Effect of Heated Saline Solution on Pain Intensity, Wound Bed Temperature, and Comfort during Chronic Wound Dressing Changes: Crossover Randomized Clinical Trial Hélio Galdino-Júnior, Emilson Martins de Oliveira Segundo, Suelen Gomes Malaquias, Marina Clare Vinaud, Lilian Varanda Pereira, et al. Advances in Skin and Wound Care, 2024 Objective To evaluate the use of heated saline solution during wound cleaning on the intensity of pain related to the procedure, the temperature of the wound bed, and the comfort of patients with chronic wounds. Further, to investigate patient preference in relation to the temperature of the solution used for cleaning. Methods Crossover, single-blind, clinical trial with 32 people with chronic wounds. Providers cleaned the wounds with room temperature and heated saline solution. Participants were randomized into group 1 A/B (heated solution first, room temperature second) or group 2 B/A (room temperature solution first, heated solution second), with a 10-minute washout period. Investigators evaluated pain intensity, wound bed temperature, and patient-reported comfort and preference. Results The heated solution was preferred (P = .04) and more often referred to as comfortable (P = .04) by the participants. There was no difference in pain intensity before and after cleaning with room temperature (2.03; P = .155) and heated saline (2.25; P = .44). The heated solution increased the temperature of the wound bed by 0.5 °C. Conclusions Although heating saline solution could be an important comfort measure during dressing changes, quantitatively, the temperature of the solution did not significantly change the temperature of the wound bed nor the intensity of pain patients experienced.
NOPPAIN-Br cognitive debriefing and reliability Raquel Soares Araujo, Lílian Varanda Pereira, Debora Soares de Araujo, Bruna da Silva Ferreira Tatagiba, Priscilla Hortense Acta Paulista De Enfermagem, 2024 Resumo Objetivos Realizar o cognitive debriefing e testar a fidedignidade do Non-Communicative Patient’s Pain Instrument (NOPPAIN). Métodos Estudo metodológico de verificação do NOPPAIN (versão brasileira) adaptado à cultura brasileira. Cognitive debriefing: participaram 56 profissionais de saúde e cuidadores; sua tarefa foi avaliar e fazer sugestões sobre a equivalência e adequação do NOPPAIN-Br. A versão final, intitulada “NOPPAIN-Versão brasileira” foi submetida a um Comitê de Especialistas (n=8). Foi calculado o Índice de Validade de Conteúdo. Para testar a fidedignidade três observadores aplicaram a nova versão do NOPPAIN em uma amostra (n=171) de pessoas idosas com demência e comunicação prejudicada onde foi calculada a concordância interobservadores - KAPPA. Resultados O NOPPAIN-Br foi alterado em palavras tais como: “não comunicativo”, “enfermeiro”, “deve fazer” e “paciente”. A equivalência da nova versão com o instrumento original foi reforçada (IVC>0,80). A concordância entre observadores foi quase perfeita para a “Lista de Verificação de Atividades I” (Kappa>0,80), “Comportamentos de dor II: Presença” (Kappa>0,80) e “Comportamentos de dor III: Intensidade” (Kappa>0,80; ICCsingle>0,75). Foi observada evidência de alta confiabilidade (ICC single>0,75) para todas subescalas do instrumento e pontuação total. A melhor concordância foi para intensidade geral da dor (ICCsingle 0,97). Conclusão O NOPPAIN-Br é equivalente ao instrumento original e fidedigno, podendo ser disponibilizado para novas pesquisas e avaliação da dor em brasileiros com demência e comunicação prejudicada.
Pain management in indigenous and tribal peoples: A scoping review protocol Pâmela Roberta de Oliveira, L. V. Pereira, Vanessa da Silva Carvalho Vila, Alisséia Guimarães Lemes, Elias Marcelino da Rocha, et al. BMJ Open, 2023 Introduction Effective and culturally safe pain management can facilitate analgesia and improve the quality of life. Individualised, multimodal and multidisciplinary approaches are highly recommended. There exist gaps in the knowledge on pain management, in terms of the assessment and/or treatment, in indigenous peoples and the currently available information is scattered in the literature. A scoping review will provide an overview or evidence map on the variety of approaches used in different cultures, in different parts of the world. Methods and analysis The search strategy comprises three stages. The first stage identified the MeSH terms and keywords in PubMed. The second stage will consist of a search of MEDLINE, EMBASE, LILACS, CINAHL, Web of Science, APA PsycNet and Scopus, followed by a search in Google and Google Scholar, GreyGuide, ProQuest Dissertations and Theses, Theses Canada Portal (Library and Archives Canada), TROVE (National Library of Australia), Aboriginal and Torres Strait Islander Health Bibliography, and Cybertesis. The papers will be screened, selected and extracted independently by two researchers. Descriptive data analysis will be performed, and the results will be presented using a narrative summary, graphs, tables and figures. Ethics and dissemination This review does not require ethical approval, as data from the literature available in databases will be collected and analysed. The protocol was registered at the Open Science Framework. The data on pain assessment and treatment in indigenous peoples will be presented through a narrative summary, figures, charts and tables. Results will be submitted to an open-access journal for publication and will be disseminated through scientific events, scientific meetings, public events and conversation circles with indigenous peoples.
Sex differences in coping strategies based on chronic pain intensity among older adults Joyce Rutyelle da Serra, Layz Alves Ferreira Souza, Maressa Gonçalves da Paz, Bruna da Silva Ferreira Tatagiba, Lilian Varanda Pereira Journal of Gerontological Nursing, 2021 The aim of the current study was to investigate chronic pain coping strategies of older adults and the differences between sexes according to the intensity of pain. A cross-sectional study was performed in specialty clinics in midwestern Brazil. Participants comprised 276 older adults with chronic pain. The Brief Pain Inventory and Chronic Pain Coping Inventory-Brazilian version were used to assess self-reported pain intensity and pain coping strategies. Mann-Whitney U, Kruskal-Wallis, and Dunn tests were used for intergroup comparisons. The task persistence and coping self-statements subscales were the most used coping strategies. The strategies of exercise/stretching and task persistence were used differently between males and females. Males showed significant differences in asking for assistance, task persistence, and guarding subscales when pain intensity was taken into account, whereas females showed differences in the guarding and resting subscales. Adaptive coping was the most used coping strategy; however, some non-adaptive subscales were significant in both sexes when compared with levels of chronic pain intensity. [Journal of Gerontological Nursing, 47(10), 30-36.].
Structural validity of the Chronic Pain Coping Inventory-Brazilian version Layz Alves Ferreira Souza, Lilian Varanda Pereira, Louise Amália de Moura, Leidy-Johanna Rueda Díaz, Diná de Almeida Lopes Monteiro da Cruz, et al. Plos One, 2021 Background The Chronic Pain Coping Inventory (CPCI) has been widely used to measure coping with pain, however, the psychometric properties of the Brazilian CPCI are unknown. Aim To verify the validity and reliability of the CPCI-Brazilian version. Materials and methods A sample of 705 outpatients with chronic pain participated in the study. Cronbach’s alpha, corrected item-total correlations, and confirmatory factor analysis were performed, using the method of Diagonally Weighted Least Squares. Results Construct validity was supported with a factor loading range of 0.36–0.90 (9 factors) corroborating original loads. The final model had adequate fit with items 42 and 54 excluded, D.F = 2174, TLI = 0.96; CFI = 0.96 and RMSEA = 0.051(p = 0.067). Eight of the nine CPCI scales showed satisfactory reliability (Cronbach’s alpha ranged from 0.70 to 0.92). The Relaxation scale obtained a low alpha value (0.53). Conclusion The CPCI-Brazilian version, after exclusion of items 42 and 54, is valid to measure chronic pain coping in Brazilian adults.
Severe acute postoperative pain self-reported by children after ambulatory surgeries: a cohort study Louise Amália de Moura, Lilian Varanda Pereira, Ruth Minamisava, Natália de Carvalho Borges, Thaila Corrêa Castral, et al. Revista Brasileira De Enfermagem, 2021 Objectives: to estimate the incidence and the risk factors for severe acute postoperative pain self-reported on the first day after hospital discharge. Methods: cohort study with 279 children from both sexes (5-12 years old), indicated for ambulatory surgery in two Brazilian hospitals. Children were assessed at the pre-surgery, immediate postoperative and first postoperative day. Faces Pain Scale-Revised and Yale Preoperative Anxiety Scale Modified were used. Severe postoperative pain was defined as score ≥6. Cox regression analyses were used. Results: the incidence of severe postoperative pain was 15.8% (95%CI:10.7%-20.4%) on the first postoperative day. Preoperative anxiety (HR=2.23; p=0.049), severe preoperative pain (HR=2.78; p=0.031) and having undergone two surgical procedures (HR=2.91; p=0.002) were associated with severe postoperative pain. Conclusions the incidence of severe postoperative pain self-reported after hospital discharge was high. Anxiety and severe preoperative pain, in addition to performing two surgical procedures at the same time were confirmed as risk factors.
Chronic pain following inguinal herniorrhaphy: perceptions of children and adolescents Louise Amália de Moura, Pâmela Roberta de Oliveira, Marcelo Medeiros, Lisabelle Mariano Rossato, Natália de Carvalho Borges, et al. Revista Da Escola De Enfermagem, 2021 Objective: To analyze the perceptions of children and adolescents about chronic postsurgical pain, experienced for three years after outpatient inguinal herniorrhaphy. Method: Descriptive, exploratory study, with a qualitative approach. Children and adolescents who reported chronic postsurgical pain were invited from previous quantitative research. The interviews with a semi-structured script were recorded, transcribed, and coded according to content analysis, thematic modality. Results: Twenty children and teenagers participated. They attributed different meanings to chronic persistent postsurgical pain, configuring a bad, uncomfortable, intermittent and limiting experience, which socially isolates, interferes with daily, school, and leisure activities. The report of pain was underestimated and neglected by the children’s and adolescents’ healthcare team, family members, teachers, and friends. Conclusion: Children and adolescents recognize postsurgical pain as persistent pain and seem to perceive that their report is underestimated and neglected by parents and teachers. Additionally, they feel responsible for the presence of pain that affects psychological and social dimensions and imposes damage and fear that leads to the return of the hernia and to death.
Factors associated with quality of life of older adults with chronic pain Maressa Gonçalves da Paz, Layz Alves Ferreira de Souza, Bruna da Silva Ferreira Tatagiba, Joyce Rutyelle da Serra, Louise Amália de Moura, et al. Revista Brasileira De Enfermagem, 2021 Objective: To analyze the factors associated with quality of life of the older adults with chronic pain. Method: Cross-sectional study conducted with 239 older adults in outpatient care in the state of Goiás, Brazil. The World Health Organization Quality of Life–Old (WHOQOL-OLD) instrument contains six domains and was applied to assess quality of life. Simple and multiple linear regressions were used in the statistical analysis. Results: The factors associated with Sensory Abilities were age (β = - 0.52), time spent together (β = - 14.35; - 17.86; - 15.57), and pain intensity (β = - 1, 70). Autonomy was associated with depression (β = - 5.99) and chest pain (β = - 6.17). Social participation related to schooling (β = - 0.64), diabetes mellitus (β = - 8.15), depression (β = - 14.53), pain intensity (β = - 1.43), and lower limb pain (β = - 5.94). Past, present and future activities related to depression (β = - 6.94). Death and dying related to hypertension (β = - 8.40), while Intimacy to depression (β = - 5.99) and headache/face pain (β = - 3.19). Conclusion: The time experiencing chronic pain and the location of this experience, as well as depression, diabetes and systemic arterial hypertension were factors that had greater influence on the older adult’s Quality of Life domains.
Assessment of pain during leg ulcers' dressing change Paula Francielle Tavares de Oliveira, Bruna da Silva Ferreira Tatagiba, Marlene Andrade Martins, Anaclara Ferreira Veiga Tipple, Lílian Varanda Pereira Texto E Contexto Enfermagem, 2012
Postoperative pain in children: A gender approach Louise Amália de Moura, Ana Carolina D'Arelli de Oliveira, Gilberto de Araújo Pereira, Lílian Varanda Pereira Revista Da Escola De Enfermagem, 2011
