Reduction of pain in clients with autoimmune bullous dermatoses: evaluation by fuzzy logic
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Keywords

Nursing in Dermatology
Autoimmune Bullous Dermatoses
Fuzzy Logic
Pain Measurement Enfermería en Dermatología
Dermatosis Inmunoampollosas
Lógica Difusa
Dimensión del Dolor

PlumX Metrics

Abstract

Aim: to evaluate the intensity of the client’s pain with autoimmune bullous  dermatoses,  before  and  after the  protocol  of  nursing  care  is  applied to  a  client with autoimmune bullous dermatoses. Method: the data were treated using fuzzy logic. Results: when associating the implementation of the protocol with pain reduction in the 14 study subjects the following stand out: in T0, seven subjects presented high levels of pain, with a pertinence of 1.0; in T1, 24 hours after intervention, eight presented a low level of pain, with pertinences ranging from 1.0 and 0.75, and only one with high level of pain;  in  T2,  only  one  remained  with  a  high  level  of  pain.  Discussion:  the  use  of analgesics prior to application of the protocol demonstrates that change in pain intensity was  not  influenced  by  use  of  medication,  but  rather  by  the  implemented  care. Conclusion: based on the classifications of fuzzy logic, there was a significant reduction of pain levels, especially in the first 24 hours.
https://doi.org/10.17665/1676-4285.20165467
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References

Hanauer L, Azulay-Abulafia L, Azulay RD, Azulay DR, Azulay RD. Doenças vesicobolhosas. In: Azulay RD, Azulay DR, Azulay-Abulafia L. Dermatologia. 5ª ed. Rio de Janeiro: Guanabara Koogan; 2013. p. 145-61.

Carvalho CHP, Vieira CC, Santos PPA, Santos BRM, Lima ENA, Freitas RA. An epidemiological study of immune-mediated skin diseases affecting the oral cavity. An Bras Dermatology. 2011;86(5):905-9.

Gonçalves GAP, Salathiel AM, Alves D, Britto MMC, Ferraz TS, Roselino AMF. Incidence of pemphigus vulgaris exceeds that pemphingus foliaceus in a region where pemphigus foliaceus is endemic: Analisis of a 21-yer historical series. An Bras Dermatology. 2011;86(6):1109-12.

Brandão ES, Santos I dos. Evidences related to the care of people with pemphigus vulgaris: a challenge to nursing. Online Braz J Nurs, Niterói (RJ), v. 12, n.1, p. 162-77, Sep 2012. Available from: <http://www.objnursing.uff.br/index.php/nursing/article/view/3674>. Access: 2016 Jan 27. doi: http://dx.doi.org/10.5935/1676-4285.20133674.

Santos I dos, Brandão ES, Clos AC. Dermatology nursing: sensitive listening skills and technology for acting in skin care. Rev enferm UERJ. 2009; 17(1):124-30.

Bottega FH, Fontana RT. Pain as the fifth vital sign: use of the assessment scale by nurses in general hospital. Texto contexto enferm. 2010;19(2):283-90.

Brandão ES, Santos I dos, Carvalho MR, Pereira SK. Nursing care evolution to the client with pemphigus: integrative literature review. Rev Enferm UERJ. 2011; 19(3):479-84.

Brandão ES, Santos I dos, Lanzillotti RS. Validation of a instrument to assess patients with skin conditions. Acta Paul Enferm. 2013; 26(5):460-6.

Brandão ES. O cuidar do cliente com pênfigo: um desafio para a enfermagem. In: Brandão ES, Santos I dos. Enfermagem em dermatologia: cuidados técnico, dialógico e solidário. Rio de Janeiro: Cultura Médica; 2006. p. 109-30.

Hulley SB, Cummings SR, Browner WS, Grady DG, Newman TB. Delineando a pesquisa clínica: uma abordagem epidemiológica. 3ªed. Porto Alegre (RS): Artmed;2008.

Diagnósticos de Enfermagem da NANDA: definições e classificação 2012-2014/ [NANDA International]; Porto Alegre: Artmed;2013.

Souza SR, Azulay-Abulafia L, Nascimento LV. Validação do índice de comprometimento cutaneomucoso do pênfigo vulgar para avaliação clínica de pacientes com pênfigo vulgar. An Bras Dermatol. 2011; 86(2): 284-91.

Zadeh LA. Fuzzy sets. Inform Contr. 1965;8:338-53.

Brandão ES, Santos I dos, Lanzillotti RS, Moreira Júnior A. Proposal for recognition of the comfort pattern in clients with pemphigus vulgaris using fuzzy logic. Rev Esc Enferm USP. 2013; 47(4):958-64.

Sousa FAEF. Pain: the fifth vital sign. Rev Latino-am Enfermagem. 2002;10(3):446-7.

Ministério da Saúde. Consultoria Jurídica. Advocacia Geral da União. Nota Técnica 129/2012. On line [Internet]. 2012 [cited 2015 Dez 01]. Avaiable from: http://portalsaude.saude.gov.br/portalsaude/arquivos/pdf/2012/Dez/12/tramadol.pdf