Desenvolvimento de Orientações Terapêuticas para a Autogestão da dor pós-operatória e cuidados com a ferida cirúrgica em pessoas com Sarcoma: Um estudo de Delphi

Authors

DOI:

https://doi.org/10.31877/on.2024.48.04

Keywords:

Pain, surgical wound, surgical oncology, self-management

Abstract

Abstract

Introduction: The patient with sarcoma undergoing surgery, upon hospital discharge, requires the knowledge and skills for symptom’s self-management such as pain and those related to the surgical wound. Objectives: To gather a consensus of a set of therapeutic guidelines for self-management of pain and surgical wound care in sarcoma’s patient after surgery. Method: The Delphi technique was employed with a group of eight experts. The results were analysed based on content validity indices, and expert suggestions were considered in the guideline revision. Results: The overall Content Validity Index was 0.963 for pain and 0.991 for symptoms related to the surgical wound, indicating a high level of consensus among experts. Conclusion: The selected guidelines to be integrated into the IgestSaúde application will contribute to better management of postoperative symptoms at home, promoting the well-being of patients with sarcoma.

Keywords: pain; surgical wound; surgical oncology; self-management

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References

Basch E, Deal AM, Kris MG, Scher HI, Hudis CA, Sabbatini P, et al. Symptom monitoring with patient-reported outcomes during routine cancer treatment: a randomized controlled trial. J Clin Oncol. 2016;34(6):557. https://doi.org/10.1200/JCO.2015.63.0830

Di Maio M, Basch E, Denis F, Fallowfield LJ, Ganz PA, Howell D, et al. The role of patient-reported outcome measures in the continuum of cancer clinical care: ESMO Clinical Practice Guideline. Ann Oncol. 2022;33(9):878-892. https://doi.org/10.1016/j.annonc.2022.04.007

Smith AB, Basch E. Role of patient-reported outcomes in postsurgical monitoring in oncology. J Oncol Pract. 2017;13(8):535-538. https://doi.org/10.1200/JOP

Zylla DM, Gilmore GE, Steele GL, Eklund JP, Wood CM, Stover AM, et al. Collection of electronic patient-reported symptoms in patients with advanced cancer using Epic MyChart surveys.

Support Care Cancer. 2020; 28:3153-3163. https://doi.org/10.1007/s00520-019-05109-0

Almeida MA, Martins T, Lima L. Orientações terapêuticas da autogestão da dor e ferida cirúrgica após alta hospitalar: uma scoping review. Onco.News. 2023;10.31877/on.2023.47.06. no prelo.

ESMO, Group ESNW. Soft tissue and visceral sarcomas: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2012;23 Suppl 7:vii92-99. https://doi.org/10.1093/annonc/mds253

ESMO, Oncology, ESfM. Sarcoma and Gastrointestinal Stromal Tumours plus Cancer of Unknown Primary Site Essentials for Clinicians (E. Press, Ed. Iwona Lugowska, Jean-Yves Blay, Hans Gelderblom ed.).

von Mehren M, Kane JM, Agulnik M, Bui MM, Carr-Ascher J, Choy E, et al. Soft Tissue Sarcoma, Version 2.2022, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw. 2022;20(7):815-833. https://doi.org/10.6004/jnccn.2022.0035

Apfelbaum JL, Chen C, Mehta SS, Gan TJ. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anest Analg. 2003;97(2):534-540. https://doi.org/10.1213/01.ANE.0000068822.10113.9E

Sun V, Raz DJ, Ruel N, Chang W, Erhunmwunsee L, Reckamp K, et al. A Multimedia Self-management Intervention to Prepare Cancer Patients and Family Caregivers for Lung Surgery and Postoperative

Recovery. Clin Lung Cancer. 2017;18(3):e151-e159. https://doi.org/10.1016/j.cllc.2017.01.010

Lumini MJ, Fernandes C, Sousa MR. Recursos tecnológicos como estratégias para o autocuidado. In: E. S. d. E. d. Porto Ed. Autocuidado: um foco central da enfermagem. 2021. p. 99-110.

Fernandes CS, Magalhães B, Santos C, Galiano JMM. IGestSaúde a mobile application for the self-management of symptoms associated with chemotherapy treatment: Development protocol.

Nurs Pract Today. 2021;8:X-X. https://doi.org/10.18502/npt.v8i2.5126

Hasson F, Keeney S, McKenna H. Research guidelines for the Delphi survey technique. J Adv Nurs. 2008;32(4):1008-1015. https://doi.org/10.1046/j.1365-2648.2000.t01-1-01567.x

Marques JV, Freitas D. Método DELPHI: caracterização e potencialidades na pesquisa em Educação. Pro-Posições. 2018;29(2):389-415. https://doi.org/10.1590/1980-6248-2015-0140

Yusoff MSB. ABC of Content Validation and Content Validity Index Calculation. Educ Med J. 2019;11(2):49-54. https://doi.org/10.21315/eimj2019.11.2.6

Varndell W, Fry M, Elliott D. Applying real-time Delphi methods: development of a pain management survey in emergency nursing. BMC Nurs. 2021;20(1):149. https://doi.org/10.1186/s12912-021-00661-9.

Chou R, Gordon DB, de Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, et al. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain. 2016;17(2):131-157. https://doi.org/10.1016/j.jpain.2015.12.008

Park R, Mohiuddin M, Arellano R, Pogatzki-Zahn E, Klar G, Gilron I. Prevalence of Postoperative Pain Following Hospital Discharge: Protocol for a Systematic Review. JMIR Res Protoc. 2020;9(12):e22437. https://doi.org/10.2196/22437

Patil JD, Sefen JAN, Fredericks S. Exploring Non-pharmacological Methods for Pre-operative Pain Management. Front Surg. 2022; 9:801742. https://doi.org/10.3389/fsurg.2022.801742

Small C, Laycock H. Acute postoperative pain management. Br J Surg. 2020;107(2):e70-e80. https://doi.org/10.1002/bjs.11477

Veal FC, Thompson AJ, Perry LJ, Bereznicki LR, Peterson GM. Pain intensity and pain self-management strategies following discharge after surgery: An Australian prospective observational

study. J Clin Pharm Ther. 2018;43(1):8-14. https://doi.org/10.1111/jcpt.12584

Gordon DB, Dahl JL, Miaskowski C, McCarberg B, Todd K, Paice JA, et al. American Pain Society Recommendations for Improving the Quality of Acute and Cancer Pain Management. Arch Intern Med.

; 165:1574-1580.

Wu MS, Chen KH, Chen IF, Huang SK, Tzeng PC, Yeh ML, Lee FP, Lin JG, Chen C. The Efficacy of Acupuncture in Post-Operative Pain Management: A Systematic Review and Meta-Analysis. PLoS One. 2016;11(3): e0150367. https://doi.org/10.1371/journal.pone.0150367.

Demling R. Nutrition, anabolism, and the wound healing process: an overview. Eplasty. 2009;9.

Kurmis R, Woodward M, Ryan H, Rice J. The importance of nutrition in wound management: new evidence from the past decade. Wound Pract Res. 2021;29(1). https://doi.org/10.33235/wpr.29.1.18-40.

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Published

2024-05-06

How to Cite

1.
Almeida AM, Martins T, Lima L. Desenvolvimento de Orientações Terapêuticas para a Autogestão da dor pós-operatória e cuidados com a ferida cirúrgica em pessoas com Sarcoma: Um estudo de Delphi. Onco.News [Internet]. 2024 May 6 [cited 2024 Nov. 24];(48):e0256. Available from: https://onco.news/index.php/journal/article/view/256

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No. 48 (2024): Onco.News Journal (january-june)

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Original Articles

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Copyright (c) 2024 Ana Maria Almeida, Teresa Martins, Lígia Lima

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