RESUMO
La valoración del dolor y su control es un punto clave en los cuidados que reciben los pacientes durante su estancia hospitalaria, siendo la figura de la enfermera esencial y más en aquellos pacientes afectados de ictus a los que les sobreviene un problema de afasia secundaria, que dificulta la verbalización del dolor.El objetivo de este estudio fue averiguar si el uso de una escala específica de control del dolor y la más precisa administración del tratamiento analgésico impactan positivamente en indicadores tales como la estancia media, el grado de dependencia y los episodios de agitación.Mediante un estudio de diseño longitudinal de grupos al azar, realizado durante 2 semanas de seguimiento, se compara la gestión y registro del dolor utilizando una escala de conductas indicadoras de dolor (N=41) y una escala verbal numérica o escala visual analógica (N=39), en pacientes con alteración del lenguaje tras sufrir un ictus y que se encuentren ingresados en la Unidad de Ictus del Servicio de Neurología del Hospital Clínic de Barcelona.Los resultados obtenidos, pese a ir en la línea conjeturada, no son significativos estadísticamente. Sin embargo, algunos modelos estadísticos han mostrado la utilidad de algunos factores (nivel de formación, experiencia enfermera, episodios previos de ictus, entre otros) en la predicción de una mejor evolución, lográndose una capacidad predictiva entre el 20-37%, lo que abre la puerta a nuevos estudios y refuerza el papel de las variables estudiadas en los cuidados de este tipo de pacientes.(AU)
The assessment of pain and its control is a key point in the care received by patients during their hospital stay, with the nurse being an essential figure, especially in stroke patients with secondary aphasia, which makes it difficult to verbalise pain.The aim of this study was to find out whether the use of a specific pain control scale and the more precise administration of analgesic treatment has a positive impact on indicators such as average stay length, dependence degree and agitation episodes.By means of a longitudinal randomised group design study, within a two-week period, we compared the management and recording of pain using a Pain Indicator Behaviour Scale (N=41) and a Verbal Numerical Scale or Visual Analogue Scale (N=39), in patients with language impairment after suffering a stroke who were admitted to the Stroke Unit of the Neurology Department of the Hospital Clínic de Barcelona.The results obtained, despite being in line with what was conjectured, are not statistically significant. However, some statistical models have shown the usefulness of some factors (level of training, nurses experience, previous episodes of stroke, among others) in the prediction of a better evolution, with a predictive capacity between 20-37%, which justifies the necessity of further studies and reinforces the role of the variables studied in the care of this type of patient.(AU)
Assuntos
Humanos , Masculino , Feminino , Medição da Dor , Manejo da Dor , Afasia/complicações , Manejo da Dor/métodos , Acidente Vascular Cerebral/complicações , Dor/complicações , Agitação Psicomotora , Estudos Longitudinais , Enfermagem , 28599RESUMO
The assessment of pain and its control is a key point in the care received by patients during their hospital stay, with the nurse being an essential figure, especially in stroke patients with secondary aphasia, which makes it difficult to verbalise pain. The aim of this study was to find out whether the use of a specific pain control scale and the more precise administration of analgesic treatment has a positive impact on indicators such as average stay length, dependence degree and agitation episodes. By means of a longitudinal randomised group design study, within a two-week period, we compared the management and recording of pain using a Pain Indicator Behaviour Scale (Nâ¯=â¯41) and a Verbal Numerical Scale or Visual Analogue Scale (Nâ¯=â¯39), in patients with language impairment after suffering a stroke who were admitted to the Stroke Unit of the Neurology Department of the Hospital Clínic de Barcelona. The results obtained, despite being in line with what was conjectured, are not statistically significant. However, some statistical models have shown the usefulness of some factors (level of training, nurses experience, previous episodes of stroke, among others) in the prediction of a better evolution, with a predictive capacity between 20-37%, which justifies the necessity of further studies and reinforces the role of the variables studied in the care of this type of patient.
