Brazilian Journal of Anesthesiology
https://app.periodikos.com.br/journal/rba/article/doi/10.1590/S0034-70942009000300006
Brazilian Journal of Anesthesiology
Scientific Article

Prevalência e influência do sexo, idade e tipo de operação na dor pós-operatória

Prevalence and influence of gender, age, and type of surgery on postoperative pain

Tânia Cursino de Menezes Couceiro; Marcelo Moraes Valença; Luciana Cavalcanti Lima; Telma Cursino de Menezes; Maria Cristina Falcão Raposo

http://dx.doi.org/10.1590/S0034-70942009000300006 Braz J Anesthesiol, vol.59, n3, p.314-320, 2009
PDF Português
PDF English
Downloads: 0
Views: 1067

Resumo

JUSTIFICATIVA E OBJETIVOS: A dor no pós-operatório é um evento frequente, apesar do arsenal terapêutico existente. Sua ocorrência está relacionada a fatores inerentes ao procedimento cirúrgico e ao paciente. O estudo teve como objetivo avaliar a prevalência da dor no pós-operatório em pacientes internados e sua associação com o sexo e o tipo de operação. MÉTODO: Estudo do tipo corte transversal, realizado por entrevista a 187 pacientes submetidos a operações. Avaliou-se a ocorrência da dor nas primeiras 24 horas e sua intensidade através da escala numérica visual: leve (1 a 3), moderada (4 a 6) e forte (7 a 10). RESULTADOS: Dos 190 pacientes entrevistados, três foram excluídos por dificuldade de entender o método utilizado para avaliar a dor. Na amostra, 66,8% (n = 125) eram mulheres. A média de idade foi de 45,83 ± 16,17 anos, sendo 25,1% (n = 47) com 60 anos ou mais. Nas primeiras 24 horas, 46% (n = 85) dos pacientes relataram dor. Dentre os homens 48,4% (n = 30) referiram dor e dentre as mulheres, 66,8% (n = 55). Não houve diferença significativa entre a prevalência de dor por sexo (p = 0,536) e idade (p = 0,465). Quanto à intensidade, a dor foi considerada leve em 29,4%, moderada em 43,5% e forte em 27,1% dos pacientes. Houve associação significativa entre a ocorrência da dor pós-operatória e o tipo de operação (p = 0,003). CONCLUSÕES: O estudo mostra que um elevado número de pacientes ainda sente dor nas primeiras 24 horas do pós-operatório. Pacientes submetidas à Cirurgia Geral sentiram mais dor no pós-operatório que nos demais tipos de operações.

Palavras-chave

DOR, Aguda

Abstract

BACKGROUND AND OBJECTIVES: Postoperative pain is frequent despite of the therapeutic armamentarium available. Its development is related with factors inherent to the surgery and patient. The objective of this study was to evaluate the prevalence of postoperative pain in hospitalized patients and its association with gender and type of surgery. METHODS: This is a transversal study in which interviews were done with 187 patients undergoing surgeries. The incidence of pain in the first 24 hours and its severity according to a numeric rating scale: mild (1 to 3), moderate (4 to 6), and severe (7 to 10), were evaluated. RESULTS: Three of 190 patients interviewed were excluded due to difficulties understanding the method used to evaluate the level of pain. In the study population, 66.8% (n = 125) were females; mean age 45.83 ± 16.17 years, but 25.1% (n = 47) were 60 years old or more. In the first 24 hours, 46% (n = 85) of the patients reported pain. Among male patients, 48.4% (n = 30) complained of pain, while 66.8% (n = 55) of the females did so. The prevalence of pain showed no differences regarding gender (p = 0.536) and age (p = 0.465). As for pain severity, 29.4% of the patients referred mild pain, it was moderate in 43.5%, and severe in 27.1%. A significant association between the incidence of postoperative pain and type of surgery was observed (p = 0.003). CONCLUSIONS: This study demonstrated that an elevated number of patients experience pain in the first 24 hours after the surgery. The incidence of pain was higher in patients undergoing general surgery.

Keywords

PAIN, Acute

Referencias

Apfelbaum JL, Chen C, Mehta SS. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesth Analg. 2003;97:534-540.

Power I. Recent advances in postoperative pain therapy. Br J Anaesth. 2005;95:43-51.

Omote K. Intravenous lidocaine to treat postoperative pain management: novel strategy with a long-established drug. Anesthesiology. 2007;106:5-6.

Marks RM, Sachar EJ. Undertreatment of medical inpatients with narcotics analgesics. Ann Intern Med. 1973;78:173-181.

Donovan M, Dillon P, McGuire L. Incidence and characteristics of pain in a sample of medical-surgical inpatients. Pain. 1987;30:69-78.

Chung F, Ritchie E, Su J. Postoperative pain in ambulatory surgery. Anesth Analg. 1997;85:808-816.

Pyati S, Gan TJ. Perioperative pain management. CNS Drugs. 2007;21:185-211.

Moizo E, Berti M, Marchetti C. Acute Pain Service and multimodal therapy for postsurgical pain control: evaluation of protocol efficacy. Minerva Anestesiol. 2004;70:779-787.

Dolin SJ, Cashman JN, Bland JM. Effectiveness of acute postoperative pain management: I. Evidence from published data. Br J Anaesth. 2002;89:409-423.

Janssen KJ, Kalkman CJ, Grobbee DE. The risk of severe postoperative pain: modification and validation of a clinical prediction rule. Anesth Analg. 2008;107:1330-1339.

Sommer M, de Rijke JM, van Kleef M. The prevalence of postoperative pain in a sample of 1490 surgical inpatients. . 2008;25:267-274.

Uchiyama K, Kawai M, Tani M. Gender differences in postoperative pain after laparoscopic cholecystectomy. Surg Endosc. 2006;20:448-451.

Ochroch EA, Gottschalk A, Troxel AB. Women suffer more short and long-term pain than men after major thoracotomy. Clin J Pain. 2006;22:491-498.

Bonica JJ. The Management of Pain. 1990:461-480.

Liu SS, Strodtbeck WM, Richman JM. A comparison of regional versus general anesthesia for ambulatory anesthesia: a meta-analysis of randomized controlled trials. Anesth Analg. 2005;101:1634-1642.

Fassoulaki A, Melemeni A, Paraskeva A. Postoperative pain and analgesic requirements after anesthesia with sevoflurane, desflurane or propofol. Anesth Analg. 2008;107:1715-1719.

Burckhardt CS, Jones KD. Effects of chronic widespread pain on the health status and quality of life of women after breast cancer surgery. Health Qual Life Outcomes. 2005;3:30.

Nikolajsen L, Sorensen HC, Jensen TS. Chronic pain following Caesarean section. Acta Anaesthesiol Scand. 2004;48:111-116.

Aasvang E, Kehlet H. Chronic postoperative pain: the case of inguinal herniorrhaphy. Br J Anaesth. 2005;95:69-76.

Joshi GP, White PF. Management of acute and postoperative pain. Curr Opin Anaesthesiol. 2001;14:417-421.

5dd67ea20e8825cb2ec8fca7 rba Articles
Links & Downloads
2352-2291 (Electrónico) 0104-0014 (Impreso)
Braz J Anesthesiol ©2024 Todos los derechos reservados.

Braz J Anesthesiol

Share this page
Page Sections