Dor pós-operatória aguda na histerectomia abdominal total: estudo de Coorte.

Abstract

Introduction: Acute pain after total abdominal hysterectomy is recurring issue of great impact in the surgical patient's quality of life, but still little studied. There is no consensus on the best method to analyze and verify postsurgical pain, which could be important as to implement its therapy. Objectives: To determine the correlation between the measurement of pain by visual analog sale and the pain measurement utilizing the algometer. Methods: Cohort study conducted at the Alcides Carneiro Universitary Hospital and Pedro I Hospital, located in Campina Grande, Paraiba, from June 2013 to August 2014. There were included 90 patients referred for total abdominal hysterectomy, which were tested for the Beck depression inventory and the Katz scale. Following the consummation of the total abdominal hysterectomy, patients were tested for visual analog scale and the measurement of pain by algometer 12, 24 and 48 hours after the procedure. Results: The age range of the patients was 32 to 60 years, mean age of 48 years.12 hours after hysterectomy, 75% of patients had mild or no pain according to the visual analog scale, while with the algometer this number was 73%. After 24 hours, the percentage of patients with absence or mild pain was reduced to 64%concerning the visual analog scale. With the use of the algometer, this percentage was 71%. Finally, after 48 hours, the percentage of patients with mild or no pain was 78% as measured with the algometer and 89% with the visual analog scale. We used the Spearman correlation coefficient to determine the association between the two methods of pain verification. Conclusion: The observed correlation between the methods was significant, with a significance level (p) of 0.01 for all measurements. This study was approved by the Ethics in Research Committee of the University Hospital Alcides Carneiro, under the CAAE 05086913.1.1001.5182 registration. The project financing was carried out with resources provided by the staff, with no conflicts of interest declared.