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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">reben</journal-id>
      <journal-title-group>
        <journal-title>Revista Brasileira de Enfermagem</journal-title>
        <abbrev-journal-title abbrev-type="publisher">Rev. Bras. Enferm.</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">0034-7167</issn>
      <issn pub-type="epub">1984-0446</issn>
      <publisher>
        <publisher-name>Associa&#231;&#227;o Brasileira de Enfermagem</publisher-name>
        <publisher-loc>Bras&#237;lia, DF, Brazil</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id" specific-use="scielo-v3">rbvwTRfdqf7FYDncqk7PZjk</article-id>
      <article-id pub-id-type="other">00006</article-id>
      <article-id pub-id-type="publisher-id" specific-use="scielo-v2">S0034-71671994000100006</article-id>
      <article-id pub-id-type="publisher-id" specific-use="scielo-v1">S0034-7167(94)04700100006</article-id>
      <article-id pub-id-type="doi">10.1590/S0034-71671994000100006</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Artigos</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Analgesia peridural domiciliar: atua&#231;&#227;o da enfermeira</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Pimenta</surname>
            <given-names>Cibele Andrucioli de Mattos</given-names>
          </name>
          <xref ref-type="aff" rid="aff01"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Fukuda</surname>
            <given-names>Cristiane Lemos</given-names>
          </name>
          <xref ref-type="aff" rid="aff02"/>
        </contrib>
      </contrib-group>
      <aff id="aff01">
        <addr-line>
          <named-content content-type="state">S&#227;o Paulo</named-content>
        </addr-line>
        <institution content-type="orgname">Universidade de S&#227;o Paulo</institution>
        <institution content-type="orgdiv1">Escola de Enfermagem </institution>
        <institution content-type="orgdiv2">Departamento de Enfermagem M&#233;dico-Cir&#250;rgica</institution>
        <country country="BR">Brazil</country>
      </aff>
      <aff id="aff02">
        <addr-line>
          <named-content content-type="state">S&#227;o Paulo</named-content>
        </addr-line>
        <institution content-type="orgname">Universidade de S&#227;o Paulo</institution>
        <institution content-type="orgdiv1">Escola de Enfermagem </institution>
        <country country="BR">Brazil</country>
      </aff>
      <pub-date date-type="collection" publication-format="electronic">
        <month>03</month>
        <year>1994</year>
      </pub-date>
      <volume>47</volume>
      <issue>1</issue>
      <fpage>31</fpage>
      <lpage>35</lpage>
      <history>
        <date date-type="received">
          <day>04</day>
          <month>12</month>
          <year>1993</year>
        </date>
      </history>
      <permissions>
        <license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/" xml:lang="en">
          <license-p>This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.</license-p>
        </license>
      </permissions>
      <abstract>
        <p>O tratamento domiciliar da dor cr&#244;nica com sistemas pendurais, &#233; um m&#233;todo que ainda merece estudos que avaliem sua efetividade, complica&#231;&#245;es e custos na realidade nacional. Relata-se a experi&#234;ncia de elabora&#231;&#227;o de um programa educativo visando instruir pacientes e familiares de um ambulat&#243;rio de dor para o autocuidado. Apresenta-se tamb&#233;m estudo de seguimento de 27 pacientes (17 com dor de origem oncol&#243;gica e 10 com dor cr&#244;nica n&#227;o oncol&#243;gica) onde se avaliou os riscos e benef&#237;cios da analgesia com cateter peridural. Discute-se ainda o papel educativo, de acompanhamento da resposta terap&#234;utica, detec&#231;&#227;o e preven&#231;&#227;o de complica&#231;&#245;es do enfermeiro.</p>
      </abstract>
      <trans-abstract xml:lang="en">
        <p>Chronic pain relief with epidural systems is a therapy that still requires researches to evaluate its effectivity, complications and costs in our reality. In order to prepare the patients and family to self-care, we elaborated an educative program that is presented here. We had studied 27 patients (17 with oncological pain and 19 with chronic pain non oncological) and evaluated the risks and benefits with this therapy. We discuss also the role of the nurse in the aspects of education, assessment of therapeutic answers and prevention of complications.</p>
      </trans-abstract>
      <kwd-group xml:lang="pt" kwd-group-type="author-generated">
        <kwd>Dor</kwd>
        <kwd>C&#226;ncer</kwd>
        <kwd>Analgesia Peridural</kwd>
      </kwd-group>
      <pub-date publication-format="electronic" date-type="pub">
        <day>20</day>
        <month>02</month>
        <year>2015</year>
      </pub-date>
    </article-meta>
  </front>
  <body>
    <p>
      <bold>ARTIGOS</bold>
    </p>
    <p>Analgesia peridural domiciliar: atua&#231;&#227;o da enfermeira<xref ref-type="fn" rid="fn_a"><sup><bold>*</bold></sup></xref></p>
    <p>
      <bold>Cibele Andrucioli de Mattos Pimenta<sup>I</sup>; Cristiane Lemos Fukuda<sup>II</sup></bold>
    </p>
    <p><sup>I</sup>Enfermeira Assistente do Departamento de Enfermagem M&#233;dico-Cir&#250;rgica da Escola de Enfermagem da Universidade de S&#227;o Paulo </p>
    <p><sup>II</sup>Aluna de Gradua&#231;&#227;o da Escola de Enfermagem da Universidade de S&#227;o Paulo</p>
    <p>
      <bold>RESUMO</bold>
    </p>
    <p> O tratamento domiciliar da dor cr&#244;nica com sistemas pendurais, &#233; um m&#233;todo que ainda merece estudos que avaliem sua efetividade, complica&#231;&#245;es e custos na realidade nacional. Relata-se a experi&#234;ncia de elabora&#231;&#227;o de um programa educativo visando instruir pacientes e familiares de um ambulat&#243;rio de dor para o autocuidado. Apresenta-se tamb&#233;m estudo de seguimento de 27 pacientes (17 com dor de origem oncol&#243;gica e 10 com dor cr&#244;nica n&#227;o oncol&#243;gica) onde se avaliou os riscos e benef&#237;cios da analgesia com cateter peridural. Discute-se ainda o papel educativo, de acompanhamento da resposta terap&#234;utica, detec&#231;&#227;o e preven&#231;&#227;o de complica&#231;&#245;es do enfermeiro. </p>
    <p><bold>Unitermos:</bold> Dor - C&#226;ncer-Analgesia Peridural</p>
    <p>
      <bold>ABSTRACT</bold>
    </p>
    <p> Chronic pain relief with epidural systems is a therapy that still requires researches to evaluate its effectivity, complications and costs in our reality. In order to prepare the patients and family to self-care, we elaborated an educative program that is presented here. We had studied 27 patients (17 with oncological pain and 19 with chronic pain non oncological) and evaluated the risks and benefits with this therapy. We discuss also the role of the nurse in the aspects of education, assessment of therapeutic answers and prevention of complications. </p>
    <p>Texto completo dispon&#237;vel apenas em PDF.</p>
    <p>Full text available only in PDF format.</p>
    <p>
      <bold>REFER&#202;NCIAS BIBLIOGR&#193;FICAS </bold>
    </p>
    <p content-type="ref-to-delete">1. BROMAGE, P.R. Clinical aspects of intrathecal and epidural opiates. In:<italic> Adv. Pain Res. Ther.</italic> v.9 Raven Press, 1985, p.733-48.  </p>
    <p content-type="ref-to-delete">2. ERIKSEN, J.; ANDERSEN, H.B. Pain treatement on long-term basics using extrademal opiates. In:<italic> Adv. Pain Res. Ther.</italic> v.9, Raven Press, 1985, p.749-52.  </p>
    <p content-type="ref-to-delete">3. HANSBERRY, J.L. et al. Managing chronic pain whith a permanent epidural catheter.<italic> Nursing,</italic> v.20, n. 10, p.53-55, 1990.  </p>
    <p content-type="ref-to-delete">4. HASSENBUCH, S. J. et al. Constant infusion of morphine for intractable cancer pain and implanted pump.<italic> J. Neurosurg, </italic>v.73, p.405-409, 1990.  </p>
    <p content-type="ref-to-delete">5. HOGAN, Q. et al. Epidural opiates and local anesthetics for the management of cancer pain.<italic> Pain,</italic> v.46, n.3, p, 271-79, 1991.  </p>
    <p content-type="ref-to-delete">6. JAFFE, J.H. e MARTIN , W.R. Analg&#233;sicos e antagonistas Opi&#243;ides In: GOODMAN e GILMAR. <italic>As bases Farmacol&#243;gicas da Terap&#233;utica.</italic> 7 ed. Rio de Janeiro: Guanabara, 1987, cap.3, p.321-47.  </p>
    <p content-type="ref-to-delete">7. LEIB, R. A. e HURTIG, J.B. Epidural and intrathecal narcotics for pain management.<italic> Heart &amp; Lung,</italic> v. 14, p. 164-71,1985.  </p>
    <p content-type="ref-to-delete">8. PAICE, JA. A. Intraspinal drug therapy. <italic> Nurs, Clin. North Am. </italic>v.26, n.2, p.477-89, 1991.  </p>
    <p content-type="ref-to-delete">9. PAICE, JA.A. Intraspinal delivery systems in pain management.<italic> Nurs. Clin. North Am.</italic> v.22, n.3, p.15-25, 1987.  </p>
    <p content-type="ref-to-delete">10. PIMENTA, C.A.M. Cat&#233;ter peridural para analgesia domiciliar: Uma terapia para dor oncol&#243;gica.<italic> Rev. Esc. Enf. USP, </italic>v.27, n.2, 1993 (prelo).  </p>
    <p content-type="ref-to-delete">11. PIMENTA, C.A.M., CORREA, C., NOBREGA, M.C., TEIXEIRA, M.J.<italic> Utiliza&#231;&#227;o de cat&#233;teres e reservat&#243;rios para infus&#227;o de analg&#233;sicos no sistema nervoso central.</italic> Manual de orienta&#231;&#227;o para pacientes. ABBOTT- Laborat&#243;rio do Brasil, 1993.  </p>
    <p content-type="ref-to-delete">12. PIMENTA, C.A.M.; ARAUJO, T.L.; LIMA, E.S.; TEIXEIRA, M.J. Analgesia domiciliar com cat&#233;ter peridural: Ensinando o paciente o auto-cuidado. Encontro Internacional: Pesquisa em Enfermagem: uma quest&#227;o de Sa&#250;de. In: <italic>Programa,</italic> 1992, r.22, p.62.  </p>
    <p content-type="ref-to-delete">13. PLUMMER, J.L. et al. Long-term spinal administration of morphine in cancer and non-cancer pain: a retrospective study.<italic> Pain,</italic> v.44, p.315-20,1991. </p>
    <p content-type="ref-to-delete">14. ROSEN, H.F. e CALIO, M.M. An Epidural Analgesia Program: Balancing Risks and Benefits<italic> Cit. Care Nurse. </italic>v.10, n.8, p.32-41, 1990. </p>
    <p>15. WILLIAMS, A.R. et al. Chronic cancer pain manegement whith Du Pen epidural catheter.<italic> Cancer Nurs. v.13, n.3,p. 176-82, 1990. </italic></p>
    <p>Recebido para publica&#231;&#227;o em 4.12.93</p>
    <p>
      <fn id="fn_a">
        <label>*</label>
        <p>Trabalho apresentado como Tema Livre no 45&#186; Congresso Brasileiro de Enfermagem. Olinda-Recife-PE, 28 de novembro a 3 de dezembro de 1993.</p>
      </fn>
    </p>
  </body>
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