Calidad de atención del dolor postoperatorio en cirugía ginecológica

Introduction.Pain is an unpleasant sensory and emotional experience resulting from actual or potential tissue damage. It is estimated that the incidence of acute postoperative pain (APOP) is between 20 to 70%. Inadequate control of postoperative pain causes changes in lung function, cardiovascular and endocrine function and increases the morbidity. In terms of management, adequate control impact in reducing the hospital stay and reducing health costs. Objective.Determine the incidence of acute APOP, treatment options and their effectiveness in gynecologic surgery. Material and methods. rial and methods. rial and methods. rial and methods. rial and methods. Prospective, transversal, descriptive and analytical study in women of postoperative gynecological surgery at the Women’s Hospital, Ministry of Health; Mexico City, during the period of April 1st to May 31st, 2011. Results.The final sample consisted of 75 patients. The average age was 41.03 ± 10.5 years. The most common type of gynecological surgery was total abdominal hysterectomy with 68.0% (n = 51). The 58.7% (n = 44) received mixed general anesthesia, 41.3% (n = 31) was epidural anesthesia. The operative time was 1.95 ± 0.51 h. APOP incidence was 94.7%. The result in Numeric Verbal Pain Scale (NVPS) was 5.67 ± 3.4 points in the immediate postoperative period and 4.2 ± 8.2 points in mediate postoperative period. The reduction in pain with analgesic therapy was 1.39 ± 4.33 points evaluated by NVPS. In 56.0% (n = 42) was used only nonsteroidal antiinflammatory drugs (NSAIDs) in combination with antispasmodics. Only 13.3% (n = 10) of the referred patients satisfied with the healthcare of APOP. Conclusions.Evaluate and properly treat the APOP is essential in the postoperative treatment. Poor treatment raises the quality of care and overall satisfaction of patients.