Abstract

SOUSA, Graziele Caroline Cardoso de; MERCES, Nen Nalú Alves das; SILVA, Lara Adrianne Garcia Paiano da  and  MACEDO, Alini. Pain management in children and teenagers during the hematopoietic stem cell post-transplant period: an integrative review. Enferm. glob. [online]. 2019, vol.18, n.53, pp.535-581.  Epub Oct 14, 2019. ISSN 1695-6141.  https://dx.doi.org/10.6018/eglobal.18.1.302991.

This study aims at the identification of strategies used for pain management in children and teenagers during the hematopoietic stem cells post-transplant period. An integrative review of literature was employed as methodology for this work, using as sources of information the following databases: MEDLINE, LILACS, SCIELO, BDENF, SCOPUS, Web of Science and CAPES periodic portal. The terms used for searching were: pain, pain management, pain pediatric, hematopoietic stem cell transplantation, bone marrow transplantation; and the acronyms BMT and HSCT. The final sample comprised seven articles, based on inclusion and exclusion criteria. The identified strategies for pain management in the studies were: patient-controlled analgesia, caregiver-controlled analgesia; complementary therapies such as: aromatherapy, extra-oral phototherapy with infrared diodes, heat application, cryotherapy, music, games, massage; and results indicators, in order to monitor the pain management effectiveness. As a conclusion, the most effective strategies were: patient or caregiver-controlled analgesia, and the results indicators that allowed pain management in adequate time. Nevertheless, it is important to highlight that other studies are necessary to evaluate the effectiveness of the complementary strategies employed.

Keywords : Pain; Pain management; Hematopoietic stem cell transplantation; Child; Adolescent.

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