Strategies for the development of health education on pain in the hospital
DOI:
https://doi.org/10.33448/rsd-v10i3.13297Keywords:
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.
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
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Fernanda Westphal Hahn; Franciele Roberta Cordeiro
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.