Pain measurement as part of primary healthcare of adult patients with sickle cell disease
Rev. bras. hematol. hemoter
;
35(4): 272-277, 2013. tab, graf
Article
in English
| LILACS
| ID: lil-687913
ABSTRACT
OBJECTIVE:
The aim of this exploratory, cross-sectional study was to evaluate pain in sickle cell disease patients and aspects related to primary healthcare.METHODS:
Data were obtained through home interviews. The assessment instruments (body diagram, Numerical Pain Scale, McGill Pain Questionnaire) collected information on the underlying disease and on pain. Data were analyzed using the Statistical Package for Social Sciences program for Windows. Associations between the subgroups of sickle cell disease patients (hemoglobin SS, hemoglobin SC, sickle β-thalassemia and others) and pain were analyzed using contingency tables and non-parametric tests of association (classic chi-square, Fisher's and Kruskal-Wallis) with a level of 5% (p-value < 0.05) being set for the rejection of the null hypothesis.RESULTS:
Forty-seven over 18-year-old patients with sickle cell disease were evaluated. Most were black (78.7%) and female (59.6%) and the mean age was 30.1 years. The average number of bouts of pain annually was 7.02; pain was predominantly reported by individuals with sickle cell anemia (hemoglobin SS). The intensity of pain (Numeric Pain Scale) was 5.5 and the quantitative index (McGill) was 35.9. This study also shows that patients presented a high frequency of moderately painful crises in their own homes.CONCLUSION:
According to these facts, it is essential that pain related to sickle cell disease is properly identified, quantified, characterized ...
Full text:
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Index:
LILACS (Americas)
Main subject:
Primary Health Care
/
Pain Measurement
/
Hemoglobinopathies
/
House Calls
/
Anemia
Type of study:
Observational study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Rev. bras. hematol. hemoter
Journal subject:
Hematology
Year:
2013
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Secretaria Municipal da Saúde/BR
/
Universidade Federal de Minas Gerais/BR
/
Universidade Federal do Triângulo Mineiro/BR
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