Manejo del dolor en pacientes oncológicos del hospital SOLCA – Guayaquil.

Abstract

Unpleasant sensory and emotional experience pain that can be experienced by acute or chronic disease processes. Objective: to describe pain management. Design: study with a quantitative approach, descriptive type, cross-sectional, prospective. Population: 54 people from the hospitalization areas. Techniques: survey, direct and indirect observation. Results: Characteristics of the personnel: women 80%, men 20%. Position: Direct care 93%, Area manager 7%. Working time: more than 12 months 57%. Knowledge of the staff 72% are unaware, 76% are aware of the protocol, 24% are unaware. Therapeutic measures: 72% know and 28% do not know. Knowledge of therapeutic measures: 37% application of anti-inflammatory drugs, non-steroidal analgesics, 26% opioids, 21% adjunctive drugs, 15% corticosteroids. Knowledge of non-therapeutic measures: 15% physical therapy, 15% relaxation therapy, 14% acupuncture, 14% electrical stimulation, 12% psychotherapy, 11% massage therapy, 6% meditation, 6% none, 4% surgery, 2% technical biofeedback. Pain assessment method: 23% VAS, 15% behavioral methods, 15% EVN, 15% physiological, 26% verbal, 4% EVC and 4% multidimensional methods. Applied nursing assessment: 44% were the verbal method, 24% physiological methods, 19% behavioral methods, and 13% EVN. Therapeutic measures applied: 49% analgesic-non-steroidal anti-inflammatory drugs. 21% opioids, 16% adjunctive drugs, 4% corticosteroids. Patient characteristics: women from the surgery area 71% clinic area 51%. Conclusion: The attention of the nursing staff is essential, therefore it is essential that they are part of the team of professionals trained for this type of patients and areas.