Objectives:to evaluate the evidence from the literature regarding the effects of cupping therapy on chronic back pain in adults, the most used outcomes to evaluate this condition, the protocol used to apply the intervention and to investigate the effectiveness of cupping therapy on the intensity of chronic back pain. Method:systematic review and meta-analysis carried out by two independent researchers in national and international databases. Reference lists of systematic reviews were also explored. The quality of evidence was assessed according to the Jadad scale. Results:611 studies were identified, of which 16 were included in the qualitative analysis and 10 in the quantitative analysis. Cupping therapy has shown positive results on chronic back pain. There is no standardization in the treatment protocol. The main assessed outcomes were pain intensity, physical incapacity, quality of life and nociceptive threshold before the mechanical stimulus. There was a significant reduction in the pain intensity score through the use of cupping therapy (p = 0.001). Conclusion:cupping therapy is a promising method for the treatment of chronic back pain in adults. There is the need to establish standardized application protocols for this intervention.
RESUMO Objetivo Investigar os ensaios clínicos randomizados sobre a ação da acupuntura auricular para a dor crônica nas costas em adultos, identificar os desfechos mais utilizados para avaliar essa condição, o protocolo utilizado para aplicar a intervenção e identificar nos estudos qual o efeito da terapia sobre a intensidade da dor. Método Revisão sistemática e metanálise, conduzidas entre junho de 2017 e maio de 2018, nas bases de dados PubMed, CINAHL, PEDro, Embase, Scopus e na Biblioteca Virtual em Saúde. Listas de referências de revisões sistemáticas também foram exploradas. Resultados Foram localizados 427 estudos, 15 incluídos na análise qualitativa, e sete na análise quantitativa. A acupuntura auricular obteve resultados positivos em 80% dos estudos. Os desfechos mais utilizados foram a intensidade e a qualidade da dor, consumo de medicação, incapacidade física e qualidade de vida. Não há padronização no protocolo de acupuntura auricular para dor crônica nas costas. Os resultados da metanálise apontaram que a acupuntura auricular foi eficaz em reduzir os escores de intensidade da dor (p=0,038). Conclusão A acupuntura auricular é uma prática promissora para o tratamento da dor crônica nas costas em adultos.
Objectives:to estimate the prevalence of impaired tactile sensory perception, identify risk factors, and establish a risk prediction model among adult patients receiving antineoplastic chemotherapy. Method:historical cohort study based on information obtained from the medical files of 127 patients cared for in the cancer unit of a private hospital in a city in Minas Gerais, Brazil. Data were analyzed using descriptive and bivariate statistics, with survival and multivariate analysis by Cox regression. Results:57% of the 127 patients included in the study developed impaired tactile sensory perception. The independent variables that caused significant impact, together with time elapsed from the beginning of treatment up to the onset of the condition, were: bone, hepatic and regional lymph node metastases; alcoholism; palliative chemotherapy; and discomfort in lower limbs. Conclusion:impaired tactile sensory perception was common among adult patients during chemotherapy, indicating the need to implement interventions designed for early identification and treatment of this condition.
Objective: To evaluate the prevalence of altered touch perception in the feet of individuals with diabetes mellitus and the associated risk factors. Method: Cross-sectional study with 224 individuals with diabetes mellitus conducted in an endocrinology clinic at a public hospital in Campina Grande, Paraíba. The evaluation used touch sensitivity and perception, and a descriptive and multivariate analysis with Poisson regression was performed. Results: We found the prevalence of altered touch perception to be 53.1%. The risk factors that had a significant and joint impact on its occurrence were: female gender; previous ulcer; diabetes mellitus type 2; burning sensation, cracks, fissures, calluses, and Charcot foot. Conclusions: This study found a high prevalence of altered perception of touch, and this should support the planning of actions aimed at preventing the problem. The study showed the relevance of the phenomenon as a nursing diagnosis that could be included in NANDA-International.
RESUMOObjetivos: Descrever os fatores etiológicos e os sinais e sintomas do fenômeno percepção sensorial tátil alterada em pessoas com Diabetes Mellitus. Métodos: Trata-se de uma revisão integrativa da literatura realizada no período de agosto a setembro de 2016. A busca foi feita nas bases de dados da PUBMED, CINAHL, SCOPUS, LILACS, IBECS, MEDCARIB e BDENF, utilizando os seguintes descritores: neuropatias diabéticas, tato, percepção tátil, transtornos da percepção, distúrbios somatossensoriais e enfermagem. Foram identificadas 1371 publicações e uma amostra de 23 estudos foi obtida. Estes foram classificados de acordo com o nível de evidência. Resultados: As publicações datam desde 1992 a 2015, com maior produção nos Estados Unidos. Os estudos foram do tipo transversal, prevalecendo nível de evidência IV. A dor foi o sintoma mais prevalente, seguida de perda sensorial, dormência e formigamento. Com relação aos fatores etiológicos destacou-se o tempo de convivência com o problema, hemoglobina glicosilada alterada, idade avançada e hipertensão arterial. Conclusão: Constatou-se que o fenômeno tem sido compreendido como uma alteração neurológica. A identificação precoce dos agentes etiológicos e as manifestações clínicas são importantes para o seguimento dos pacientes, bem como a monitorização da sua evolução e controle glicêmico. ABSTRACTObjectives: To describe the etiologic factors, and signs and symptoms of altered tactical sensory perception phenomenon in people with Diabetes Mellitus. Methods: This is an integrative review of the literature performed from August to September 2016. The search was conducted in PUBMED, CINAHL, SCOPUS, LILACS, IBECS, MEDCARIB and BDENF databases, using the following descriptors: diabetic neuropathies, touch, tactile perception, perception disorders, somatosensory disorders and nursing. There were 1371 publications, obtaining a sample of 23 studies, classified according to the level of evidence. Results: The publications date from 1992 to 2015, with greater production in the United States. The studies were of the cross-sectional type, prevailing level of evidence IV. Pain was the most prevalent symptom, followed by sensory loss, numbness and tingling. Regarding the etiological factors, living time with the problem, altered glycosylated hemoglobin, advanced age and arterial hypertension stood out. Conclusion: The phenomenon has been understood as a neurological alteration. Early identification of etiologic agents and clinical manifestations are important for patients' follow-up as well as their evolution monitoring and glycemic control. RESUMENObjetivos: Describir los factores etiológicos y los sígnales y síntomas del fenómeno de percepción sensorial táctica alterada en personas con Diabetes Mellitus. Métodos: La busca fue realizada en las bases de datos de PUBMED, CINAHL, SCOPUS, LILACS, IBECS, MEDCARIB y BDENF utilizando los siguientes descriptores: neuropatías diabéticas, tacto, percepción táctil, trastornos de la percepción, trastornos somatosensoriales y enfermería. Se identific...
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