Manejo da dor em pacientes pós-cirúrgicos: implementação das melhores práticas

Abstract

Introduction: Management is ineffective due to the lack of postoperative treatment harming the patient's recovery process, contributing to postoperative complications. Objective: To evaluate the compliance of Postoperative Pain Management practices in the Surgical Unit of Hospital Universitário Getúlio Vargas considering the best evidence and contribute to the implementation of best practices based on the JBI PACES audit criteria. Methodology: Study of implementation of evidence for the management of postoperative patients admitted to the Surgical Unit. The study followed the evidence implementation framework, configured by clinical practices and standards of care presented by JBI PACE, to assess compliance of practice for postoperative pain management. This study responds to the baseline audit and implementation phases of best practices through the use of the Getting Research into Practice (GRIP) tool. The study population was the HUGV/UFAM multidisciplinary team.Results: The barriers to implementing best practices for postoperative pain management were the team's lack of knowledge about pain management, lack of institutionalized instruments for pain management, lack of non-pharmacological therapies and fragility of educational actions on pain management. of postoperative pain. The strategies for eliminating barriers were: meetings with interested parties (nursing division, continuing education center, nurse managers), development of instruments (standard operating procedure-pops) for pain management, educational actions on post-mortem pain management -operative. Conclusion: For each barrier identified, coping strategies were listed that made it possible to reduce non-conformities and implement best practices for pain management. Around 90% of the multidisciplinary team from the Surgical Unit participated in the workshops, which demonstrates the effectiveness of the actions developed to achieve compliance for post-operative pain management.