Pub Date : 2018-03-01DOI: 10.5935/2595-0118.20180010
Gabriela Navarro, Aline Fernanda Baradel, Larissa Canzanese Baldini, Natalia Navarro, Ana Lúcia Franco-Micheloni, Karina Eiras Dela Coletta Pizzol
BACKGROUND AND OBJECTIVES: Physical activities are considered beneficial to reduce daily stress. If not eliminated, stress is able to promote large increases in muscle tension, hypertension, asthma, heart arrhythmia and the development of parafunctions. Then, the aim of this study is to evaluate the association between the presence of parafunctional habits and the practice of physical activity in adolescence. METHODS: The sample comprised of 200 adolescents, boys and girls, from 10 to 19 years old, recruited from the clinics of the Dentistry Course of the University of Araraquara or from public and private schools from the city. The presence of parafunctional oral habits, daytime teeth clenching, and sleep bruxism was obtained through a self-report questionnaire (yes/no). The individuals answered a questionnaire to identify the practice of physical activity according to the instrument adopted in the National School Health Survey (PeNSE 2012). For the associations, subjects were divided according to the practice of physical activity into active (>300 minutes of activity in the week) or inactive (≤300 minutes of activity in the week). RESULTS: It was observed that boys practiced more physical activity and for a longer period when compared to girls. However, the practice of exercises did not present a significant association with the presence, quantity or type of the oral parafunction (p>0.05). CONCLUSION: The level of physical activity was not associated with oral parafunction nor with extrafacial pain areas.
{"title":"Parafunctional habits and its association with the level of physical activity in adolescents","authors":"Gabriela Navarro, Aline Fernanda Baradel, Larissa Canzanese Baldini, Natalia Navarro, Ana Lúcia Franco-Micheloni, Karina Eiras Dela Coletta Pizzol","doi":"10.5935/2595-0118.20180010","DOIUrl":"https://doi.org/10.5935/2595-0118.20180010","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Physical activities are considered beneficial to reduce daily stress. If not eliminated, stress is able to promote large increases in muscle tension, hypertension, asthma, heart arrhythmia and the development of parafunctions. Then, the aim of this study is to evaluate the association between the presence of parafunctional habits and the practice of physical activity in adolescence. METHODS: The sample comprised of 200 adolescents, boys and girls, from 10 to 19 years old, recruited from the clinics of the Dentistry Course of the University of Araraquara or from public and private schools from the city. The presence of parafunctional oral habits, daytime teeth clenching, and sleep bruxism was obtained through a self-report questionnaire (yes/no). The individuals answered a questionnaire to identify the practice of physical activity according to the instrument adopted in the National School Health Survey (PeNSE 2012). For the associations, subjects were divided according to the practice of physical activity into active (>300 minutes of activity in the week) or inactive (≤300 minutes of activity in the week). RESULTS: It was observed that boys practiced more physical activity and for a longer period when compared to girls. However, the practice of exercises did not present a significant association with the presence, quantity or type of the oral parafunction (p>0.05). CONCLUSION: The level of physical activity was not associated with oral parafunction nor with extrafacial pain areas.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"1 1","pages":"46-50"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5935/2595-0118.20180010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45889890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-01DOI: 10.5935/2595-0118.20180015
B. Mosele, D. B. Almeida, Válery Baggio Hess
BACKGROUND AND OBJECTIVES: Acute and chronic pain is a major problem with repercussion in our society, causing impairment in the quality of life of patients as well as socioeconomic losses, due to work absenteeism. This review aims to analyze the use of tapentadol, an analgesic not yet available in Brazil, with a dual mechanism of action, in the treatment of acute and chronic pain syndromes. CONTENTS: A review about this new drug was made on the Pubmed database using the keywords “tapentadol” and “opioids,” evaluating its pharmacological and clinical aspects comparing with other current drugs in pain treatment, as well as its indications and contraindications in the management of patients with pain disorders. CONCLUSION: Tapentadol has been shown to be effective in the treatment of acute and chronic pain, with potency equivalent to the opioids currently used. In addition, it developed less tolerance, less adverse effects and better therapeutic response in chronic neuropathic pain when compared to pure μ-opioid receptors agonists.
{"title":"Tapentadol: what every doctor needs to know about this new drug","authors":"B. Mosele, D. B. Almeida, Válery Baggio Hess","doi":"10.5935/2595-0118.20180015","DOIUrl":"https://doi.org/10.5935/2595-0118.20180015","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Acute and chronic pain is a major problem with repercussion in our society, causing impairment in the quality of life of patients as well as socioeconomic losses, due to work absenteeism. This review aims to analyze the use of tapentadol, an analgesic not yet available in Brazil, with a dual mechanism of action, in the treatment of acute and chronic pain syndromes. CONTENTS: A review about this new drug was made on the Pubmed database using the keywords “tapentadol” and “opioids,” evaluating its pharmacological and clinical aspects comparing with other current drugs in pain treatment, as well as its indications and contraindications in the management of patients with pain disorders. CONCLUSION: Tapentadol has been shown to be effective in the treatment of acute and chronic pain, with potency equivalent to the opioids currently used. In addition, it developed less tolerance, less adverse effects and better therapeutic response in chronic neuropathic pain when compared to pure μ-opioid receptors agonists.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"1 1","pages":"72-76"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46795227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-01DOI: 10.5935/2595-0118.20180016
Ludmila Maria Christofolleti, Maria de Fátima Paredes de Oliveira, S. Siqueira
BACKGROUND AND OBJECTIVES: Idiopathic facial pain is a chronic condition with unknown etiology and pathophysiology. Its diagnostic criteria depend on the exclusion of any somatic cause of orofacial pain. Several studies have investigated anxiety and depression, but there is a lack of publications about personality. The objective of this study was to describe three cases of patients with idiopathic facial pain that had their temperament and character evaluated in order to verify the relation between the findings with pain behavior and pain characteristics. The instruments used were a free interview and the Temperament and Character Inventory. CASE REPORTS: Case 1 was proactive and had high scores of cooperativity and self-transcendence correspondent to the well-coping behavior. On the other side, cases 2 and 3 showed similarities about their harm avoidance, novelty seeking and poor coping, correspondent to a self-protective insecure personality. CONCLUSION: These cases show the importance of personality assessment in order to determine coping strategies in complex chronic facial pain such as idiopathic facial pain.
{"title":"Personality, coping and atypical facial pain. Case reports","authors":"Ludmila Maria Christofolleti, Maria de Fátima Paredes de Oliveira, S. Siqueira","doi":"10.5935/2595-0118.20180016","DOIUrl":"https://doi.org/10.5935/2595-0118.20180016","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Idiopathic facial pain is a chronic condition with unknown etiology and pathophysiology. Its diagnostic criteria depend on the exclusion of any somatic cause of orofacial pain. Several studies have investigated anxiety and depression, but there is a lack of publications about personality. The objective of this study was to describe three cases of patients with idiopathic facial pain that had their temperament and character evaluated in order to verify the relation between the findings with pain behavior and pain characteristics. The instruments used were a free interview and the Temperament and Character Inventory. CASE REPORTS: Case 1 was proactive and had high scores of cooperativity and self-transcendence correspondent to the well-coping behavior. On the other side, cases 2 and 3 showed similarities about their harm avoidance, novelty seeking and poor coping, correspondent to a self-protective insecure personality. CONCLUSION: These cases show the importance of personality assessment in order to determine coping strategies in complex chronic facial pain such as idiopathic facial pain.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"1 1","pages":"77-79"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5935/2595-0118.20180016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44283060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.5935/1806-0013.20180013
Isabelle Ferreira da Silva Souza, Rosa Sá de Oliveira Neta, Renata Trajano Jorge Caldas, M. Nery, M. C. Souza
{"title":"Osteoarthritis of the hands and muscle strengthening exercises: na integrative update and review of the literature","authors":"Isabelle Ferreira da Silva Souza, Rosa Sá de Oliveira Neta, Renata Trajano Jorge Caldas, M. Nery, M. C. Souza","doi":"10.5935/1806-0013.20180013","DOIUrl":"https://doi.org/10.5935/1806-0013.20180013","url":null,"abstract":"","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71153892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-01DOI: 10.5935/1806-0013.20170126
Marilia Freitas Elias Soares, A. Chaves, A. Morais, Maria Zuleide da Silva Rabelo, Lidiane do Nascimento Rodrigues, Edna Maria Camelo Chaves
BACKGROUND AND OBJECTIVES: Pain can generate important complications for the newborn. The mother, inserted in this context, becomes an important ally during the hospitalization since she stays with the. Thus, the study aimed to identify the mother’s perception of pain in her hospitalized child in the Neonatal Intensive Care Unit and to compare the mothers’ reports with a range of behavioral and physiological signs. METHODS: This is a qualitative study in a tertiary hospital in the State of Ceará. Fifteen mothers who were with their children hospitalized at the Neonatal Intensive Care Unit participated in the study, where they were placed in front of their children in two different moments: at rest and handling, in order to identify signs of pain. The data were analyzed by approximation of the speeches as proposed by Minayo. RESULTS: The results showed that the mothers did not perceive signs of pain in the newborn at rest. However, when handled, the mothers were able to identify the signs of pain through the characteristics presented in the newborn: facial expression, strong crying and the movement of arms and legs. CONCLUSION: Mothers are able to identify signs of pain in the child during painful procedures, mainly through crying and face changes. Thus, it points out the relevance of using pain evaluation scales to measure the behavioral and physiological signs of the newborn in a Neonatal Intensive Care Unit.
{"title":"Newborn's pain under the mother's perception","authors":"Marilia Freitas Elias Soares, A. Chaves, A. Morais, Maria Zuleide da Silva Rabelo, Lidiane do Nascimento Rodrigues, Edna Maria Camelo Chaves","doi":"10.5935/1806-0013.20170126","DOIUrl":"https://doi.org/10.5935/1806-0013.20170126","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Pain can generate important complications for the newborn. The mother, inserted in this context, becomes an important ally during the hospitalization since she stays with the. Thus, the study aimed to identify the mother’s perception of pain in her hospitalized child in the Neonatal Intensive Care Unit and to compare the mothers’ reports with a range of behavioral and physiological signs. METHODS: This is a qualitative study in a tertiary hospital in the State of Ceará. Fifteen mothers who were with their children hospitalized at the Neonatal Intensive Care Unit participated in the study, where they were placed in front of their children in two different moments: at rest and handling, in order to identify signs of pain. The data were analyzed by approximation of the speeches as proposed by Minayo. RESULTS: The results showed that the mothers did not perceive signs of pain in the newborn at rest. However, when handled, the mothers were able to identify the signs of pain through the characteristics presented in the newborn: facial expression, strong crying and the movement of arms and legs. CONCLUSION: Mothers are able to identify signs of pain in the child during painful procedures, mainly through crying and face changes. Thus, it points out the relevance of using pain evaluation scales to measure the behavioral and physiological signs of the newborn in a Neonatal Intensive Care Unit.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"18 1","pages":"338-341"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42615164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-01DOI: 10.5935/1806-0013.20170127
A. D. Costa, C. Bavaresco, E. Grossmann
BACKGROUND AND OBJECTIVES: Orofacial pain is the pain felt in the oral cavity and the face, with a multifactorial etiology, being a representative of the temporomandibular dysfunction. Among the various possibilities for treatment are acupuncture and the dry needling. The objective of this study was to compare the effectiveness of these two therapies in the cases of myogenic temporomandibular dysfunction. CONTENTS: A review of articles relating to the topic was conducted on the LILACS, Medline, Scielo and Pubmed database, cross-referencing the following descriptors: “acupuncture” OR “electroacupuncture” OR “dry needling” AND “orofacial pain syndrome” OR “orofacial pain” OR “temporomandibular dysfunction” OR “temporomandibular disorders”, myofascial temporomandibular dysfunction or trigger points in last the 16 years. Clinical trials, systematic reviews, metanalysis, case studies involving human beings were included. The selected languages were English and Portuguese. Twenty-one articles were found that were carefully evaluated and tabulated. The present study identified that both acupuncture and dry needling were significantly important in the resolution of the signs and symptoms of the myogenous temporomandibular dysfunction, with adequate effectiveness. CONCLUSION: It can be pointed out that dry needling seems to be more effective in the resolution of local pain on the myofascial trigger points than just using of acupuncture points at a distance. Acupuncture demonstrated positive influences in the general health quality and pain of patients with myofascial temporomandibular dysfunction. Therefore, the therapy of choice will depend on the professional’s assessment of the clinical conditions of the patient and the therapeutic goals to be achieved.
{"title":"The use of acupuncture versus dry needling in the treatment of myofascial temporomandibular dysfunction","authors":"A. D. Costa, C. Bavaresco, E. Grossmann","doi":"10.5935/1806-0013.20170127","DOIUrl":"https://doi.org/10.5935/1806-0013.20170127","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Orofacial pain is the pain felt in the oral cavity and the face, with a multifactorial etiology, being a representative of the temporomandibular dysfunction. Among the various possibilities for treatment are acupuncture and the dry needling. The objective of this study was to compare the effectiveness of these two therapies in the cases of myogenic temporomandibular dysfunction. CONTENTS: A review of articles relating to the topic was conducted on the LILACS, Medline, Scielo and Pubmed database, cross-referencing the following descriptors: “acupuncture” OR “electroacupuncture” OR “dry needling” AND “orofacial pain syndrome” OR “orofacial pain” OR “temporomandibular dysfunction” OR “temporomandibular disorders”, myofascial temporomandibular dysfunction or trigger points in last the 16 years. Clinical trials, systematic reviews, metanalysis, case studies involving human beings were included. The selected languages were English and Portuguese. Twenty-one articles were found that were carefully evaluated and tabulated. The present study identified that both acupuncture and dry needling were significantly important in the resolution of the signs and symptoms of the myogenous temporomandibular dysfunction, with adequate effectiveness. CONCLUSION: It can be pointed out that dry needling seems to be more effective in the resolution of local pain on the myofascial trigger points than just using of acupuncture points at a distance. Acupuncture demonstrated positive influences in the general health quality and pain of patients with myofascial temporomandibular dysfunction. Therefore, the therapy of choice will depend on the professional’s assessment of the clinical conditions of the patient and the therapeutic goals to be achieved.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"18 1","pages":"342-349"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5935/1806-0013.20170127","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46808097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-01DOI: 10.5935/1806-0013.20170124
I. Rodrigues, L. Oliveira, Flávia Emília Cavalcante Valença Fernandes, Maria Emília Vidal Teles
BACKGROUND AND OBJECTIVES: Despite the importance of acute pain in the health-disease process, there are few studies about its prevalence in emergency services that function as a gateway to health services. The objective of this study was to evaluate the prevalence of acute pain in an emergency room setting. METHODS: The data were collected from September 2016 to June 2017, using the medical records of patients treated in the emergency service in 2015. Considering the average of 8,000 visits per month, we adopted a random sampling process using categorical variables, and it was estimated a sample of 4,064 records. RESULTS: The pain was present among older people (39.6 years) when compared to patients who had pain and other symptoms associated (37.0 years) (p=0.000). There was a higher concentration of demand for the service by women (55.3%) due to pain and other causes, and for acute pain, the demand was 50.1% of females. In risk classification, 86.6% was characterized not urgent, and 99.6% sought service on their own. Only 0.5% of patients affected by acute pain were referred to other services. CONCLUSION: The study showed that the majority of the care demand at the emergency room is of little complexity and could be attended at the primary care unit. The pain is present in all types of care, and the objective is to relieve the pain, leading patients to look for an agile and decisive service.
{"title":"Prevalence of acute pain in patients attending the emergency room","authors":"I. Rodrigues, L. Oliveira, Flávia Emília Cavalcante Valença Fernandes, Maria Emília Vidal Teles","doi":"10.5935/1806-0013.20170124","DOIUrl":"https://doi.org/10.5935/1806-0013.20170124","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Despite the importance of acute pain in the health-disease process, there are few studies about its prevalence in emergency services that function as a gateway to health services. The objective of this study was to evaluate the prevalence of acute pain in an emergency room setting. METHODS: The data were collected from September 2016 to June 2017, using the medical records of patients treated in the emergency service in 2015. Considering the average of 8,000 visits per month, we adopted a random sampling process using categorical variables, and it was estimated a sample of 4,064 records. RESULTS: The pain was present among older people (39.6 years) when compared to patients who had pain and other symptoms associated (37.0 years) (p=0.000). There was a higher concentration of demand for the service by women (55.3%) due to pain and other causes, and for acute pain, the demand was 50.1% of females. In risk classification, 86.6% was characterized not urgent, and 99.6% sought service on their own. Only 0.5% of patients affected by acute pain were referred to other services. CONCLUSION: The study showed that the majority of the care demand at the emergency room is of little complexity and could be attended at the primary care unit. The pain is present in all types of care, and the objective is to relieve the pain, leading patients to look for an agile and decisive service.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"18 1","pages":"327-331"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42735443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-01DOI: 10.5935/1806-0013.20170118
Roberto Albuquerque Bandeira, L. Gomes, A. J. Bezerra, Josiane Aparecida Duarte
BACKGROUND AND OBJECTIVES: The objective of this study was to correlate the level of anxiety presented in the preoperative period with the intensity of pain reported by elderly in the immediate postoperative period of transvesical prostatectomy. METHODS: Sixty-four elderly patients submitted to transvesical prostatectomy were studied, using the following instruments: the numeric pain scale and Hamilton anxiety rating scale in the preoperative; and the short-form McGill pain questionnaire (Portuguese version adapted) in the immediate postoperative period. The elderly divided into four groups, according to the level of anxiety presented in the preoperative period: absent, mild, moderate and intense. The Spearman correlation was established between preoperative anxiety levels and postoperative pain intensity. RESULTS: There was a significant positive correlation between the level of preoperative anxiety and pain intensity in the immediate postoperative period. The pain curves (sensitive and affective) presented a significant increase at moments 6, 18 and 24h in all groups. These curves were significantly higher in the elderly with moderate and intense anxiety than in those without anxiety and mild anxiety. The pain peak was recorded at 18h after surgery in all groups. CONCLUSION: In the elderly, the level of anxiety presented in the preoperative period was positively correlated with the pain response in the immediate postoperative of transvesical prostatectomy. The use of preoperative measures that reduce anxiety can improve analgesia in the immediate postoperative period of this surgery and, therefore, reduce the amount of analgesics used in this period. There was also a need for intervention with adequate analgesia at the postoperative pain peak which occurred 18h after surgery.
{"title":"Correlation between preoperative anxiety and acute postoperative pain in elderly patients submitted to transvesical prostatectomy","authors":"Roberto Albuquerque Bandeira, L. Gomes, A. J. Bezerra, Josiane Aparecida Duarte","doi":"10.5935/1806-0013.20170118","DOIUrl":"https://doi.org/10.5935/1806-0013.20170118","url":null,"abstract":"BACKGROUND AND OBJECTIVES: The objective of this study was to correlate the level of anxiety presented in the preoperative period with the intensity of pain reported by elderly in the immediate postoperative period of transvesical prostatectomy. METHODS: Sixty-four elderly patients submitted to transvesical prostatectomy were studied, using the following instruments: the numeric pain scale and Hamilton anxiety rating scale in the preoperative; and the short-form McGill pain questionnaire (Portuguese version adapted) in the immediate postoperative period. The elderly divided into four groups, according to the level of anxiety presented in the preoperative period: absent, mild, moderate and intense. The Spearman correlation was established between preoperative anxiety levels and postoperative pain intensity. RESULTS: There was a significant positive correlation between the level of preoperative anxiety and pain intensity in the immediate postoperative period. The pain curves (sensitive and affective) presented a significant increase at moments 6, 18 and 24h in all groups. These curves were significantly higher in the elderly with moderate and intense anxiety than in those without anxiety and mild anxiety. The pain peak was recorded at 18h after surgery in all groups. CONCLUSION: In the elderly, the level of anxiety presented in the preoperative period was positively correlated with the pain response in the immediate postoperative of transvesical prostatectomy. The use of preoperative measures that reduce anxiety can improve analgesia in the immediate postoperative period of this surgery and, therefore, reduce the amount of analgesics used in this period. There was also a need for intervention with adequate analgesia at the postoperative pain peak which occurred 18h after surgery.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"18 1","pages":"291-297"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42041105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-01DOI: 10.5935/1806-0013.20170120
Débora Dalpai, F. F. Mendes, J. Asmar, P. L. Carvalho, Fernanda Laís Loro, A. Branco
ABSTRACT BACKGROUND AND OBJECTIVES: Currently, the medical course does not provide complete education and handling of pain, and it is also devoid of disciplines addressing thanatology in palliative care. The objective of this study was to evaluate the knowledge about pain and palliative care of medical students and their perception on how these themes are taught the graduation course. METHODS: We invited to participate in the survey students of the medical school who are concluding the fourth, fifth and sixth year of graduation at the Federal University of Health Science of Porto Alegre. The demographic and characterization data of the sample were collected, and a questionnaire was applied and validated with 19 direct questions about pain and palliative care. RESULTS: Forty-seven students agreed to participate in the study. The vast majority mentioned not receiving enough information during the undergraduate program about the proper handling of patients with pain, and patient care in a terminal situation. CONCLUSION: This study highlights education gaps on pain and palliative care in medical schools. It shows the difficulties of the students have to put the theoretical knowledge into practice, for example, their insecurity in handling pain, especially when it comes to the use of opioids.
{"title":"Pain and palliative care: the knowledge of medical students and the graduation gaps","authors":"Débora Dalpai, F. F. Mendes, J. Asmar, P. L. Carvalho, Fernanda Laís Loro, A. Branco","doi":"10.5935/1806-0013.20170120","DOIUrl":"https://doi.org/10.5935/1806-0013.20170120","url":null,"abstract":"ABSTRACT BACKGROUND AND OBJECTIVES: Currently, the medical course does not provide complete education and handling of pain, and it is also devoid of disciplines addressing thanatology in palliative care. The objective of this study was to evaluate the knowledge about pain and palliative care of medical students and their perception on how these themes are taught the graduation course. METHODS: We invited to participate in the survey students of the medical school who are concluding the fourth, fifth and sixth year of graduation at the Federal University of Health Science of Porto Alegre. The demographic and characterization data of the sample were collected, and a questionnaire was applied and validated with 19 direct questions about pain and palliative care. RESULTS: Forty-seven students agreed to participate in the study. The vast majority mentioned not receiving enough information during the undergraduate program about the proper handling of patients with pain, and patient care in a terminal situation. CONCLUSION: This study highlights education gaps on pain and palliative care in medical schools. It shows the difficulties of the students have to put the theoretical knowledge into practice, for example, their insecurity in handling pain, especially when it comes to the use of opioids.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"18 1","pages":"307-310"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41387240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-01DOI: 10.5935/1806-0013.20170125
C. Ribeiro, Daílson Silva Bezerra, A. Lima, Caren Cristina Freitas Fernandes, Míriam Geisa Virgens Menezes, M. Ribeiro
Vitimas de traumatismo cranioencefalico, internadas em unidades de terapia intensiva, frequentemente experienciam dor. A aspiracao traqueal e um procedimento com potencial nociceptivo realizado rotineiramente nesses pacientes. O objetivo deste estudo foi avaliar a dor durante a aspiracao traqueal em vitimas de traumatismo cranioencefalico submetidos a ventilacao mecânica. Estudo prospectivo realizado em duas unidades de terapia intensiva de um hospital geral publico em Aracaju, Sergipe, Brasil. Foram realizadas 300 observacoes em 20 vitimas de traumatismo cranioencefalico durante tres dias. A dor foi ava- liada por meio da versao brasileira da Behavioral Pain Scale e os parâmetros fisiologicos de frequencia cardiaca e pressao arterial (sistolica e diastolica). A profundidade da sedacao foi mensurada pelos escores de Ramsay e da Richmond Agitation Sedation Scale O teste de Friedman, ANOVA e pos-teste de Bonferroni foram utilizados para verificar a existencia de diferenca dos escores de dor e parâmetros fisiologicos nos diferentes momentos da avaliacao. Foi admitida significância estatistica de 5%. A amostra foi composta predominantemente por homens, jovens, do interior do estado, sem comorbidades e com traumatismo cranioencefalico grave. Fentanil e midazolam foram os farmacos mais utilizados para sedacao e analgesia. Houve alta prevalencia de dor (70,0-85,5%), os escores de dor foram significativamente mais altos durante a aspiracao traqueal e os parâmetros fisiologicos nao apresentaram elevacao estatisticamente significativa. Escalas comportamentais validas e confiaveis, como a Behavioral Pain Scale, devem ser incorporadas a rotina das unidades de terapia intensiva para nortear o manuseio da analgesia e sedacao, sobretudo, para prevencao de sofrimento durante procedimentos dolorosos.
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