Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 214
Filter
2.
Nursing (Säo Paulo) ; 24(278): 5892-5901, jul.-2021.
Article in Portuguese | LILACS, BDENF | ID: biblio-1343019

ABSTRACT

Objetivo: Investigar o conhecimento da equipe de enfermagem sobre o manejo não farmacológico da dor e descrever os principais métodos não farmacológicos para o manejo da dor em recém-nascidos pré-termo sob cuidados intensivos. Método: Estudo exploratório-descritivo, com abordagem qualitativa, realizado em Unidade de Terapia Intensiva, de Fortaleza-CE, Brasil, cuja coleta de dados foi realizada de julho a agosto de 2018, por meio de entrevista e observação dos cuidados de enfermagem aos neonatos. Participaram duas enfermeiras e seis técnicas de enfermagem e observaram-se quatro recém-nascidos quanto às respostas fisiológicas e comportamentais aos procedimentos invasivos durante o tratamento intensivo. Resultados: Os métodos mais utilizados pela equipe de enfermagem na Unidade pesquisada foram: soro glicosado a 25%, sucção não nutritiva, contenção facilitada, leite materno e Método Canguru. Conclusão: Algumas participantes demonstraram não conhecer os métodos para manejo não farmacológico da dor em recém-nascidos pré-termo, constatando-se necessidade de mais pesquisas relacionadas à temática investigada.(AU)


Objective: To investigate the knowledge of the nursing staff on non-pharmacological pain management and describe the main non-pharmacological methods for pain management in preterm newborns under intensive care. Method: Exploratory-descriptive study, with a qualitative approach, carried out in an Intensive Care Unit, in Fortaleza-CE, Brazil, whose data collection was carried out from July to August 2018, through interviews and observation of nursing care to neonates. Two nurses and six nursing technicians participated and four newborns were observed for physiological and behavioral responses to invasive procedures during intensive care. Results: The methods most used by the nursing team in the researched unit were: 25% glucose serum, non-nutritive suction, facilitated containment, breast milk and Kangaroo Method. Conclusion: Some participants demonstrated that they do not know the methods for non-pharmacological management of pain in preterm newborns, confirming the need for more research related to the theme investigated. (AU)


Objetivo: Investigar los conocimientos del equipo de enfermería sobre manejo no farmacológico del dolor y describir los principales métodos no farmacológicos para manejo del dolor en recién nacidos prematuros en cuidados intensivos. Método: Estudio exploratorio descriptivo, cualitativo, realizado en Unidad de Cuidados Intensivos, en Fortaleza-CE, Brasil, cuya recolección de datos se realizó de julio a agosto de 2018, a través de entrevistas y observación de cuidados de enfermería a neonatos. Participaron dos enfermeras y seis técnicos de enfermería y se observaron a cuatro recién nacidos para determinar las respuestas fisiológicas y conductuales a los procedimientos invasivos durante los cuidados intensivos. Resultados: Los métodos más utilizados por el equipo de enfermería en la unidad investigada fueron: suero de glucosa al 25%, succión no nutritiva, contención facilitada, leche materna y método canguro. Conclusión: Algunos participantes señalaron no conocen los métodos para manejo no farmacológico del dolor en recién nacidos prematuros, por lo que se necesitan más investigaciones relacionadas al tema investigado.(AU)


Subject(s)
Humans , Infant, Newborn , Pain/prevention & control , Infant, Premature , Pain Management/methods , Neonatal Nursing , Qualitative Research , Infant Care
3.
Prensa méd. argent ; 107(2): 112-117, 20210000. fig, tab
Article in English | LILACS, BINACIS | ID: biblio-1361445

ABSTRACT

Las metástasis óseas se desarrollan en aproximadamente 30 a 70% de todos los pacientes con cáncer. El dolor es una experiencia de la condición humana universal, y es común que las personas busquen atención médica a raíz de ello. El presente estudio tuvo como objetivo describir la eficacia y el papel de diferentes estrategias en el control del dolor óseo en pacientes cancerosos metastásicos. Se trata de un estudio observacional realizado entre el 1 de diciembre de 2018 y el 30 de diciembre de 2019. Se inscribieron exactamente 100 pacientes cancerosos. Los pacientes fueron evaluados antes de recibir las modalidades de control del dolor, al principio y al final del tratamiento. La puntuación del dolor óseo se utilizó de 0 (sin dolor) a 10 (el peor dolor). Nuestros hallazgos con respecto al sexo, hubo 51 (51%) hombres y 49 (49%) mujeres. La edad media fue de 57,3 ± 11,2 años y el grupo de edad más frecuente fue de 41-50 años, 37 (37%). Entre los tipos de cáncer, el cáncer de mama ocupa el primer lugar entre los casos estudiados en nuestra investigación 37 (37%), seguido del cáncer de próstata 24 (24%). Las vértebras de la columna fueron el sitio más representado en un 52%, seguido de los huesos pélvicos en un 36%. La mayoría de los pacientes no requirieron cirugía. Mientras que el 15% de los pacientes se sometieron a descompresión del cordón, el 13% requirió fijación interna y solo cuatro pa- LA PRENSA MÉDICA ARGENTINA Bony pain management in cancerous patients 117 V.107/Nº 2 cientes se sometieron a vertebroplastia. El dolor agudo se describió comúnmente en un 40%, seguido de naturaleza punzante en un 15%. El dolor frecuente fue más prevalente en el 60% de los pacientes, mientras que el dolor constante se presentó en el 40%. La noche fue el momento más común de sentir dolor en el 55%. Después de recibir el tratamiento, varias modalidades provocan un desplazamiento de la puntuación del dolor hacia abajo. Combinación de más de estrategias más eficientes que utilizar una opción para el manejo del dolor óseo con un mejor resultado y pronóstico.


Bone metastases develop in approximately 30­70% of all cancer patients. Pain is a universal human experience condition, and it is a common question for people to seek health care. The study aimed to describe the efficacy and roles of different strategies in the control of bony pain in metastatic cancerous patients. This is an observational study carried out, from the 1st of December 2018 to the 30th of December 2019. Exactly 100 cancerous patients were enrolled. Patients were assessed before received of pain control modalities, in the beginning, and at the end of treatment. Bone pain scoring was used from 0 (no pain) to 10 (the worst pain). Our findings regarding sex, there were 51(51%) male and 49(49%) female. The mean age was 57.3±11.2 years, and the most frequent age group was 41-50 years as 37(37%). Among cancer types, breast cancer comes in 1st rank cases studied in our research 37(37%), followed by prostate cancer 24(24%). Spine vertebrae were the most site figured 52%, followed by pelvic bones in 36%. Most patients did not require surgery. Whereas 15% of patients underwent cord decompression, 13% required internal fixation and only four patients performed for vertebroplasty. The sharp pain was commonly described by 40%, followed by stabbing nature in 15%. Frequent pain was more prevalent in 60% of patients, whereas constant pain presented in 40%. The night was the commonest timing of feeling pain in 55%. After receiving treatment, several modalities cause shifting of the pain scoring downward. Combination of more than strategies more efficient than of use one option for manage of bone pain with a better outcome, and prognosis.


Subject(s)
Humans , Adult , Middle Aged , Aged , Pain/prevention & control , Bone Neoplasms/therapy , Cancer Pain/therapy , Neoplasm Metastasis/therapy
5.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 13: 671-677, jan.-dez. 2021. ilus
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1178741

ABSTRACT

Objetivo: Analisar as tecnologias não invasivas de alívio da dor no parto e nascimento. Método: Revisão integrativa de literatura, com 13 artigos obtidos nas bases de dados Web of Science, Cumulative Index to Nursing and Allied Health Literature, Literatura Latino-Americana e do Caribe em Ciências da Saúde, SciVerse Scopus TopCited, Medical Literature Analysis and Retrieval System Online e a biblioteca virtual Scientific Electronic Library Online entre o período de 2010 a 2016. Resultados: Observou o uso de mais de duas tecnologias não farmacológicas no processo de parto e nascimento, como aromaterapia isolada ou somada a mais uma tecnologia; aplicação isolada de frio e/ou calor; uso da bola suíça/bola de parto. Conclusão: A utilização de novas tecnologias no processo parturitivo resgata a autonomia da mulher frente ao seu corpo


Objective: To analyze the non-invasive technologies of pain relief in labor and birth. Method: Integrative literature review, with 13 articles from the Web of Science database, Cumulative Index to Nursing and Allied Health Literature databases, Latin American and Caribbean Literature in Health Sciences, SciVerse Scopus TopCited, Medical Literature Analysis and Retrieval System Online, and the library Scientific Electronic Library Online between 2010 and 2016. Results: Observed the use of more than two non-pharmacological technologies in the delivery and birth process, such as aromatherapy alone or added to another technology; isolated application of cold and / or heat; use of the Swiss ball / birth ball. Conclusion: The use of new technologies in the parturition process rescues the autonomy of women in front of their bodies


Objetivo: Analizar tecnologías no invasivas de alivio del dolor en el parto y el nacimiento. Método: Revisión integrativa de literatura, con 13 artículos de las bases de datos de Web of Science, de Contenido etiquetado de la literatura y la literatura en América Latina y el Caribe, en Ciencias de la Salud, SciVse Scopus TopCited, Medical Literature Analysis and Retrieval System Online y la biblioteca Scientific Electronic Library virtual en línea entre el periodo de 2010 a 2016. Resultados: Observó el uso de más de dos tecnologías no farmacológicas en el parto y el proceso de parto, como la aromaterapia sola o agregada a otra tecnología; aplicación aislada de frío y / o calor; uso de la bola suiza / bola de nacimiento. Conclusión: El uso de nuevas tecnologías en el proceso de parto rescata la autonomía de las mujeres frente a sus cuerpos


Subject(s)
Humans , Female , Pregnancy , Labor, Obstetric/drug effects , Aromatherapy/methods , Labor Pain/drug therapy , Pain/prevention & control , Humanizing Delivery
6.
Horiz. enferm ; 32(3): 297-305, 2021.
Article in Spanish | LILACS | ID: biblio-1353302

ABSTRACT

INTRODUCCIÓN: Ser adulto mayor conlleva a cambios físicos, psicológicos y sociales que se ven aún más afectados por comorbilidades como las enfermedades crónicas y el dolor. El propósito es interpretar las experiencias de vivir con dolor de los adultos mayores con enfermedades crónico-degenerativas. METODOLOGÍA: Diseño cualitativo de tipo fenomenológico, recolectado mediante un muestreo intencional a través de una entrevista semi estructurada, en la cual se seleccionó a la población adulta mayor con una patología crónico-degenerativa que haya experimentado dolor crónico; se analizaron los datos con el proceso cognitivo de Janice Morse, hasta llegar a la saturación de la información. Participaron 8 personas entre los 66 y 72 años, habiendo siete mujeres y un hombre. RESULTADOS: Se encontraron cuatro categorías: 1. El desgaste de vivir con dolor; 2. Cotidianidad del vivir con dolor; 3. Alternativas para aliviar el dolor, y 4. Afectación en el entorno social. CONCLUSIÓN: Ser adulto mayor trae muchos cambios en todas las esferas de la vida, sin embargo, el padecer una enfermedad crónica acelera toda esta transición, viéndose afectados la salud mental, físico y social, adaptando esta situación a su cotidianidad, buscando a su vez medios alternos que mitiguen o disminuya el dolor.


INTRODUCTION: Being an older adult leads to physical, psychological, and social changes that are further affected by comorbidities such as chronic diseases and pain. The purpose is to interpret the experiences of living in pain of older adults with chronic-degenerative diseases. METHOD: Qualitative phenomenological research, recollected by an intentional sampling through a semi-structured interview in which was selected the adult population with a chronic-degenerative pathology that have experienced an state of chronic pain. The data was analyzed with the cognitive process of Janice Morse and reached to a saturation of 8 participants. There were 8 participants between the ages of 66 and 72, with seven women and one man. RESULTS: Four categories were found: 1. Wearing of living with pain; 2. Daily Living with Pain; 3. Alternatives for Pain Relief, and 4. Social Affectation. CONCLUSION: Being an older adult brings many changes in all spheres of life, however, suffering from a chronic disease accelerates this whole transition, being affected mental, physical and social health, adapting this situation to its daily life, seeking in turn alternate means to mitigate or decrease pain.


Subject(s)
Humans , Male , Female , Aged , Aged/psychology , Frail Elderly/psychology , Wasting Disease, Chronic/psychology , Chronic Pain/psychology , Pain/prevention & control , Cognition , Wasting Disease, Chronic/nursing , Chronic Pain/nursing , Mexico
8.
Rev. bras. anestesiol ; 70(5): 491-499, Sept.-Oct. 2020. tab, graf
Article in English, Portuguese | LILACS | ID: biblio-1143963

ABSTRACT

Abstract Background and objective: The aim was to investigate the effects of Turkish classical music on pain and oxidative stress in patients undergoing oocyte pick-up. Methods: The study was a randomized, controlled trial. The groups included Group NM (Non-Music), control group; Group PM, which comprised patients who listened to music before the operation; and Group CM, which comprised patients who listened to music both before and during the operation. Blood was drawn prior to the operation to measure the oxidative stress values. Pain, hemodynamic parameters, oxidative stress values were assessed postoperatively. Results: The number of patients requiring additional propofol was higher in Group PM than in Groups NM and CM (p = 0.003). The postoperative Visual Analog Scale (VAS) score were lower in Groups PM and CM than in Group NM (p = 0.001, p = 0.007) in the 1st and 60th minutes. The postoperative VAS score was lower in Group CM than in Group NM (p = 0.045) in the 5th minute. The postoperative additional analgesic requirements were lower in Groups PM and CM than in Group NM (p = 0.045). The postoperative blood glutathione peroxidase values were significantly higher in Groups PM and CM than in Group NM (p = 0.001). The postoperative catalase values were significantly higher in Groups PM and CM than in Group NM (p = 0.008 and p < 0.001). The preoperative malondialdehyde values were significantly lower in Groups PM and CM than in Group NM. The preoperative nitric oxide values were higher in Groups PM and CM than in Group NM (p < 0.001), whereas the postoperative nitric oxide values were lower in Groups PM and CM than in Group NM (p < 0.001). Conclusion: Turkish classical music has beneficial effects on pain and oxidative stress in oocyte pick-up patients.


Resumo Justificativa e objetivo: O objetivo deste estudo foi investigar os efeitos da música clássica turca sobre a dor e o estresse oxidativo em pacientes submetidas a aspiração folicular. Método: Estudo randomizado controlado. Os grupos foram: grupo controle NM, sem música; Grupo PM, com pacientes que ouviram música antes da cirurgia; e Grupo CM, com pacientes que ouviram música antes e durante a cirurgia. Foi coletado sangue antes da cirurgia para avaliar os valores de estresse oxidativo. Dor, parâmetros hemodinâmicos e valores de estresse oxidativo foram avaliados após a cirurgia. Resultados: O número de pacientes que necessitaram de propofol adicional foi mais alto no Grupo PM do que nos grupos NM e CM (p = 0,003). A pontuação da Escala Visual Analógica (EVA) pós-operatória foi mais baixa nos Grupos PM e CM do que no Grupo NM (p = 0,001; p = 0,007), no 1° e 60° minutos. A pontuação da EVA pós-operatória foi mais baixa no Grupo CM do que no grupo NM (p = 0,045) no 5° minuto. A necessidade de analgesia pós-operatória adicional foi mais baixa nos Grupos PM e CM do que no Grupo NM (p = 0,045). Os valores pós-operatórios de glutationa peroxidase no sangue foram significantemente mais altos nos Grupos PM e CM do que no Grupo NM (p = 0,001). Os valores pós-operatórios de catalase foram significantemente mais altos nos Grupos PM e CM do que no Grupo NM (p = 0,008 e p≤ 0,001). Os valores pré-operatórios de malondialdeído foram significantemente mais baixos nos grupos PM e CM do que no Grupo NM. Os valores pré-operatórios de óxido nítrico foram mais altos nos grupos PM e CM do que no Grupo NM (p≤ 0,001), ao passo que valores pós-operatórios de óxido nítrico foram mais baixos nos grupos PM e CM do que no Grupo NM (p≤ 0,001). Conclusão: Música clássica turca exerce efeito benéfico sobre a dor e estresse oxidativo em pacientes na aspiração folicular.


Subject(s)
Humans , Female , Adolescent , Adult , Young Adult , Pain/prevention & control , Oxidative Stress , Oocyte Retrieval/methods , Music Therapy/methods , Pain/etiology , Pain Measurement , Oocyte Retrieval/psychology , Hemodynamics , Nitric Oxide/metabolism
10.
Med. infant ; 27(1): 25-28, Marzo de 2020. tab, ilus
Article in Spanish | LILACS, BINACIS, UNISALUD | ID: biblio-1118643

ABSTRACT

Los parches de EMLA son frecuentemente utilizados como anestésicos locales durante la realización en procedimientos invasivos. Con el fin de valorar su eficacia y compararla con la de otros analgésicos y anestésicos disponibles, se realizó una revisión sistemática de todos los estudios realizados que cumplieran criterios de inclusión entre los años 1990 y 2019. Población y métodos: la búsqueda bibliográfica de la evidencia disponible fue realizada en las bases de datos de Cochrane Medline y Lilacs. Se incluyeron todos los ECA y revisiones sistemáticas en pacientes menores de 16 años entre los años 1990 y 2019. Resultados: Fueron hallados 31 artículos de los cuales 21 cumplían con los criterios de inclusión. De dichos 21, solamente 8 estudios resultaron de muy buena y excelente calidad metodológica (JADAD). Conclusiones: El EMLA demostró mayor eficacia como analgésico en el 100% de los estudios donde se comparaba respecto del placebo. Sin embargo, no se encontraron diferencias significativas respecto de otros analgésicos farmacológicos y no farmacológicos.(AU)


EMLA patches are commonly used as local anesthetics in minor invasive procedures. To assess efficacy and compare the patches with other available analgesics and anesthetics, a systematic review was conducted evaluated all studies that met the inclusion criteria published between 1990 and 2019. Population and methods: A literature search of the available evidence was conducted in the Cochrane, Medline, and Lilacs databases. All RCTs and systematic reviews in patients younger than 16 years published between 1990 and 2019 were included. Results: 31 articles were identified of which 21 met the inclusion criteria. Of these 21, of only 8 studies the methodology was of very good and excellent quality (JADAD). Conclusions: EMLA better efficacy as an analgesic in 100% of the studies comparing EMLA patches with placebo. However, no significant differences were found when comparing the patches with other pharmacological and non-pharmacological analgesics.(AU)


Subject(s)
Humans , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Pain/prevention & control , Transdermal Patch , Pain Management/methods , Lidocaine, Prilocaine Drug Combination/therapeutic use , Anesthetics, Local/therapeutic use , Treatment Outcome , Comparative Effectiveness Research
11.
Rev. bras. cancerol ; 66(1)20200129.
Article in English | LILACS | ID: biblio-1094941

ABSTRACT

Introduction: The oral mucositis (OM) represents a frequent inflammatory condition in cancer patients, and poor oral hygiene has been related as a predisposing factor for its onset. Chamomile tea has been studied as an adjunctive therapy in the management of OM due to its analgesic and anti-inflammatory properties. Objective: The objective of this study was to evaluate the influence of chamomile tea associated with a rigorous oral hygiene in the OM prevention. Method: Randomized pilot clinical study, with 35 patients assigned to two groups. The case-group underwent oral hygiene control associated with the use of chamomile tea before starting the first cycle of chemotherapy, while the control group, there were no previous guidelines and prescriptions. Data about sociodemographic characteristics, the type of neoplasm and the chemotherapy scheme proposed were collected. The variables OM, salivary flow and pain associated to the oral cavity were evaluated, and statistical analysis was performed with significance level p <0.05. Results: It was observed that the majority of the patients had a mean age of 50 years, breast (57%) was the most prevalent tumor site and cyclophosphamide (52%), the most frequently used drug In this sample, no statistically significant result was observed in the two groups for OM, salivary flow and pain variables (p> 0.05). Conclusion: These data suggest that the use of chamomile tea and the accuracy of oral hygiene were not sufficient to prevent OM.


Introdução: A mucosite oral (MO) representa uma condição inflamatória frequente em pacientes oncológicos e uma higiene oral insatisfatória tem sido relacionada como fator predisponente para o seu surgimento. O chá de camomila vem sendo estudado como terapia adjuvante no manejo da MO em razão das suas propriedades analgésicas e anti-inflamatórias. Objetivo: Avaliar a influência do chá de camomila associada a uma rigorosa higiene oral na prevenção de MO. Método: Trata-se de um estudo-piloto clínico randomizado, no qual 35 pacientes foram alocados em dois grupos. O grupo-caso foi submetido ao controle de higiene oral associado ao uso do chá de camomila antes de iniciar o primeiro ciclo de quimioterapia; no grupo-controle, não houve orientações e prescrições prévias. Foram coletados dados referentes às características sociodemográficas, à neoplasia em questão e ao tipo de tratamento quimioterápico proposto. Foram avaliadas as variáveis MO, fluxo salivar e dor associada à cavidade oral, e realizada análise estatística com nível de significância p<0,05. Resultados: Observou-se que a maioria dos pacientes apresentava-se na quinta década de vida, a localização do tumor mais prevalente foi a mama (57%) e a droga mais utilizada por esses pacientes foi a ciclosfamida (52%). Nesta amostra, não foi observado resultado estatisticamente significativo entre os grupos, no que diz respeito às variáveis MO, fluxo salivar e dor (p>0,05). Conclusão: Os dados sugerem que o uso do chá de camomila e o rigor na higiene oral não foram suficientes para a prevenção da MO.


Introducción: La mucositis oral (MO) representa una afección inflamatoria frecuente en pacientes con cáncer, y la mala higiene bucal se ha relacionado como un factor predisponente para su aparición. El té de manzanilla se ha estudiado como una terapia adyuvante en el tratamiento de la OM debido a sus propiedades analgésicas y antiinflamatorias. Objetivo: El objetivo de este estudio fue evaluar la influencia del té de manzannilla asociado con una hygiene oral rigurosa en la prevención de la MO. Método: Fue un estudio clínico piloto aleatorizado, en el que treinta y cinco pacientes fueron asignados en dos grupos. El grupo de casos se sometió a un control de higiene oral asociado con el uso de té de manzanilla antes de comenzar el primer ciclo de quimioterapia, mientras que en el grupo de control, no había pautas ni recetas previas. Se recopilaron datos sobre las características sociodemográficas, el tipo de neoplasia y el esquema de quimioterapia propuesto. Se evaluaron las variables MO, flujo salival y dolor asociado a la cavidad oral, y se realizó un análisis estadístico con nivel de significancia p<0,05. Resultados: Se observó que la mayoría de los pacientes tenían una edad media de 50 años, el sitio del tumor más prevalente era la mama (57%) y el fármaco utilizado con mayor frecuencia era la ciclofamida (52%). En esta muestra, no se observaron resultados estadísticamente significativos entre los grupos con respecto a las variables MO, flujo salival y dolor (p>0,05). Conclusión: Estos datos sugieren que el uso de té de manzanilla y la precisión de la higiene oral no fueron suficientes para prevenir la MO.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Oral Hygiene , Stomatitis/prevention & control , Chamomile/adverse effects , Teas, Herbal/adverse effects , Neoplasms/drug therapy , Pain/prevention & control , Plants, Medicinal/adverse effects , Saliva/drug effects , Random Allocation , Case-Control Studies , Mouth Mucosa/drug effects , Antineoplastic Agents/adverse effects
12.
J. appl. oral sci ; 28: e20190025, 2020. tab, graf
Article in English | LILACS, BBO | ID: biblio-1056588

ABSTRACT

Abstract Periodontal therapy usually requires local anesthesia. If effective, a non-invasive, liposomal anesthetic gel could increase the levels of acceptance of patients in relation to periodontal therapy. Objective: This study investigated the efficacy of liposomal anesthetic gel for pain control during periodontal therapy. Methodology: Forty volunteers with moderate to severe chronic periodontitis were recruited, of which at least three sextants required periodontal therapy. At least one of the selected teeth had one site with a probing depth of ≥4 mm. The volunteers received the following three gels: a placebo, lidocaine/prilocaine (Oraqix®), or a liposomal lidocaine/prilocaine, which were applied to different sextants. Pain frequency was registered during treatment and the volunteers received a digital counter to register any painful or uncomfortable experiences. At the end of each session, the volunteers indicated their pain intensity using rating scales (NRS-101 and VRS-4). The volunteers had their hemodynamic parameters measured by a non-invasive digital monitor. Results: Pain frequency/intensity did not show statistical difference between intervention groups. The tested gels did not interfere with the hemodynamic indices. Dental anxiety, suppuration and probing depth could influence pain during periodontal therapy. Conclusion: Our results suggest limited indications for the use of non-invasive anesthesia when used for scaling and root planing. Intra-pocket anesthetic gel could be a good option for anxious patients, or those who have a fear of needles.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Pain/prevention & control , Dental Scaling/adverse effects , Root Planing/adverse effects , Gels/administration & dosage , Anesthesia, Dental/methods , Anesthetics, Local/administration & dosage , Periodontal Pocket , Placebos , Prilocaine/administration & dosage , Pain Measurement/methods , Double-Blind Method , Chronic Periodontitis/complications , Chronic Periodontitis/therapy , Lidocaine, Prilocaine Drug Combination , Lidocaine/administration & dosage
13.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 41(6): 540-545, Nov.-Dec. 2019. tab, graf
Article in English | LILACS | ID: biblio-1055331

ABSTRACT

Objectives: To evaluate the effects of mindfulness-based stress reduction (MBSR) combined with music therapy (MT) on clinical symptoms in patients with osteosarcoma. Methods: Patients diagnosed with osteosarcoma were assessed for eligibility. A total of 101 patients were ultimately randomized into the intervention and control groups. Both groups received routine care. Eight sessions of MBSR and MT psychotherapy were conducted in the intervention group, while the control group received no psychological intervention. Patients were assessed regarding pain, anxiety, and sleep quality at two distinct stages: before and after the intervention. Results: There were no significant differences in sociodemographic and clinical parameters between the intervention and control groups at baseline. The intervention program significantly alleviated psychological and physiological complications in patients with osteosarcoma. Specifically, the study revealed that 8 weeks of the combined MBSR/MT intervention effectively reduced pain and anxiety scores and improved the quality of sleep in patients. Conclusion: MBSR combined with MT significantly alleviated clinical symptoms, and could be considered a new, effective psychotherapeutic intervention for patients with osteosarcoma.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Young Adult , Anxiety/prevention & control , Pain/prevention & control , Sleep/physiology , Bone Neoplasms/psychology , Osteosarcoma/psychology , Mindfulness/methods , Music Therapy/methods , Pain/psychology , Quality of Life/psychology , Stress, Psychological/prevention & control , Stress, Psychological/psychology , Test Anxiety Scale , Time Factors , Bone Neoplasms/physiopathology , Pain Measurement , Osteosarcoma/physiopathology , Surveys and Questionnaires , Treatment Outcome
14.
Rev. Assoc. Med. Bras. (1992) ; 65(3): 446-451, Mar. 2019. tab, graf
Article in English | LILACS | ID: biblio-1003034

ABSTRACT

SUMMARY OBJECTIVE: This study aimed to investigate the effect of virtual reality application on experimental ischemic pain created with a blood pressure instrument in healthy volunteers. METHODS: The research sample consisted of 172 volunteer adult students who conformed to the inclusion criteria. These individuals were assigned into an experimental (n=86) and a control group (n=86) by a simple randomization method. All individuals in the experimental and control groups wereexperimentally subjected to pain for two minutes by applying 260 mmHg of pressure 3-4 cm above the antecubital region of the left arm with an aneroid adult-type blood pressure instrument. During the procedure, the volunteers in the experimental group watched virtual reality images, while those in the control group received no intervention. Immediately after the procedure, the pain levels of the individuals in both groups were assessed with a Visual Analog Scale (VAS). RESULTS: We found that the mean pain score of the individuals in the experimental group was 2.62±1.82, and that of individuals in the control group was 5.75±1.65. Results of the statistical analysis showed a statistically significant difference between the mean pain scores of the individuals in the experimental and control groups (p<0.001). CONCLUSION: This study found that the use of virtual reality was effective in reducing the level of pain in healthy individuals. This method used a smartphone with widespread availability and ease of transportation, which can be used by health professionals as a non-pharmacological method in the management of pain.


RESUMO OBJETIVO: El objetivo de este estudio fue investigar el efecto de la aplicación de realidad virtual en el dolor isquémico experimental creado con un instrumento de presión arterial en voluntarios sanos. MÉTODO: La muestra de investigación consistió en 172 estudiantes adultos voluntarios que cumplieron con los criterios de inclusión. A estos individuos se les asignó mediante un método de aleatorización simple en un grupo experimental (n = 86) y uno de control (n = 86). Todos los individuos en los grupos experimentales y de control fueron sometidos experimentalmente a dolor durante dos minutos aplicando 260 mmHg de presión 3-4 cm por encima de la región antecubital del brazo izquierdo con un instrumento de presión arterial aneroide tipo adulto. Durante el procedimiento, los voluntarios en el grupo experimental observaron imágenes de realidad virtual, mientras que los del grupo de control no recibieron ninguna intervención. Inmediatamente después del procedimiento, los niveles de dolor de los individuos en ambos grupos se evaluaron con una Escala Analógica Visual (EAV). RESULTADOS: Se encontró que el puntaje promedio de dolor de los individuos en el grupo experimental fue 2.62 ± 1.82, y el de los individuos en el grupo control fue de 5.75 ± 1.65. Los resultados del análisis estadístico mostraron una diferencia estadísticamente significativa entre las puntuaciones medias de dolor de los individuos en los grupos experimental y control (p<0,000). CONCLUSÃO: Se encontró en este estudio que el uso de la realidad virtual fue efectivo para reducir el nivel de dolor en individuos sanos. Este método, que se lleva a cabo mediante el uso del teléfono inteligente y que ofrece una amplia disponibilidad y facilidad de transporte, puede ser utilizado por profesionales de la salud como un método no farmacológico en el tratamiento del dolor.


Subject(s)
Humans , Male , Female , Young Adult , Pain/etiology , Pain/prevention & control , Blood Pressure Determination/adverse effects , Virtual Reality Exposure Therapy/methods , Virtual Reality , Ischemia/etiology , Pain/psychology , Reference Values , Severity of Illness Index , Blood Pressure Determination/instrumentation , Pain Measurement/methods , Reproducibility of Results , Statistics, Nonparametric , Pain Management/instrumentation , Pain Management/methods , Mobile Applications , Ischemia/psychology
15.
Evid. actual. práct. ambul ; 21(3): 92-93, oct. 2018.
Article in Spanish | LILACS | ID: biblio-1016268

ABSTRACT

A partir de una viñeta clínica, la autora describe los resultados de dos revisiones sistemáticas que evaluaron la eficacia y la seguridad de la pregabalina para el alivio del dolor en pacientes con fibromialgia. (AU)


Based on a clinical vignette, the author describes the results of two systematic reviews that evaluated the efficacy and safety of pregabalin for pain relief in patients with fibromyalgia. (AU)


Subject(s)
Humans , Female , Adult , Fibromyalgia/drug therapy , Pregabalin/therapeutic use , Pain/prevention & control , Pain/drug therapy , Placebos , Fibromyalgia/diagnosis , Fibromyalgia/etiology , Randomized Controlled Trials as Topic , Pregabalin/administration & dosage , Pregabalin/adverse effects , Systematic Reviews as Topic
16.
Nursing (Säo Paulo) ; 21(239): 2119-2123, abr. 2018. ilus, tab
Article in Portuguese | LILACS, BDENF | ID: biblio-907894

ABSTRACT

Introdução: as disfunções miccionais possuem alta incidência entre as crianças, com potencial de afetar a qualidade devida destes indivíduos. É necessária a avaliação das terapêuticas utilizadas para tratar este problema quanto a sua capacidade de gerar dor. Objetivo: Avaliar a existência de dor nas crianças com distúrbios miccionais submetidas à técnica de eletroacupuntura.Método: Estudo avaliativo de abordagem quantitativa realizado em abril e maio de 2011 com 24 crianças em tratamento com eletroacupuntura em um Centro de Distúrbios Miccionais na Infância da cidade de Salvador-BA. Resultados: Em todas as sessões foi constatada presença de dor, contudo esta foi predominantemente caracterizada como leve e sua prevalência foi maior na primeira sessão e no momento inicial desta. Conclusão: O procedimento tem potencial de gerar dor em crianças e é necessária a adoção de medidas que atenuem este sintoma, de forma a melhorar a assistência e promover maior aceitação do tratamento.


Introduction: the miccional dysfunctions have high incidence among children, with potential of affecting thequality of life of these patients. It’s necessary the evaluation of therapeutic used to treat this problem regarding the ability toproduce pain. Objective: To evaluate the existence of pain in children with miccional dysfunctions submitted to the technique of electoacupuncture. Method: Evaluative study with quantitative approach carried on in April and May 2011 with 24 children intreatment with electoacupuncture in a Center of Miccional Disorders in Childhood in the city of Salvador-BA. Results: In all sessionspresence of pain was observed, however it was predominantly characterized as mild pain and its prevalence was higher in the firstsession and in the beginning of this. Conclusion: The procedure has the potential to generate pain in children and it’s necessary to adopt measures that decrease the pain, improving care and the acceptance of the treatment.


Objetivo: identificar los factores que ocasionan la caída en los ancianos, considerando consecuencias, y describiendocambios ocurridos en la vida diaria de los ancianos que son asistidos por la Estrategia Salud de la Familia. Método: se trata de unainvestigación descriptiva exploratoria, con abordaje cuantitativo con corte transversal. Se realizó con ancianos con 60 o más de edad.Ancianos atendidos en la Estrategia Salud de la Familia, en el período de octubre / 2017. En la mayoría de los casos, se observó queel 43,59% (n=17) tenía una edad comprendida entre 60 a 69 años incompletos, cuando se observó la variable acceso a la Unidadde Salud se observó que el 64,10% (n=25) se refiere a tener buen acceso, cuando se verifica la variable ya cayó se observó que el84,62% (n=33) respondieron sí. Conclusión: La caída es un evento de causa multifactorial, con factores extrínsecos e intrínsecosrelacionados de alta complejidad terapéutica y de difícil prevención, exigiendo de esa forma un abordaje multidisciplinario y unaasistencia continúa la salud de anciano por medio de estrategia.


Subject(s)
Humans , Child , Acupuncture Analgesia , Acupuncture Therapy , Pain Measurement , Pain/diagnosis , Pain/prevention & control , Pediatric Nursing
17.
Prensa méd. argent ; 104(2): 93-99, 20180000. fig, tab, graf
Article in Spanish | LILACS, BINACIS | ID: biblio-1370678

ABSTRACT

Se estudia si existe una diferencia entre el manejo del dolor (en movimiento y en reposo) durante cinco momentos del posoperatorio de colecistectomías por laparoscopia al administrar Acetaminofén (1 gramo IV) o Dipirona (2 gramos IV). Se tomó una muestra de ochenta pacientes mayores a 17 años que fueron asignados aleatoriamente a un tipo de analgesia, se recopiló información sobre su perfil clínico y se tomaron medidas del dolor con base en la Escala Visual Análoga. A través de un análisis de diferencia de medias (prueba t-student) y un modelo econométrico de datos panel, se encontró que no existe evidencia estadística para rechazar la equivalencia clínica entre los medicamentos.


This paper tests the difference between the management of postoperative pain (at rest and while moving) after a laparoscopic cholecystectomy for patients who received either intravenous acetaminophen (1 gram) or intravenous dipyrone (2 grams). A sample of 80 patients was taken and then randomly assigned to one type of analgesia, primary data were collected, and pain was measured at five different times using the Visual Analogue Scale. The statistical analysis was done by mean difference and panel data models. Results showed that there is not statistically significant evidence to reject that the analgesics were clinically equivalent.


Subject(s)
Humans , Adult , Middle Aged , Aged , Pain/prevention & control , Pain Measurement , Cholecystectomy , Dipyrone/therapeutic use , Laparoscopy/methods , Visual Analog Scale , Acetaminophen/therapeutic use
18.
Esc. Anna Nery Rev. Enferm ; 22(3): e20170376, 2018. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-953449

ABSTRACT

Aim: The aim of this study was to evaluate the use of the FacebookTM platform as a means of disseminating a video in Portuguese demonstrating the use of three interventions of pain management (breastfeeding, skin-to-skin contact, and sweet solutions) during minor procedures, and to evaluate prior knowledge, the range, dissemination and intent to use the strategies in the future. Method: This is a cross-sectional survey, which used the "virtual snowball" sampling method, aimed at parents and health professionals caring for neonates. The study was conducted in Brazil, through a FacebookTM page (https://www.facebook.com/sejadocecomosbebes), in which the video and a brief questionnaire were posted. Results: After three months the page reached 28,364 "views", in 45 municipalities across Brazil, 1531 people accessed the page, 709 responses to the questionnaires, 1126 "likes", and multiple positive comments. Almost all viewers (99.71%) answered they would use one of the pain reducing strategies. Conclusion: Our results indicate that using FacebookTM to deliver and evaluate an intervention is feasible, rapid in obtaining responses at a low cost, and it is promising for data collection and knowledge dissemination.


Objective: Evaluar el uso de la plataforma FacebookTM para diseminar un vídeo em portugués, demostrando las intervenciones de manejo del dolor neonatal (amamantamiento, contacto piel a piel y soluciones dulces) durante procedimientos dolorosos menores, y evaluar conocimiento previo, alcance, diseminación e intención de uso de lasestrategiasenel futuro. Metodo: El estudio transversal del tipo survey, con método de muestreo virtual "snowball", dirigido a padres y profesionales de salud, aplicado en Brasil, a través de una página creada en FacebookTM, em la cual un vídeo fue publicado, asociado a unc uestionario corto. Resultados: Tres meses de recolección em línea mostraronun alcance de 28.364 visitas en 45 municipios del país, acceso a la página por parte de 1531 personas, 709 respuestas al cuestionario. El 99,71% respondieron que recomendarían el uso de una de las estrategias. Conclusión: La utilización de FacebookTM para presentar y evaluar una intervención es viable, rápida em la obtención de respuestas, de bajo costo y prometedora para la recolección de datos y la diseminación del conocimiento.


Objetivo: Avaliar o uso do FacebookTM, como plataforma de mídia social, para disseminar um vídeo em português, demonstrando as três intervenções de manejo da dor (amamentação, contato pele a pele e soluções adocicadas) durante procedimentos dolorosos menores, e avaliar conhecimento prévio, alcance, disseminação e intenção de uso das estratégias no futuro. Método: Estudo transversal do tipo survey, com método de amostragem virtual "snowball", direcionado a pais e profissionais de saúde, aplicado no Brasil, em uma página no FacebookTM na qual um vídeo associado a um breve questionário foi postado. Resultados: Três meses de coleta online mostraram alcance de 28.364 visualizações em 45 municípios brasileiros, acesso à página por parte de 1531 pessoas, 709 respostas ao questionário. 99,71% recomendariam o uso de uma das estratégias. Conclusão: A utilização do FacebookTM para apresentar e avaliar uma intervenção é viável, rápida na obtenção das respostas, de baixo custo e promissora para coleta de dados e disseminação do conhecimento.


Subject(s)
Pain/prevention & control , Nursing Research/trends , Nursing Research/statistics & numerical data , Nursing Informatics/trends , Pain Management/statistics & numerical data , Social Networking
19.
Braz. j. infect. dis ; 21(2): 133-139, Mar.-Apr. 2017. tab
Article in English | LILACS | ID: biblio-839193

ABSTRACT

Abstract Introduction Despite the high prevalence of chronic pain in individuals infected with HTLV-1, predictive and protective factors for its development are still unclear. Objective To identify factors associated with chronic pain in individuals with HTLV-1. Methods This cross-sectional study was conducted in a reference center for treatment of patients infected with HTLV-1 in Salvador, Bahia, Brazil. The study included individuals infected with HTLV-1, over 18 years, and excluded those with difficulty to respond the pain protocol. Data on sociodemographic, health behavior, and clinical characteristics were collected in a standardized way. The prevalence ratio (PR) of pain is described, as well as the factors independently associated with the presence of pain, which were assessed by multiple logistic regression. Results A total of 142 individuals were included in the study, mostly female (62.7%), aged 20–64 years (73.2%), married (61.3%), with less than eight years of education (54.2%), and with a steady income (79.6%). Multivariate analysis showed that being symptomatic for HTLV-1 – sensory manifestations, erectile dysfunction, overactive bladder, and/or HAM/TSP (PR = 1.21, 95% CI: 1.05 to 1.38), self-medication (PR = 1.29, 95% CI: 1.08–1.53), physiotherapy (PR = 1.15, 95% CI: 1.02–1.28), and depression (PR = 1.14, 95% CI: 1.01–1.29) were associated with an increased likelihood of presenting pain. On the other hand, physical activity (PR = 0.79, 95% CI: 0.67–0.93) and religious practice (PR = 0.83, 95% CI: 0.72–0.95) were associated with a decreased likelihood of having pain. Conclusion The use of self-medication, physiotherapy and the presence of depression are independently associated with neurological symptoms in HTLV-1 infected patients. Religious practice and physical activity are both protective for the development of pain.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Young Adult , Pain/etiology , Human T-lymphotropic virus 1 , HTLV-I Infections/complications , Pain/prevention & control , Pain/epidemiology , Religion , Socioeconomic Factors , Exercise , Chronic Disease , Prevalence , Cross-Sectional Studies , Risk Factors
SELECTION OF CITATIONS
SEARCH DETAIL