Strategies for the development of health education on pain in the hospital

Authors

DOI:

https://doi.org/10.33448/rsd-v10i3.13297

Keywords:

Review; Pain; Health education; Hospitals.

Abstract

The evaluation and intervention on pain should be priority activities in the professional performance in the hospital context since it impacts the quality of life. Therefore, this integrative literature review aimed to identify, in the Brazilian and international literature, strategies for the development of health education on pain in the hospital. The selection of the studies took place, between February and March 2020, in the databases Scientific Electronic Library Online (SCIELO),  Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Scopus, Pubmed, and Web of Science. We identified 449 articles and, among them, after applying the inclusion and exclusion criteria, 17 composed the empirical material of analysis. We organized the information extracted from the studies in a spreadsheet of the Microsoft Excel program, the level of evidence of the publications was evaluated, and the analysis was based on the synthesis and proximity of the types of health education strategies. The results addressed three groups of strategies recommended for use with health professionals, patients, and caregivers, including digital technologies, group and psycho-educational strategies, and booklets and printed materials. We found that most of the studies presented a strong recommendation based on the level of evidence. Videos, games, booklets, psychodrama, and online platforms are more attractive, interactive, and accessible strategies. These strategies can be incorporated during hospitalization, in order to favor the understanding and protagonism of patients and their caregivers in pain control, as well as can be used with students and health professionals.

Author Biography

Franciele Roberta Cordeiro, Universidade Federal de Pelotas

Professora Adjunta do Departamento de Enfermagem Hospitalar na Rede de Atenção em Saúde e no Programa de Pós-Graduação em Enfermagem da Universidade Federal de Pelotas (UFPel).

References

Alves Neto, O. et al. (2009). Dor: princípios e práticas. Artmed.

Alvarez, A. et al. (2018). Análise de qualidade de objeto virtual de aprendizagem para avaliação da dor em enfermagem. Revista Cubana de Enfermería, 34(3). http://www.revenfermeria.sld.cu/index.php/enf/article/view/1447/375

Antoniassi Junior, G., Gomes, G. A., Beretta, R. C. S., & Figueiredo, G. L. A. (2020). Psychodrama in the promotion of health and well-being: group experience with cancer patients. Revista Brasileira De Psicodrama, 26(2), 133-139. https://revbraspsicodrama.org.br/rbp/article/view/132

Brasil. (2012). Protocolo Clínico e Diretrizes Terapêuticas. Portaria SAS/MS nº 1083, 02 de outubro de 2012. Brasília: Ministério da Saúde. http://portalarquivos.saude.gov.br/images/pdf/2016/novembro/23/Dor-Cronica---PCDT-Formatado---com-escala-de-dor-LANSS.pdf.

Buchbinder, M., Wilbur, R., McLean, S., & Sleath, B. (2015). "Is there any way I can get something for my pain?" Patient strategies for requesting analgesics. Patient education and counseling, 98(2), 137–143. https://doi.org/10.1016/j.pec.2014.10.021

Capewell, C., Gregory, W., Closs, S., & Bennett, M. (2010). Brief DVD-based educational intervention for patients with cancer pain: feasibility study. Palliative medicine, 24(6), 616–622.: https://doi.org/10.1177/0269216310371704

Chu, T. L., et al. (2019). Multimedia-assisted instruction on pain assessment learning of new nurses: a quasi-experimental study. BMC Med Educ,19(68). https://doi.org/10.1186/s12909-019-1496-z

Dalmolin, A. , Girardon-Perlini, N. M. O., Coppetti, L. C., Rossato, G. C., Gomes, J. S., & Silva, M. E. N. (2016). Vídeo educativo como recurso para educação em saúde a pessoas com colostomia e familiares. Revista Gaúcha de Enfermagem, 37, e68373. https://doi.org/10.1590/1983-1447.2016.esp.68373

D'Avila, C. G., Puggina, A. C., & Fernandes, R. A. Q. (2018). Construção e validação de jogo educativo para gestantes.Escola Anna Nery, 22(3), e20170300. https://doi.org/10.1590/2177-9465-ean-2017-0300

Dik, A. B., & Lohmann, P. M. (2020). A dor no contexto da urgência e emergência: uma revisão integrativa. Research, Society and Development, 9(4), e105942898. https://doi.org/10.33448/rsd-v9i4.2898

Edwards, H. E. et al. (2001). Improving pain management by nurses: A pilot Peer Intervention Program. Nursing & health sciences, 3(1), 35–45. https://doi.org/10.1046/j.1442-2018.2001.00069.x

Erkes, E. B., Parker, V. G., Carr, R. L., & Mayo, R. M. (2001). An examination of critical care nurses' knowledge and attitudes regarding pain management in hospitalized patients. Pain management nursing: official journal of the American Society of Pain Management Nurses, 2(2), 47–53. https://doi.org/10.1053/jpmn.2001.23177

Ferrari, M. F. M., Daher, D. V., Antunes, J. M., Amim, E. F., Jesus, C. M., & Geraldo, M. A.(2019). A dor como quinto sinal vital, desafios para a incorporação na formação em saúde. REME – Rev Min Enferm., 23, e-1233. 10.5935/1415-2762.20190081

Gagnon, M. M., Hadjistavropoulos, T., & Williams, J. (2013). Development and mixed-methods evaluation of a pain assessment video training program for long-term care staff. Pain Res Manag, 18(6), 307-312. https://doi.org/10.1155/2013/659320

International Association for the study of pain (IAS). (2017). Terminology. https://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1698&navItemNumber=576#Pain.

Knaul, F. M. et al. (2018). Alleviating the access abyss in palliative care and pain relief-an imperative of universal health coverage: the Lancet Commission report. Lancet, 391(10128), 1391–1454. https://doi.org/10.1016/S0140-6736(17)32513-8

Kuehn B. (2018). Chronic Pain Prevalence. JAMA,320(16), 1632. doi:10.1001/jama.2018.16009

Lima, N. K. G. et al. (2020). Proposta de jogo como tecnologia educacional para a promoção da saúde cardiovascular do adolescente. Braz. J. Hea. Rev.,3(5), p. 13494-13514. 10.34119/bjhrv3n5-173

Lima, L. & Reis, F. (2018). The use of an E-pain technology in the management of chronic pain. Case report. BrJP, 1(2), 184-187. http://dx.doi.org/10.5935/2595-0118.20180036

Loduca, A., Müller, B. M., Focosi, A. S., Samuelian, C., & Yeng, L. T. (2018). How interdisciplinary psychoeducational programs with a psychodrama approach can help the chronic pain treatment compliance. BrJP, 1(2), 122-126. http://dx.doi.org/10.5935/2595-0118.20180024

Marco, C. A. et al. (2006). The verbal numeric pain scale: effects of patient education on self-reports of pain. Academic emergency medicine: official journal of the Society for Academic Emergency Medicine, 13(8), 853–859. https://doi.org/10.1197/j.aem.2006.04.020

Melnyk, B. M., & Fineout-Overholt, E. (2019). Making the case for evidence-based practice. In Melnyk B. M, Fineout-Overholt E (Ed.), Evidence-based practice in nursing & healthcare: a guide to best practice (pp. 35-62). Philadelphia: Lippincot Williams & Wilkins.

Mendes, K. S., Silveira, R. C. C. P., & Galvão, C. M. (2019). Uso de gerenciador de referências bibliográficas na seleção dos estudos primários em revisão integrativa. Texto & Contexto – Enfermagem, 28, e20170204. https://doi.org/10.1590/1980-265x-tce-2017-0204

Mendez, S. P., Sá, K. N., Araújo, P. C. S., Oliveira, I. A. V. F., Gosling, Artur P., & Baptista, A. F. (2017). Elaboration of a booklet for individuals with chronic pain. Revista Dor, 18(3), 199-211.https://doi.org/10.5935/1806-0013.20170103

Miranda, C. C. V., Seda Junior, L. F., & Pelloso, L. R. C. A. (2016). Nova classificação fisiológica das dores: o atual conceito de dor neuropática. Revista Dor, 17(Suppl. 1), 2-4. https://doi.org/10.5935/1806-0013.20160037

Moisset, X. et al. (2020). Pharmacological and non-pharmacological treatments for neuropathic pain: Systematic review and French recommendations. Revue Neurologique, 176(5), p. 325-352. 10.1016/j.neurol.2020.01.361

Muñoz-Narbona, L., Cabrera-Jaime, S., Lluch-Canut, T., Castaño, P. B., & Roldán-Merino, J. (2020). E-Learning course for nurses on pain assessment in patients unable to self-report. Nurse Education in Practice, 43, 102728. doi:10.1016/j.nepr.2020.102728

North American Nursing Diagnosis Association International (NANDA-I). (2018). Diagnósticos de enfermagem da NANDA: definições e classificação 2018-2020. 11 a ed. Porto Alegre: Artmed.

Pedroso, J. K. N. et al. (2017). Dor em oncologia: percepção do paciente e dos profissionais de enfermagem. Revista Cubana de Enfermería, 33(4), e1020. Disponível em: http://www.revenfermeria.sld.cu/index.php/enf/article/view/1020/309

Selhorst, M., Hoehn, J., Degenhart, T., Schmitt, L., & Fernandez-Fernandez, A. (2020).Psychologically-informed video reduces maladaptive beliefs in adolescents with patellofemoral pain. Physical Therapy in Sport, 41, 23–28. doi:10.1016/j.ptsp.2019.10.009

Simula et al. B. (2019). Transcultural adaption and preliminary evaluation of “understanding low back pain” patient education booklet. BMC Health Services Research, 19, 1010. https://doi.org/10.1186/s12913-019-4854-y

Santana, J. M., Perissinotti, D. M. N., Oliveira Junior, J. O., Correia, L. M. F., Oliveira, C. M., & Fonseca, P. R. B. (2020). Definição de dor revisada após quatro décadas. BrJP, 3(3), 197-198. https://doi.org/10.5935/2595-0118.20200191

Sullivan, M. et al. (2018). A Controlled Pilot Trial of PainTracker Self-Manager, a Web-Based Platform Combined With Patient Coaching, to Support Patients' Self-Management of Chronic Pain. The journal of pain, 19(9), 996–1005. https://doi.org/10.1016/j.jpain.2018.03.009

Street, R. L. et al. (2010). Improving physician-patient communication about cancer pain with a tailored education-coaching intervention. Patient education and counseling, 80(1), 42–47. https://doi.org/10.1016/j.pec.2009.10.009

Syrjala, K. L. et al. (2008). Patient training in cancer pain management using integrated print and video materials: a multisite randomized controlled trial. Pain, 135(1-2), 175–186. https://doi.org/10.1016/j.pain.2007.10.026

Valentim, J. C. Paiva, Meziat-Filho, N. A., Nogueira, L. C., & Reis, F. J. J. (2019). ConheceDOR: the development of a board game for modern pain education for patients with musculoskeletal pain. BrJP, 2(2), 166-175. https://doi.org/10.5935/2595-0118.20190030

Vieira, A. S. M., Castro, K. V., Canatti, J. R., Oliveira, I. A. V. F., Benevides, S. D. & Sá, K. N. (2019). Validation of an educational booklet for people with chronic pain: EducaDor. BrJP, 2(1), 39-43. https://doi.org/10.5935/2595-0118.20190008

Published

14/03/2021

How to Cite

HAHN, F. W. .; CORDEIRO, F. R. Strategies for the development of health education on pain in the hospital. Research, Society and Development, [S. l.], v. 10, n. 3, p. e25210313297, 2021. DOI: 10.33448/rsd-v10i3.13297. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/13297. Acesso em: 25 nov. 2024.

Issue

Section

Review Article