Article

Douleurs induites par les soins: Épidémiologie, retentissements, facteurs prédictifs

Douleur et Analgésie (Impact Factor: 0.09). 09/2008; 21(3):126-138. DOI: 10.1007/s11724-008-0103-6

ABSTRACT

En dépit d’une prise de conscience récente, les douleurs liées aux soins sont très fréquentes et sous-évaluées, en particulier
dans les populations fragiles (âges extrêmes, troubles de la conscience, de la communication…). Il est difficile, à partir
des études publiées, de définir des facteurs de risques « universels » pour ces douleurs. La mémoire d’un geste est corrélée
au pic d’intensité douloureuse ressentie au cours du geste. La mise en place de protocoles antalgiques et leur évaluation
restent insuffisantes, y compris chez l’enfant. La prévention de ces douleurs nécessite une plus grande sensibilisation des
personnels soignants et le développement de protocoles antalgiques efficaces.
Although the health sector has recently become more aware of procedural pain, it nevertheless occurs very frequently and is
still under estimated, in particular in fragile populations (extreme age, consciousness disorders or difficulties with communication).
The published studies do not help define “universal” predictive factors for such pain. It tends to be remembered as at its
peak of intensity. There is insufficient evidence concerning implementation and evaluation of analgesic protocols, including
in children. The prevention of such pain requires greater awareness on the part of nursing staff and the development of effective
analgesic protocols.

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Available from: Elisabeth Collin, Jul 16, 2014
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    • "Few studies have focused on pain management in hospitalized patients as a whole. Coutaux and Collin (2008) concluded that CRP was undervalued and not considered or managed sufficiently. In France, CRP was defined in the 2006–2010 pain programme of the Haut Conseil de la Santé Publique, with recommendations for its prevention (Ministère de la Santé et des Solidarités, 2006), mainly focused on children. "
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    ABSTRACT: Background Hospitalized patients commonly undergo painful procedures, but little is known about care-related pain (CRP) in the overall population of inpatients. We conducted a cross-sectional 1-day survey to assess the prevalence and characteristics of CRP and its management in all units of a university hospital in Paris and determined the factors linked to severe CRP.Methods All patients who were able to communicate and were hospitalized for at least 24 h but not in a day-care or neonatal unit were included.ResultsFrom 938 patients who completed the questionnaire, 554 patients reported pain within the previous 24 h, for a 59% prevalence of pain, and 540 (58%) had experienced CRP in the previous 15 days (51% males; mean [SD] age 54 [18] years). Of 907 procedures, 330 (37%) resulted in severe pain. The most-often reported painful procedures were vascular punctures and patient mobilization. Severe CRP was associated with long hospitalization; non-vascular invasive punctures, catheterization, mobilization or radiological examination; or pain during the previous 24 h due to surgery or treatment. Only half of the patients declared that they had received information regarding the painful procedure. Treatment for pain was proposed and delivered in less than one quarter of cases.Conclusions Our results of a survey of pain management in hospitalized patients relate to a wide variety of medical conditions and procedures. Health-care workers should be more systematic in managing CRP, and attention should be paid to patients at greatest risk of severe CRP.
    Full-text · Article · Mar 2015 · European journal of pain (London, England)

  • No preview · Article · Oct 2013 · Douleurs Evaluation - Diagnostic - Traitement
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    Full-text · Article · Oct 2013 · Revue d Épidémiologie et de Santé Publique
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