Resumo
Objetivo: Realizar uma revisão sistemática qualitativa com metassíntese sobre o manejo e a avaliação da dor aguda não cirúrgica em crianças, segundo a percepção de seus acompanhantes.
Introdução: A dor aguda pediátrica é prevalente, mas frequentemente negligenciada. Compreender a percepção dos cuidadores sobre seu tratamento e avaliação, fora do contexto pós-operatório, é essencial. Diante da ausência de uma síntese sobre o tema, esta revisão foi desenvolvida.
Critérios de inclusão: Estudos com responsáveis por crianças de 28 dias a 12 anos que buscaram atendimento para dor aguda (≤3 meses) não cirúrgica, decorrente de lesão ou condição médica. Foram incluídos artigos que investigaram a percepção dos cuidadores sobre o manejo da dor por profissionais da saúde, com acesso gratuito e abordagem qualitativa (fenomenologia, teoria fundamentada, etnografia, pesquisa-ação e pesquisa feminista).
Métodos: A busca foi realizada em PubMed, Scielo e Scopus (março/2024), incluindo estudos em inglês ou português, publicados entre 2010 e 2024, com os termos selecionados no título e/ou resumo. Os títulos e resumos foram triados conforme os objetivos da revisão, e os estudos relevantes foram analisados integralmente. A qualidade metodológica e os dados extraídos (metodologia, população, intervenção, resultados) foram avaliados por instrumentos padronizados. Os achados foram organizados em categorias e sintetizados.
Resultados: Três estudos foram incluídos, gerando duas metassínteses a partir de cinco categorias e 37 achados: i) acompanhantes sentiram que suas experiências e o contexto familiar/cultural não foram considerados adequadamente; ii) os pais avaliaram o desempenho da equipe na avaliação da dor como deficiente.
Conclusão: Cuidadores desejam uma abordagem mais proativa, inclusiva e colaborativa dos profissionais da saúde. A parceria entre profissionais, crianças e acompanhantes poderia
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