Controle da dor no período pós-operatório de herniorrafias em pacientes internados em um hospital universitário

Abstract

BACKGROUND AND OBJECTIVES: Inadequate postoperative analgesia continues being a frequent situation during hospitalization. This study objective of evaluating the postoperative pain control of patients submitted to correction of abdominal wall hernias hospitalized in the surgical ward general of a university hospital, analyzing the commitment on quality of life and correlating with socio-demographic and clinical factors. METHOD: Cross-sectional study with evaluation of 46 patients admitted to the ward of general surgery of the University Hospital of the Federal University of Sergipe (UFS) postoperative analgesia. The "Hernia" group consisted of 23 patients with postoperative period and the control group, by 23 patients hospitalized in pre- operative of other surgical pathologies. The pain was quantified with the Visual acuity (VAS) and the Brief Pain Inventory (BDI) interference in quality of life. RESULTS: Pain was present in 70% of patients in the "Hernia" group and 39% of the control group (p = 0.127), was significantly more intense in that group (p = 0.027). It did not prevent general activities (p = 0.383), but also the ability to walking (p = 0.691) and sleep (p = 0.319). Only 13.04% of the patients in the group "Hernia" received opioids. Only 26% of the patients reported that medical staff explained about pain and only 17% reported that this was done by the nursing. CONCLUSIONS: The prevalence of pain in the "Hernia" group was high and there was intensity than in the control group. The therapeutic decision did not take into account the use of VAS and was inadequate to individual needs. The prescription of opioids was inadequate. Postoperative analgesic management was considered unsatisfactory.