title: [Pain assessment and training: the impact on pain control after cardiac surgery].
abstract: We analyzed the effects of training and the application of a form for the systematized assessment of pain control after cardiac surgery on pain intensity and supplementary use of morphine. Three patient groups underwent a non-randomized clinical trial with standardized analgesic prescription. In Group I, the nursing staff did not receive specific training regarding the assessment and management of pain, and patients were treated following the established protocol of the institution. In Groups II and III, the nursing staff received targeted training. In Group II the nursing staff used a form for the systematized assessment of pain, which was not used in Group III. Group II presented a lower intensity of pain and greater consumption of supplementary morphine compared to Groups I and II. Training associated with the systematized assessment form increased the chance of identifying pain and influenced nurses' decision-making process, thus promoting pain relief among patients.
authors.affiliation: Universidade de São Paulo, São Paulo, Brasil. magdasilva@usp.br
authors.forename: Magda Aparecida Dos Santos
authors.initials: MA
authors.lastname: Silva
authors.forename: Cibele Andrucioli de Mattos
authors.initials: CA
authors.lastname: Pimenta
authors.forename: Diná de Almeida Lopes Monteiro da
authors.initials: Dde A
authors.lastname: Cruz
mesh_terms: D000701:Analgesics, Opioid / Q000627:therapeutic use*; D006348:Cardiac Surgical Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009020:Morphine / Q000627:therapeutic use*; D059408:Pain Management; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control*
chemical_list: D000701:Analgesics, Opioid; D009020:Morphine