Author(s): Silva, Inês Filipa Janeiro da, 1984
Date: 2012
Persistent ID: http://hdl.handle.net/10451/7350
Origin: Repositório da Universidade de Lisboa
Subject(s): Dor; Feridas crónicas; Classificação da dor; Tatamento da dor; Teses de mestrado - 2012
Tese de mestrado, Cuidados Paliativos, Faculdade de Medicina, Universidade de Lisboa, 2012
Influenciada por fatores fisiológicos, psicológicos, emocionais e sociais, a dor é um fenómeno multidimensional, complexo, subjetivo e percetivo. Em feridas crónicas, a dor constitui uma grande preocupação tanto para os doentes como para os profissionais de saúde, sendo o seu controlo fundamental para a qualidade dos cuidados. Neste sentido, é necessário desenvolver investigações que, simultaneamente, promovam uma melhor compreensão do tema e estabeleçam estratégias eficazes e adequadas ao controlo da dor nestes doentes. Este estudo é uma revisão sistemática de literatura e tem como objetivos rever de forma sistemática as estratégias atualmente existentes para o tratamento da dor em doentes com feridas crónicas; identificar quais as estratégias mais eficazes para tratar a dor nestes doentes; e verificar a existência de linhas orientadoras. Foram incluídos no estudo 13 artigos, pesquisados em bases de dados eletrónicas, publicados entre 2008 e Junho de 2011. Os participantes são indivíduos com 18 anos ou mais e que tenham feridas crónicas do tipo úlceras de pressão, úlceras venosas de perna e úlceras de pé diabético. Os resultados obtidos mostram que as feridas crónicas serão sempre dolorosas, e que nos cabe a nós, profissionais de saúde, ajudar a otimizar os cuidados, reduzindo o desconforto e melhorando a qualidade de vida do doente através de uma combinação de medidas farmacológicas e não-farmacológicas. Constatou-se que existe um leque relativamente variado de opções para o tratamento da dor em feridas crónicas, embora algumas delas não sejam viáveis para aplicação nos serviços públicos de saúde. No seguimento da mesma linha de investigação, e dado que não existem documentos orientadores nesta área, sugere-se de futuro a elaboração de um protocolo de atuação e posterior aplicação em várias unidades hospitalares para a realização de estudos multicêntricos que nos ajudem a criar métodos de controlo da dor mais adequados e eficazes em doentes com feridas crónicas. Influenced by physiological, psychological, emotional and social factors, pain is a multidimensional, complex, subjective and perceptual phenomenon. In chronic wounds, pain is a major concern both for patients and for health professionals, being your control key to quality of care. In this sense, it is necessary to develop research that simultaneously promote a better understanding of the issue and establish appropriate and effective strategies to control pain in these patients. This study is a systematic literature review and aims to systematically review the strategies currently exist for the treatment of pain in patients with chronic wounds, identify the most effective strategies to treat pain in these patients and check the existence of guidelines. The study included 13 articles searched in electronic databases, published between 2008 and June 2011. Participants are aged 18 years or older and have chronic wounds type pressure ulcers, venous leg ulcers and diabetic foot ulcers. The results show that chronic wounds are always painful, and that up to us, health professionals, help to optimize care, reducing discomfort and improving the quality of life of patients through a combination of pharmacological and non-pharmacological measures. It was found that there is a relatively diverse range of options for the treatment of pain in chronic wounds, although some of them are not feasible for application in public health system. Following the same line of investigation, and since there are no guidelines in this area, it is suggested in the future the development of a protocol acting and subsequent application in many hospitals to perform multicenter studies that help us to create methods of pain control most appropriate and effective in patients with chronic wounds.
Influenced by physiological, psychological, emotional and social factors, pain is a multidimensional, complex, subjective and perceptual phenomenon. In chronic wounds, pain is a major concern both for patients and for health professionals, being your control key to quality of care. In this sense, it is necessary to develop research that simultaneously promote a better understanding of the issue and establish appropriate and effective strategies to control pain in these patients. This study is a systematic literature review and aims to systematically review the strategies currently exist for the treatment of pain in patients with chronic wounds, identify the most effective strategies to treat pain in these patients and check the existence of guidelines. The study included 13 articles searched in electronic databases, published between 2008 and June 2011. Participants are aged 18 years or older and have chronic wounds type pressure ulcers, venous leg ulcers and diabetic foot ulcers. The results show that chronic wounds are always painful, and that up to us, health professionals, help to optimize care, reducing discomfort and improving the quality of life of patients through a combination of pharmacological and non-pharmacological measures. It was found that there is a relatively diverse range of options for the treatment of pain in chronic wounds, although some of them are not feasible for application in public health system. Following the same line of investigation, and since there are no guidelines in this area, it is suggested in the future the development of a protocol acting and subsequent application in many hospitals to perform multicenter studies that help us to create methods of pain control most appropriate and effective in patients with chronic wounds.
