Avaliação da intensidade de dor e da funcionalidade no pós-operatório recente de cirurgia cardíaca

Abstract

RBCCV 44205-847 Avaliação da intensidade de dor e da funcionalidade no pós-operatório recente de cirurgia cardíacaPain intensity and postoperative functional assessment after heart surgery Abstract Objective: To evaluate, in patients submitted to heart surgery, the intensity of pain and the level of functionality during the preoperative period, on the 7 th postoperative day and at hospital discharge. A secondary objective was to evaluate any possible relationship between pain and functionality taking into account the following variables: gender, age, first heart surgery or re-interventions, use of cardiopulmonary bypass (CPB), type of surgery and physiotherapeutic follow-up.Method: Forty-one patients who had undergone elective heart surgery at the Teaching Hospital of Botucatu/UNESP were studied. Pain intensity was measured using the VAS scale and functionality by the FIM scale (Functional Independence Measure) in the physical domain.Results: It was observed that the intensity of pain was higher on the 7 th postoperative day when compared with the preoperative period and at hospital discharge. No pain rating score was shown in the preoperative period, while a median pain intensity of 3 (moderate pain), was noted at hospital discharge. The highest levels of functional loss occurred on the 7 th postoperative day compared to the total scores obtained in the preoperative period and at hospital discharge. A significant correlation between pain and functionality was observed; a decrease in level of pain between the 7 th postoperative day and hospital discharge contributed to an increase in the functional levels.Conclusion: The evaluations performed in the BORGES, JBC ET AL -Pain intensity and postoperative functional assessment after heart surgery Braz J Cardiovasc Surg 2006; 21(4): 393-402

A dor interfere na função respiratória após cirurgias cardíacas?

“…The worsening of pain has shown positive correlation with the worsening of lung function, which was observed until the 5 th PO. The period [11,12]. In our series we observed value of 1.38, which can be attributed to the presence of angina or anxiety in the preoperative period, because most of the population had coronary artery obstruction and had undergone coronary artery bypass grafting [13,14].…”

Avaliação da dor em pós-operatório de cirurgia cardíaca

“…However, in other studies, the intensity of pain considered moderate (4,6,15) and between mild and moderate (16) were the ones most frequently identified. This fact points to the need to consider psycho-emotional aspects and individual beliefs.…”

“…Postoperative pain is an important indicator to assess physical and psychological damage of patients undergoing cardiac surgery (6) . Thus, analgesia is an a relevant aspect in this period, essential for the patient's well-being and also for obtaining their cooperation (7) .…”

Validação, no Brasil, do Índice de Barthel em idosos atendidos em ambulatórios

“…It has been approved by a validation process in the year of 2004 (12) , and has been used in Brazil both in ambulatories (13) and hospital and rehabilitation units (14) .…”