Valoración del dolor en pacientes en etapa terminal que asisten al área de cuidados paliativos de un hospital de la ciudad de Guayaquil, año 2022.

Abstract

Pain assessment in terminal stage patients is important because it allows establishing the necessary procedures and measures to alleviate pain and other symptoms, providing spiritual and psychological support during this stage. Objective: To determine the assessment of pain in terminal stage patients who attend the palliative care area of a hospital in the city of Guayaquil, Age 2022. Methodology: descriptive, quantitative, prospective, cross-sectional. Population: 248 patients from the palliative care area who meet the inclusion criteria. Technique: Direct observation, Instrument: Direct Observation Matrix, Karnofsky Scale (68) and EVA Scale. Results: Among the characteristics, patients over 58 years of age (50.40%), female (59.68%), mestizo (98.79%), urban residence (97.58%), state single civilians (52.42%), with a secondary level of education (43.15%) and receiving basic salary (60.48%); Regarding the Karnofsky Scale, 24.19% are irreversible moribund. According to the duration, they present chronic pain (100.00%) and according to the pathogenesis, the pain is nociceptive (100.00%); through the VAS Scale, they present severe pain (41.53%). Conclusion: Most patients who were treated in the palliative care area presented severe pain and some cases were classified as irreversible moribund; Therefore, the use of these scales makes it possible to predict the survival of patients and to establish treatments to counteract pain and improve the quality of life during their terminal stage.