Reflexiones sobre la Evaluación de la Guía de Práctica Clínica en sobre el Manejo del Dolor y la Satisfacción del Paciente con Artroplastia Total de Cadera

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dc.contributor.authorHuo, Shaojuan
dc.contributor.authorZhao, Cun
dc.contributor.authorAn, Leilei
dc.contributor.authorLiu, Fan
dc.contributor.authorJiang, Zuoding
dc.contributor.authorZhengxi, Yuan
dc.contributor.authorXinman, Dou
dc.contributor.authorYin, Xiaoli
dc.contributor.orcidHuo, Shaojuan [0009-0000-8002-6566]spa
dc.contributor.orcidZhao, Cun [0009-0000-1124-149X]spa
dc.contributor.orcidAn, Leilei [0009-0004-8032-8192]spa
dc.contributor.orcidLiu, Fan [0009-0007-8656-0744]spa
dc.contributor.orcidJiang, Zuoding [0009-0008-9593-2076]spa
dc.contributor.orcidZhengxi, Yuan [0009-0003-9122-0294]spa
dc.contributor.orcidXinman, Dou [0000-0002-0919-8792]spa
dc.contributor.orcidYin, Xiaoli [0009-0003-2903-9478]spa
dc.date.accessioned2024-12-17T15:43:45Z
dc.date.available2024-12-17T15:43:45Z
dc.date.issued2024-07-31
dc.description.abstractEste artículo se basa en la tercera edición de la guía de “Evaluación y Manejo del Dolor” de la RNAO, aplicada a pacientes con artroplastia total de cadera (ATC) y en la evaluación de guías de práctica clínica sobre el manejo del dolor y la satisfacción del paciente. Objetivo: Aplicar la tercera edición de la Guía de Evaluación y Manejo del Dolor de la RNAO a pacientes después de la artroplastia total de cadera y evaluar su efectividad. División de temas tratados. Evaluar el conocimiento, la valoración del dolor por parte del personal de enfermería y la satisfacción de los pacientes con artroplastia total de cadera antes y después de la implementación de la guía, siguiendo el Marco de Conocimiento para la Acción. Con base en las 20 recomendaciones de la Guía, se formularon 6 indicadores de calidad para su revisión: 1. Establecer e implementar procesos y formularios estandarizados de evaluación; 2. Realizar capacitación de personal de enfermería y educación a los pacientes; 3. Comparar los niveles de conocimiento y actitudes del personal de enfermería sobre el dolor antes y después de la práctica basada en evidencia; 4. Comparar la implementación de varios indicadores de evaluación y manejo del dolor en los pacientes por parte del personal de enfermería; 5. Comparar la satisfacción de los pacientes con artroplastia total de cadera respecto al control del dolor, antes y después de la implementación de la Guía de Buenas Prácticas; 6. Asegurar que el personal de enfermería emplee la misma herramienta acreditada para evaluar el dolor en los pacientes. Resultados. Tras la implementación de la Guía, la tasa de conocimiento del personal de enfermería sobre la evaluación y manejo del dolor aumentó del 42.6% al 48%. La evaluación del dolor por parte del personal de enfermería, las estrategias para motivar a los pacientes, y si las familias participaban en el manejo del dolor, fueron evaluadas y se registraron con diferencias estadísticamente significativas (todos P < 0.05). También, se presentaron diferencias estadísticamente significativas en las percepciones de los pacientes sobre el manejo del dolor, el reporte activo del dolor y la satisfacción de los pacientes con el control del dolor (todos P < 0.05). Conclusión. La aplicación de la evidencia puede mejorar el conocimiento y la actitud del personal de enfermería hacia la evaluación y manejo del dolor, estandarizar sus sistemas y procesos operativos, y mejorar la satisfacción de los pacientes sobre el control del dolor.spa
dc.description.abstractenglishThis paper is based on the third Edition of the RNAO “Pain Assessment and Management” guideline applied to total hip arthroplasty (THA) patients and the evaluation of clinical practice guidelines on pain management and patient satisfaction. Objective. To apply the Third Edition Guideline for the Pain Assessment and Management from RNAO to patients after total hip arthroplasty and evaluate its effectiveness. Division of topics covered. Evaluate the knowledge, assessment of pain by nursing, and satisfaction in the care of patients with total hip arthroplasty before and after the implementation of the guide, according to the Knowledge to Action Framework. According to 20 recommendations from the Guideline, 6 quality review indicators were formulated: 1. Establish and implement standard assessment processes and forms; 2. Conduct nurse training and patient education; 3. Compare nurses’ pain knowledge and attitude levels before and after evidence-based practice; 4. Compare nurses’ implementation of various indicators of patient pain assessment and management; 5. Compare pain control satisfaction of total hip arthroplasty patients before and after Best Practice Guideline implementation; and 6. Ensure nurses use the same proven tool to assess pain in patients. Results. After implementing the Guideline, the rate of nurses’ knowledge of pain assessment and management has increased from 42.6% to 48%. Nurses’ pain screening and evaluation, strategies to encourage patients and if the families participated in pain management were recorded after an assessment, and they were statistically significant (all P<0.05). There were statistically significant differences in patients’ perceptions of pain management, active reporting of pain, and patient satisfaction with pain control (all P<0.05). Conclusion: The application of the evidence can improve nurses’ knowledge and attitude toward pain assessment and management, standardize their operating system and process, and improve patients’ satisfaction with pain control.eng
dc.description.abstractotherEste artigo baseia-se na terceira edição do guia “Avaliação e Manejo da Dor” da RNAO, aplicada a pacientes com artroplastia total de quadril (ATQ) e na avaliação de guias de prática clínica sobre manejo da dor e satisfação do paciente. Objetivo: Aplicar a terceira edição do Guia de Avaliação e Manejo da Dor da RNAO em pacientes após artroplastia total de quadril e avaliar suaeficácia. Divisão dos tópicos abordados. Avaliar o conhecimento, a avaliação da dor pela equipe de enfermagem e a satisfação dos pacientes com artroplastia total do quadril antes e após a implementação do guia, seguindo a Estrutura de Conhecimento para Ação. Com base nas 20 recomendações do Guia, foram formulados 6 indicadores de qualidade para revisão: 1. Estabelecer e implementar processos e formulários de avaliação padronizados; 2. Realizar treinamento da equipe de enfermagem e educação dos pacientes; 3. Comparar os níveis de conhecimento e atitudes da equipe de enfermagem sobre a dor antes e depois da prática baseada em evidências; 4. Comparar a implementação de diversos indicadores de avaliação e manejo da dor em pacientes pela equipe de enfermagem; 5. Comparar a satisfação dos pacientes com artroplastia total do quadril quanto ao controle da dor, antes e após a implementação do Guia de Boas Práticas; 6. Garantir que a equipe de enfermagem utilize a mesma ferramenta credenciada para avaliar a dor nos pacientes. Resultados. Após a implementação do Guia, o índice de conhecimento da equipe de enfermagem sobre avaliação e manejo da dor aumentou de 42.6% para 48%. A avaliação da dor pela equipe de enfermagem, as estratégias para motivar os pacientes e o envolvimento das famílias no manejo da dor foram avaliadas e registradas com diferenças estatisticamente significativas (todos P < 0.05). Além disso, houve diferenças estatisticamente significativas nas percepções dos pacientes sobre o controle da dor, no relato ativo da dor e na satisfação dos pacientes com o controle da dor (todos P < 0.05). Conclusão. A aplicação de evidências pode melhorar o conhecimento e a atitude da equipe de enfermagem em relação à avaliação e manejo da dor, padronizar seus sistemas e processos operacionais e melhorar a satisfação do paciente em relação ao controle da dor.por
dc.format.mimetypeapplication/pdfspa
dc.identifier.doihttps://doi.org/10.29375/01237047.4653
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga UNABspa
dc.identifier.issni-ISSN 0123-7047spa
dc.identifier.issne-ISSN 2382-4603spa
dc.identifier.reponamereponame:Repositorio Institucional UNABspa
dc.identifier.repourlrepourl:https://repository.unab.edu.cospa
dc.identifier.urihttp://hdl.handle.net/20.500.12749/27784
dc.language.isospaspa
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNABspa
dc.relationhttps://revistas.unab.edu.co/index.php/medunab/article/view/4653/4060spa
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dc.relation.urihttps://revistas.unab.edu.co/index.php/medunab/issue/view/299spa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.rights.localAbierto (Texto Completo)spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.sourceVol. 27 Núm. 1 (2024): abril - julio 2024: Salud Pública, Salud Materna, Exposición a la Violencia; 52-61spa
dc.subjectArtroplastia de Reemplazo de Caderaspa
dc.subjectArtroplastiaspa
dc.subjectArtroplastia de Reemplazospa
dc.subjectCaderaspa
dc.subjectDolorspa
dc.subjectPráctica Clínica Basada en la Evidenciaspa
dc.subjectGuía de Práctica Clínicaspa
dc.subject.keywordsMedical scienceseng
dc.subject.keywordsLife scienceseng
dc.subject.keywordsHealth scienceseng
dc.subject.keywordsCiências médicaspor
dc.subject.keywordsCiências da vidapor
dc.subject.keywordsCiências da saúdepor
dc.subject.keywordsArthroplastyeng
dc.subject.keywordsReplacementeng
dc.subject.keywordsHipeng
dc.subject.keywordsPaineng
dc.subject.keywordsEvidence-Based Practiceeng
dc.subject.keywordsPractice Guidelineeng
dc.subject.keywordsArtroplastia de Quadrilpor
dc.subject.keywordsArtroplastiapor
dc.subject.keywordsArtroplastia de Substituiçãopor
dc.subject.keywordsQuadrilpor
dc.subject.keywordsDorpor
dc.subject.keywordsPrática Clínica Baseada em Evidênciaspor
dc.subject.keywordsGuia de Prática Clínicapor
dc.subject.lembCiencias médicasspa
dc.subject.lembCiencias de la vidaspa
dc.subject.lembCiencias de la saludspa
dc.titleReflexiones sobre la Evaluación de la Guía de Práctica Clínica en sobre el Manejo del Dolor y la Satisfacción del Paciente con Artroplastia Total de Caderaspa
dc.title.translatedReflections on the Evaluation of the Clinical Practice Guideline Regarding Pain Management and Patient Satisfaction with Total Hip Arthroplastyeng
dc.title.translatedReflexões sobre a Avaliação do Guia de Prática Clínica sobre Manejo da Dor e Satisfação do Paciente com Artroplastia Total de Quadrilpor
dc.typeArticleeng
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aaspa
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículospa
dc.type.redcolhttp://purl.org/redcol/resource_type/ART

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