Rev. Soc. Bras. Enferm. Ped.2020;20(1):13-21.

Therapeutic play: analysis of children’s behavior and pain in the first postoperative dressing

Ludmilla Laura , Mauren Teresa Grubisich Mendes , Flávia Lopes , Rosângela Aparecida Pimenta

DOI: 10.31508/1676-3793202000003

Abstract

Objective

To analyze the behavior and pain of children submitted to the first dressing after a surgical procedure.

Methods

This is an observational study, carried out in a pediatric unit of a public university hospital, from December 2016 to August 2017. 112 children were observed during the first postoperative dressing using the Behavior Scale and the Faces Scale of Claro’s pain / FPS-R. The data were analyzed using the SPSS® program in frequencies and proportions.

Results

58.0% were seven years of age or older, almost 83.0% reported pain during the dressing, 61.5% of moderate to unbearable intensity. Children who underwent appendectomy showed a lower prevalence of the behaviors analyzed during the therapeutic play session. It was also one of the procedures with the highest incidence of unbearable pain during the dressing.

Conclusion

Pain was frequently referred to during the first dressing change, regardless of age, sex and type of surgical procedure, with repercussions on children’s behavior.

Therapeutic play: analysis of children’s behavior and pain in the first postoperative dressing

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