Pain in hospitalized patients in a high complexity institution
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Abstract
Objective: pain is defined as “an unpleasant sensory and emotional experience associated or similar to that associated with actual or potential tissue damage.” The aim was to describe the prevalence, evaluation, and management of pain in patients hospitalized in a high complexity institution.
Methodology: longitudinal descriptive observational study. Adults hospitalized from an overly complex institution for three months were included; excluding patients with <48h of hospitalization, altered state of consciousness, extra-institutional dialysis or incomplete medical records to meet the objectives. The information analysis was conducted by applying descriptive methods. The analyzes were carried out in the statistical package SPSSv.26 (Inc, Chicago, IL).
Results: 655 hospitalized patients who met eligibility criteria were included, with a mean age of 53.9 years. The median days of hospital stay was 5 (IQR, 2–8). The number of shots of pain in relation to the number of vital signs shots is 1: 4. The patients received between 2 and 6 different medications for pain control, with dipyrone being the most widely used (68.5%). At discharge, almost all of the patients had adequate pain control.
Conclusions: a deficiency persists in the VAS measurements each time the vital signs of the hospitalized patient are taken. The implementation of the institutional policy “clinic that relieves pain” seeks to achieve adequate pain control during hospitalization.
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