Cultural adaptation of the 5-D itch scale and its reliability for Brazilian burn survivors.

This was a methodological study whose objective was to culturally adapt the 5-D itch scale for Brazilian Portuguese and verify its practicability, acceptability and reliability for burn survivors. This study followed the five internationally recommended steps for the adaptation process: translation, synthesis, back translation, assessment by an expert committee and pretesting process; besides, an evaluation of its practicability, acceptability and reliability was conducted. The pretest was carried out with thirty burn survivors - hospitalized or on outpatient follow-up - from two public hospitals in the state of São Paulo. Most burn survivors were male (18; 60%), aged at mean of 39.2 (SD=11.1), with deep partial burn injuries (16; 59.3%), percentage of total burn surface area of 12.3 (SD=9.8); and most accidents occurred at domestic environment (18; 60%). The Brazilian version had semantic and idiomatic, conceptual and cultural equivalences, with a satisfactory content validity index for each item (CVI-I). Mean application time was 3.5minutes, acceptability was good, and there was evidence of reliability for the total score (0.793). The Brazilian version of the 5-D itch scale showed equivalence and evidence of reliability for assessing pruritus and its impact in burn survivors.

Telemedicina como ferramenta de ensino no cuidado ao paciente queimado / Telemedicine as a teaching tool in the care of burned patients

No contexto da saúde e educação médica, o cuidado ao paciente queimado ocupa uma pequena carga horária na formação. Objetivos: Avaliar os conhecimentos no cuidado do paciente queimado e validar o uso da telemedicina como instrumento de propagação destes conhecimentos. Materiais e Métodos: Aplicou-se dois questionários iguais com 10 questões, online, via SurveyMonkey, antes e após curso com 8 aulas de uma hora de duração cada, presencial ou via videoconferência. Ao final do curso uma prova online com 36 questões foi realizada. Resultados: Participaram do curso gratuito 215 pessoas, sendo 53% estudantes, 23% enfermeiros, 9% técnicos e 6% residentes. Desses, 39% já haviam participado do atendimento ao paciente queimado e 22% haviam realizado curso de formação. Dos 69 que concluíram o curso, 68,1% acompanharam presencialmente, enquanto 31,9% via telemedicina. No teste aplicado antes do curso a média foi de 56,6% de acertos e após o curso 84,8%. A nota final atribuída ao curso para aqueles que o concluíram foi de 8,6 (máxima de 10). Conclusão: A realização de palestras via telemedicinaé ferramenta útil na propagação dos conceitos no cuidado a saúde.

In the context of health care and medical education, burned patient’s care takes a small workload in training. Aims: To assess the knowledge in burn care and to validate the use of telemedicine as a tool to spread this knowledge. Materials and Methods: Two identical questionnaires were provided with 10 questions online via SurveyMonkey before and after an 8 lessons course with one hour each, live or through videoconference. At the end of the course an online test with 36 questions was conducted. Results: A total of 215 people attended the free-of-charge course. 53% students, 23% nurses, 9% technicians and 6% residents. Of these, 39% participated in some extent to the care of burned patients and 22% have attended training courses in the past. Of the 69 who completed the course, 68.1% attended in person, while 31.9% through telemedicine. In the test performed before the course, the average rate was 56.6 % correct and after the course 84.8 %. The final score of the course for those who have completed was 8.6 (out of 10). Conclusion: Lectures through telemedicine are a useful tool in spreading the concepts in health care.

Primeiro atendimento ao paciente queimado / Initial management of burns patients

O atendimento ao paciente portador de queimadura de qualquer etiologia merece, pela sua complexidade, uma rotina previamente conhecida, para que seja executada com bases já determinadas, respeitando-se sempre a emergêncal que envolve estas situações. Saber classificar, calcular superfície corporal queimada, hidratar e promover a adequada analgesia constitui necessidade na prática médica de qualquer serviço de urgência ou emergência.