Revisão sistemática da literatura
: avaliação da dor em cuidados paliativos

  • Liliana João de Sousa Monteiro Ribeiro (Student)

Student thesis: Master's Thesis


Background: pain control is a priority in palliative care. Intensity is one of the major elements in pain assessment, and should be evaluated through scales,which enhance its objectivity. The knowledge and adequate use of the existing instruments for pain evaluation is essential.Aim: identification of valid and reliable pain assessment instruments, and verify if those instruments are validated for the Portuguese population.Methods: a systematic literature review was undertaken, on Pubmed® database. Papers published on the period between 2000 and 2015, written in English, French, Spanish and Portuguese were included. Results: 3217 articles were identified, after exclusion and inclusion criteria and abstract review, 103 papers were selected for full text analysis. 16 different pain assessment instruments were identified and characterized. Heterogeneity in pain assessment scales was found, and these could be broadly divided in: one dimensional instruments, multi-dimensional and quality of life scales. Discussion: An absence of consensus regarding pain evaluation scales was identified. Besides of, it was possible to make an extensive survey of pain assessment scales, identifying the psychometric characteristics of each of the identified scales, country, and type of study, context, target population and number of citations.This study confirms the need for standardization of pain assessment scales, by the health services, in compliance with the World Health Organization recommendations for Palliative Care.
Date of Award6 Mar 2018
Original languagePortuguese
Awarding Institution
  • Universidade Católica Portuguesa
SupervisorManuel Luís Capelas (Supervisor)


  • Palliative care
  • Terminal illness
  • Systematic review
  • Instruments
  • Ache


  • Mestrado em Cuidados Paliativos

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