Desenvolvimento de um software para avaliação e graduação de dor em crianças hospitalizadas com diagnóstico de câncer

Abstract

Pain is an unpleasant sensory and emotional experience associated with present or potential harm or described in terms of such damage. The assessment of pain in children is arelevant factor in care, as it is up to these professionals to make decisions about pain relief and patient discomfort measures. The use of instruments for pain assessment makes it possible to ensure that the child is experiencing what is being evaluated, and not what the professional thinks is feeling. The use of playing in the hospital promotes therapeutic action, as well as assisting in the integral care of the children’s needs. The aim of this study is to develop software to assist in the pain assessment and grading process in hospitalized children diagnosed with cancer. It is a software system for the Android mobile operating system, with JAVASCRIPT and CSS HTML programming language, a low cost, high efficiency and safe product to help in pain measurement in children, through face scales validated in Brazil. . After development, a final validation was performed comparing the functional flow of the application with the conventional physical scale of pain commonly found in the medical records of health facilities, especially health services that serve children. This comparison made it possible to verify that there were no losses in the process due to computerization of it. Thus, we favored the subjectivity reduction of the evaluator regarding pain, besides subsidizing the therapeutic choice of the patient and standardizing the language of the multiprofessional team. At the end, an applicability and adherence inspection of the electronic form analyzed through the ISSO (International Organization for Standardization) 9241- 143: 2014 was performed. The applicability checklist was performed in the screens: “Login Screen”, “Patient Registration Screen” and “Consultation Registration Screen. Of the 78 items evaluated, only 46.15% of the standard (36) were applicable to the form. Of the 36 applicable items, 16.66% (6) failed. The highest incidence of errors was in the subthemes: ‘Control’ (2) and ‘Layout’ (2). Although some flaws are also noted in the Feedback section (2), the user will hardly be confused due to the minimalist and straightforward nature of the form.