| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.15 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Introdução: nos cuidados paliativos, o alívio da dor e do sofrimento é o principal
objetivo de todos os profissionais de saúde. Uma vez que a dor assume uma
prevalência tão elevada nesta área, a existência e uniformização de métodos
para a sua avaliação torna-se essencial.
Objetivos: identificar os instrumentos de avaliação da dor utilizados em
investigação, e saber se estão validados para a população portuguesa.
Metodologia: colheita através da base de dados online (Pubmed®) dos artigos
publicados em português, espanhol, francês e inglês no período de Janeiro de
2000 a Dezembro de 2015. Foram selecionados 103 artigos. Através da sua
análise, verificou-se que existe uma heterogeneidade nas escalas de avaliação
da dor, podendo ser divididas em instrumentos unidimensionais,
multidimensionais e de qualidade de vida. Paralelamente foram avaliadas as
características psicométricas das escalas identificadas e foi verificada a sua
validação na população portuguesa.
Resultados: esta investigação permitiu concluir a ausência de um consenso não
só a nível nacional, como também a nível internacional, relativamente à seleção
da escala de avaliação da dor mais adequada. Ademais, foi possível fazer um
extenso levantamento das escalas de avaliação da dor, identificando a
prevalência de cada escala em termos de caraterísticas psicométricas, país, tipo
de estudo, contexto, população alvo e número de citações.
Conclusões: com este estudo confirma-se a necessidade de uma uniformização
das escalas da avaliação da dor, por parte dos Serviços de Saúde, cumprindo
as recomendações da Organização Mundial de Saúde para os Cuidados
Paliativos.
Background: pain control is a priority in palliative care. Intensity is one of the major elements in pain assessment, and should be evaluated through scales, which enhance its objectivity. The knowledge and adequate use of the existing instruments for pain evaluation is essential. Aim: identification of valid and reliable pain assessment instruments, and verify if those instruments are validated for the Portuguese population. Methods: a systematic literature review was undertaken, on Pubmed® database. Papers published on the period between 2000 and 2015, written in English, French, Spanish and Portuguese were included. Results: 3217 articles were identified, after exclusion and inclusion criteria and abstract review, 103 papers were selected for full text analysis. 16 different pain assessment instruments were identified and characterized. Heterogeneity in pain assessment scales was found, and these could be broadly divided in: one dimensional instruments, multi-dimensional and quality of life scales. Discussion: An absence of consensus regarding pain evaluation scales was identified. Besides of, it was possible to make an extensive survey of pain assessment scales, identifying the psychometric characteristics of each of the identified scales, country, and type of study, context, target population and number of citations. This study confirms the need for standardization of pain assessment scales, by the health services, in compliance with the World Health Organization recommendations for Palliative Care.
Background: pain control is a priority in palliative care. Intensity is one of the major elements in pain assessment, and should be evaluated through scales, which enhance its objectivity. The knowledge and adequate use of the existing instruments for pain evaluation is essential. Aim: identification of valid and reliable pain assessment instruments, and verify if those instruments are validated for the Portuguese population. Methods: a systematic literature review was undertaken, on Pubmed® database. Papers published on the period between 2000 and 2015, written in English, French, Spanish and Portuguese were included. Results: 3217 articles were identified, after exclusion and inclusion criteria and abstract review, 103 papers were selected for full text analysis. 16 different pain assessment instruments were identified and characterized. Heterogeneity in pain assessment scales was found, and these could be broadly divided in: one dimensional instruments, multi-dimensional and quality of life scales. Discussion: An absence of consensus regarding pain evaluation scales was identified. Besides of, it was possible to make an extensive survey of pain assessment scales, identifying the psychometric characteristics of each of the identified scales, country, and type of study, context, target population and number of citations. This study confirms the need for standardization of pain assessment scales, by the health services, in compliance with the World Health Organization recommendations for Palliative Care.
Description
Keywords
Cuidados paliativos Doença terminal Revisão sistemática Instrumentos Dor Palliative care Terminal illness Systematic review Instruments Ache