Postoperative pain at a university hospital: perspectives toward health promotion
DOI:
https://doi.org/10.5020/18061230.2017.6583Keywords:
Pain, General Surgery, Prevalence, Epidemiology.Abstract
Objective: To evaluate the prevalence, influential factors and intensity of postoperative pain (POP) in patients attended to at a university hospital. Methods: A prospective, cross-sectional survey was carried out involving one hundred patients who underwent different types of surgical procedures in the period from March to May 2016, and were interviewed within the first 24 hours of the postoperative period, and evaluated with use of a visual numerical scale. Results: The most common types of surgery were: cesarean section, appendectomy, prostatectomy, total thyroidectomy and osteosynthesis; while the anesthesias were the spinal anesthesia and the general balanced anesthesia, with a lower prevalence of POP when spinal anesthesia was adopted. Of the patients, 43% (n = 43) reported POP, with a prevalence of 44% (n = 14) in the male sex and 43% (n = 29) in the female sex. Among these, 30% (n = 13) classified the POP as a strong-intensity pain, 53.5% (n = 23) classified it as moderate, and 14% (n = 6), as mild. There was higher prevalence of POP in the age ranges of 25-34 and 55-64 years, and significant causal association between the variables diagnosis, type of surgery, pain site and intensity. Moreover, the location of the POP was significantly related to the age range or type of surgery, and its intensity was related to the age range. Conclusion: The postoperative pain in the university hospital in question proved prevalent in patients of both sexes and was dependent on the age range, the heterogeneity of surgical procedures, and the anesthetic protocols, with the moderate-intensity pain as the most identified one.Downloads
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