Non-Pharmacological Nursing Interventions in Pain Management in Patients in Basic Emergency
DOI:
https://doi.org/10.48492/servir0206.30277Keywords:
Pain, Basic Emergency Service, Nursing, Non-pharmacological interventions, Pain ManagementAbstract
Introduction: Non-pharmacological nursing interventions are a relevant expression of the visibility and autonomy of nursing in Pain Management (PM) in the Emergency Service (ES).
Objective: Recognize Non-Pharmacological Nursing Interventions (NPNI) in PM in patients in the Basic Emergency Service (BES).
Methods: A cross-sectional, quantitative, and correlational study, carried out using the results obtained from the application of the Nursing Practices Scale in Pain Management (António, 2019) in a sample of 157 nurses in BES, applied from Google Docs.
Results: The promotion of comfort, adequate positioning, and knowledge, as well as the application of heat and cold, were recognized as NPNIS of pain management. There are no statistically significant differences (p > 0.05) between the sociodemographic variables and the NPNI of PM. Male nurses, aged over 55 years, postgraduates with less time in professional practice, and those who have worked in BES for 21–30 years had higher scores, indicating that these are the participants who know the most about the NPNI and PM and execute them. The study revealed a prevalence of nurses with no training in pain, and, in an analysis by gender, male predominated.
Conclusion: The proposal to promote training is considered relevant, as a fundamental variable for the development of competences in PM through NPNI for patients who use the BES.
Downloads
References
Abdolrazaghnejad, A., Banaie, M., Tavakoli, N., Safdari, M., & Rajabpour-Sanati, A. (2018). Pain Management in the Emergency Department: a Review Article on Options and Methods. Advanced journal of emergency medicine, 2(4), e45. https://doi.org/10.22114/AJEM.v0i0.93
António, C. (2017). Gestão da dor no Serviço de Urgência : práticas dos enfermeiros. 1–152. https://repositorio.esenfc.pt/private/index.php?process=download&id=66074&code=961
António, C. A. S., Santos, E. J. F. dos, Cunha, M., & Duarte, J. C. (2019). Estudo psicométrico da Escala de Práticas de Enfermagem na Gestão da Dor. Referência, serIV(22), 51–61. http://www.scielo.mec.pt/scielo.php?script=sci_arttext&pid=S0874-02832019000300006
Associação Portuguesa para o Estudo da Dor (2020). Sobre a dor. Consultado em: https://www.aped-dor.org/index.php/sobre-a-dor/definicoes a 02/05/2021
Cunha, H. M. P. (2018). Intervenções não Farmacológicas no Controlo da Dor no Pós-Operatório. http://hdl.handle.net/10400.8/3847
Direção-Geral da Saúde (2003). A Dor como 5o sinal vital. Registo sistemático da intensidade da Dor. Circular Normativa No9/DGCG, 1(1), 1–6. http://www.fafit.com.br/revista/index.php/fafit/article/viewFile/16/12
Direção-Geral da Saúde (2017). Programa Nacional para a Prevenção e Controlo da Dor
Geltore, T. E., & Angelo, A. T. (2021). Perceptions of Women toward Non-Pharmacological Methods for Pain Relief during Labor. Pain Management - Practices, Novel Therapies and Bioactives, 1–13. https://doi.org/10.5772/intechopen.93271
International Association for the Study of Pain (2020). IASP Announces Revised Definition of Pain. Consultado em: https://www.iasppain.org/PublicationsNews/NewsDetail.aspx?temNumber=10475&navItemNu mber=643 a 02/05/2021.
Kia, Z., Allahbakhshian, M., Ilkhani, M., Nasiri, M., & Allahbakhshian, A. (2021). Nurses’ use of non-pharmacological pain management methods in intensive care units: A descriptive cross-sectional study. Complementary Therapies in Medicine, 58, 102705. doi:10.1016/j.ctim.2021.102705
Komann, M., Weinmann, C., Schwenkglenks, M., & Meissner, W. (2019). Non-Pharmacological Methods and Post-Operative Pain Relief: An Observational Study. Anesthesiology and pain medicine, 9(2), e84674. https://doi.org/10.5812/aapm.84674
Liyew, B., Dejen Tilahun, A., Habtie Bayu, N., & Kassew, T. (2020). Knowledge and Attitude towards Pain Management among Nurses Working at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. Pain research & management, 2020, 6036575. https://doi.org/10.1155/2020/6036575
Ministério da Saúde. (2014). Despacho nº10319/2014. Diário Da República, 2.ª Série – n.º153 (11-08-2014), 20673-20678. https://files.dre.pt/2s/2014/08/153000000/2067320678.pdf
Mota, M., Cunha, M., Santos, M. R., Duarte, J., Rocha, A. R., Rodrigues, Ângelo, Gonçalves, C., Ribeiro, R. ., Sobreira, S., & Pereira, S. (2020). Pain management in nursing practice in the emergency department. Millenium - Journal of Education, Technologies, and Health, 2(5e), 269–279. https://doi.org/10.29352/mill0205e.29.00257
Motov, S. M., Vlasica, K., Middlebrook, I., & LaPietra, A. (2021). Pain management in the emergency department: a clinical review. Clinical and experimental emergency medicine, 8(4), 268–278. https://doi.org/10.15441/ceem.21.161
Oliveira PEP, Pereira LV, Santos NR, Souza LAF. Nursing in pain management at urgency and emergency care units. Rev. Eletr. Enf. [Internet]. 2016 http://dx.doi.org/10.5216/ree.v18.37309.
Ordem dos Enfermeiros (2008). Dor. Guia orientador de boa prática. Ordem dos Enfermeiros – Conselho de Enfermagem. Acedido em https://www.ordemenfermeiros.pt/arquivo/publicacoes/Documents/cadernosoedor.pdf
Ordem dos Enfermeiros. (2015). Regulamento do Exercício Profissioanal dos Enfermeiros. https://www.ordemenfermeiros.pt/arquivo/AEnfermagem/Documents/REPE.pdf
Ordem dos Enfermeiros. (2018). Regulamento n.o 429/2018 - Regulamento de competências específicas do enfermeiro especialista em Enfermagem Médico-Cirúrgica. Diário Da República, 2a Série, N.o 135, 19359–19370. https://dre.pt/application/conteudo/115698617
Pak, S. C., Micalos, P. S., Maria, S. J., & Lord, B. (2015). Nonpharmacological interventions for pain management in paramedicine and the emergency setting: a review of the literature. Evidence-based complementary and alternative medicine: eCAM, 2015, 873039. https://doi.org/10.1155/2015/873039
Prata, A.R.P.G. (2015). Medidas não Farmacológicas no Alívio da Dor no Trabalho de Parto (Issue 1). http://hdl.handle.net/10400.19/3218
Rodrigues, L. (2022). A Intervenção do Enfermeiro no Controlo da Dor. http://hdl.handle.net/10400.19/7307
Sakallı, D.G., & Kara, Ö. (2022). Use of complementary and integrative methods in the management of postoperative pain: A narrative literature review. Mediterranean Nursing and Midwifery, 2(2), 84-93.
Sakamoto, J. T., Ward, H. B., Vissoci, J. R. N., & Eucker, S. A. (2018). Are Nonpharmacologic Pain Interventions Effective at Reducing Pain in Adult Patients Visiting the Emergency Department? A Systematic Review and Meta-analysis. Academic Emergency Medicine, 25(8), 940–957. doi:10.1111/acem.13411
Sampson FC, et al. Emerg Med J 2020;37:85–94. doi:10.1136/emermed-2019-208994
Santos, K. V. G. dos, Rocha, M. A., Dantas, J. K. dos S., Araújo, S. C. M. de, Dantas, D. V., & Dantas, R. A. N. (2022). Estratégias não farmacológicas na analgesia de adultos e idosos em procedimentos endovasculares: revisão de escopo. Revista Brasileira de Enfermagem, 75(suppl 4), 1–8. https://doi.org/10.1590/0034-7167-2021-0741pt
Teixeira, J., & Durão, C. (2016). Monitorização da dor na pessoa em situação crítica: uma revisão integrativa da literatura. Revista de Enfermagem Referência, IV Série(10), 135–142. https://doi.org/10.12707/RIV16026
Uysal, N., & Yilmazer, T. (2021). The Effect of Pain Management Training on the Nurses’ Knowledge and Practices for Pain. International Journal of Caring Sciences; Vol. 14, 1, 581-588. Acedido em http://www.internationaljournalofcaringsciences.org/docs/61_yuysal_original_14_1.pdf
Zeleke, S., Kassaw, A., & Eshetie, Y. (2021) Non-pharmacological pain management practice and barriers among nurses working in Debre Tabor Comprehensive Specialized Hospital, Ethiopia. PLoS ONE; 16(6): e0253086. https://doi.org/10.1371/journal.pone.0253086
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Sílvia Patrícia Silva Alves, Maria Augusta Romão da Veiga-Branco

This work is licensed under a Creative Commons Attribution 4.0 International License.
In order to promote the free circulation of knowledge, Servir is open access journal. All its content is available and protected under the Creative Commons license (CC BY 4.0).
The journal allows self-archiving in institutional repositories of all versions, which may become immediately available