain was found in more than half of the patients, indicating that it's necessary to improve pain control in the hospital environment.Sociedade Brasileira para o Estudo da Dor2020-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2595-31922020000400333BrJP v.3 n.4 2020reponame:BrJP (Online)instname:Sociedade Brasileira para o Estudo da Dor (SBED)instacron:SBED10.5935/2595-0118.20200188info:eu-repo/semantics/openAccessSalvetti,Marina de GóesGarcia,Paulo CarlosLima,Maria Aparecida MedeirosFernandes,Carolina GalloPimenta,Cibele Andrucioli de Mattoseng2021-01-05T00:00:00Zoai:scielo:S2595-31922020000400333Revistahttps://sbed.org.br/publicacoes-publicacoes-bjp/ONGhttps://old.scielo.br/oai/scielo-oai.phpdkt@terra.com.br || dor@dor.org.br2595-31922595-0118opendoar:2021-01-05T00:00BrJP (Online) - Sociedade Brasileira para o Estudo da Dor (SBED)false
dc.title.none.fl_str_mv Impact of acute pain and analgesic adequacy in hospitalized patients
title Impact of acute pain and analgesic adequacy in hospitalized patients
spellingShingle Impact of acute pain and analgesic adequacy in hospitalized patients
Salvetti,Marina de Góes
Acute pain
Analgesia
Pain
Nursing
title_short Impact of acute pain and analgesic adequacy in hospitalized patients
title_full Impact of acute pain and analgesic adequacy in hospitalized patients
title_fullStr Impact of acute pain and analgesic adequacy in hospitalized patients
title_full_unstemmed Impact of acute pain and analgesic adequacy in hospitalized patients
title_sort Impact of acute pain and analgesic adequacy in hospitalized patients
author Salvetti,Marina de Góes
author_facet Salvetti,Marina de Góes
Garcia,Paulo Carlos
Lima,Maria Aparecida Medeiros
Fernandes,Carolina Gallo
Pimenta,Cibele Andrucioli de Mattos
author_role author
author2 Garcia,Paulo Carlos
Lima,Maria Aparecida Medeiros
Fernandes,Carolina Gallo
Pimenta,Cibele Andrucioli de Mattos
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Salvetti,Marina de Góes
Garcia,Paulo Carlos
Lima,Maria Aparecida Medeiros
Fernandes,Carolina Gallo
Pimenta,Cibele Andrucioli de Mattos
dc.subject.por.fl_str_mv Acute pain
Analgesia
Pain
Nursing
topic Acute pain
Analgesia
Pain
Nursing
description ABSTRACT BACKGROUND AND OBJECTIVES: Pain is a frequent symptom in the hospital environment. The study aimed to identify the impact of acute pain on activities of daily living and to analyze analgesic adequacy. METHODS: Cross-sectional study carried out in six units of a University Hospital. Patients were assessed for the presence and intensity of pain and impact on activities of daily living. Analgesic adequacy was assessed by the Pain Management Index. The association between pain and sociodemographic and clinical characteristics was investigated using the Chi-square test. A logistic regression model was applied to assess the impact of pain intensity on activities. RESULTS: 134 patients, mean age 53 years, were evaluated. At the moment of the interview 37 (27.6%) participants reported pain and 58 (45.7%) reported pain in the 24 hours before the interview. The average pain intensity was 6.6±2.4 and the pain was more frequent in patients in the Emergency Department, Intensive Care Unit and Internal Medicine. There was an association between pain and the female sex and there was no association with hospitalization unit, diagnosis, and specialty. Pain affected the ability to eat (p=0.036) and sleep (p=0.008). Most prescriptions (68%) were unsuitable for pain intensity. CONCLUSION: Frequency of pain was high, was more prevalent in women, and significantly impaired the ability to eat and sleep. Inadequacy of the analgesic regimen regarding intensity of pain was found in more than half of the patients, indicating that it's necessary to improve pain control in the hospital environment.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2595-31922020000400333
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2595-31922020000400333
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/2595-0118.20200188
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira para o Estudo da Dor
publisher.none.fl_str_mv Sociedade Brasileira para o Estudo da Dor
dc.source.none.fl_str_mv BrJP v.3 n.4 2020
reponame:BrJP (Online)
instname:Sociedade Brasileira para o Estudo da Dor (SBED)
instacron:SBED
instname_str Sociedade Brasileira para o Estudo da Dor (SBED)
instacron_str SBED
institution SBED
reponame_str BrJP (Online)
collection BrJP (Online)
repository.name.fl_str_mv BrJP (Online) - Sociedade Brasileira para o Estudo da Dor (SBED)
repository.mail.fl_str_mv dkt@terra.com.br || dor@dor.org.br
_version_ 1754732510014603264