Perfil do paciente com dor crônica atendido em um ambulatório de dor de uma grande cidade do sul do Brasil

Cipriano, A. Solimeno; Almeida, Daniel Benzecry de; Vall, Janaína

doi:10.1590/s1806-00132011000400003

Cited by 20 publications

(25 citation statements)

References 10 publications

(11 reference statements)

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“…It is estimated than 80% of the world population look for the health system due to this morbidity 5 . In Brazil, it is estimated that chronic pain affects between 30% and 40% of the population and is the primary reason for absenteeism, medical leaves, early retirement, labor indemnities and low productivity, being considered a public health problem [6][7][8] . In January 2000, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has published a standard describing pain as the fifth vital sign.…”

Section: Introductionmentioning

confidence: 99%

Prevalência de dor crônica em uma Unidade Básica de Saúde de cidade de médio porte

Ruviaro¹,

Filippin²

2012

Rev. dor

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Section: Introductionmentioning

confidence: 99%

Prevalência de dor crônica em uma Unidade Básica de Saúde de cidade de médio porte

Ruviaro¹,

Filippin²

2012

Rev. dor

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“…In our study, the most prevalent cause of pain referred by patients was musculoskeletal pain (54%). In other studies, most prevalent pain is equally musculoskeletal pain 18 and headache 19 , however in chronic pain patients. Most patients were medicated with tramadol and paracetamol, and only five patients had prescription of a stronger opioid.…”

Section: Discussionmentioning

confidence: 79%

Prevalência e características de dor em pacientes internados em hospital português

Silva¹,

Dixe²

2013

Rev. dor

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BACKGROUND AND OBJECTIVES:Studies on pain prevalence systematically point to high values. Although not comparable, a global analysis allows inferring that from every two hospitalized patients, one is in pain. This study aimed at determining pain prevalence, its characteristics, analgesic treatment and satisfaction of patients admitted to a hospital in the Center of Portugal with regard to pain evaluation and treatment. METHODS: This is a transversal and observational study with 141 patients admitted for at least 24 hours to surgical and medical units (excluded those unable to communicate), with mean age of 69 years, of both genders, who were interviewed after compliance with respective formal and ethic procedures. RESULTS: Pain prevalence in the 24 hours previous to the study was 52.5% (28.8% severe pain). During interviews, prevalence has decreased to 41.1% (2.7% severe pain). Patients with more severe pain were admitted to surgical services and pain was primarily musculoskeletal. Most patients with pain have waited no more than ten minutes before analgesics were administered. From 57 patients referring pain during data collection, 46 (80.7%) did not require a different drug and 91.3% were happy with their treatment. CONCLUSION: In this institution, there has been pain prevalence and approach similar to the literature, but pain remains undertreated. Such data shall allow the definition and implementation of a more focused and effective pain control program. MÉTODOS:Estudo transversal e observacional realizado com 141 pacientes, internados há pelo menos 24 horas, em unidades cirúrgicas e médicas (excluídos os não comunicantes), com idade média de 69 anos, de ambos os gêneros, a quem foi realizada uma entrevista após o cumprimento dos respetivos procedimentos formais e éticos. RESULTADOS: Obteve-se prevalência de dor nas 24 horas anteriores ao estudo de 52,5% (28,8% dor intensa). Na altura da entrevista, a prevalência diminuiu para 41,1% (2,7% de dor intensa). Os pacientes com mais dor estavam internados nos serviços cirúrgicos e o tipo de dor era sobretudo musculoesquelé-tica. A maioria dos pacientes com dor esperou, no máximo, 10 minutos, para lhe ser administrado um analgésico. Dos 57 que referiram dor no momento da coleta dos dados, 46 (80,7%) não desejaram outro fármaco e 91,3% mostraram-se satisfeitos com o seu tratamento. CONCLUSÃO: Nessa instituição houve prevalência e abordagem da dor semelhantes às da literatura, mas a dor ainda se encontra subtratada. Esses dados permitirão a definição e implementação de um programa de controle de dor mais dirigida e eficaz. Descritores: Dor, Intensidade da dor, Prevalência de dor, Satisfação do paciente, Tratamento da dor. INTRODUCTIONPain is a universal and transversal problem to many diseases. It is subjective, very often difficult to describe, but patients should feel that health professionals are willing to listen to them. If untreated, pain leads to several adverse effects, such as cardiovascular, immunological, thrombotic, psychological, social, sleep...

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“…With regard to studied population, table 1 shows predominance of females in all studies, being fibromyalgia (FM) the most frequent diagnosis. Nevertheless, literature shows that the prevalence of CP diagnosis is higher in females as compared to males, moreover in case of FM 29,30 . Females also look more often for health services 31 , which could justify their prevalence in selected studies.…”

Section: Contentsmentioning

confidence: 95%

Group cognitive-behavioral therapy for chronic pain adults: review of Brazilian trials

Kirchner¹,

Jorge²,

Reis³

2015

Revista Dor

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BACKGROUND AND OBJECTIVES:Group cognitive--behavioral therapy has shown to be effective for chronic pain management in the international literature. However, the need to bring evidence-based practices to health services requires that therapies like this are implemented and evaluated in Brazil. This study has not intended to evaluate the efficacy of group cognitive-behavioral therapy for chronic pain adult patients, but rather to identify how studies in this area are being performed by Brazilian investigators. CONTENTS: A search was carried out about Brazilian studies published in the last two decades , evaluating the efficacy of group cognitive-behavioral therapy for adults with non-malignant chronic pain. Health Virtual Library databases were used and search terms were: Chronic pain "and" Psychology "or" Cognitive-Behavioral Therapy. Evaluated variables were clinical and socio-demographic characteristics, pre and post-intervention evaluation tools, sessions' structure (sessions number and duration), primary results, and evaluation of the quality of studies by means of the PEDro scale. CONCLUSION: Six out of 816 articles available were selected for analysis, because they were the only ones to meet chosen search criteria. One should stress the scarcity of Brazilian studies in the area, the use of exclusively subjective evaluations aimed at unidimensional pain aspects, and the concern with the methodological quality of studies, especially with regard to internal validity. Keywords: Chronic pain, Group cognitive-behavioral therapy, Psychology. Group cognitive-behavioral therapy for chronic pain adults: review of Brazilian trials* RESUMO JUSTIFICATIVA E OBJETIVOS:A terapia cognitivo-comportamental em grupo tem se mostrado eficiente no tratamento para dor crônica, na literatura internacional. Entretanto, a necessidade de trazer práticas baseadas em evidências para os serviços de saúde exige que tratamentos como este sejam implantados e avaliados no Brasil. O presente estudo não pretendeu analisar a eficácia da terapia cognitivo-comportamental em grupo para adultos com dor crônica, mas identificar como os estudos nessa área têm sido conduzidos por pesquisadores brasileiros. CONTEÚDO: Realizou-se uma busca de estudos brasileiros publicados nos últimos 20 anos , que avaliaram a eficá-cia da terapia cognitivo-comportamental em grupo para adultos com dor crônica não maligna. Utilizaram-se as bases de dados da Biblioteca Virtual em Saúde, e os termos de busca foram: Dor Crônica "and" Psicologia "or" Terapia Cognitivo-Comportamental. As variáveis avaliadas foram características clinicas e sócio-demográficas dos participantes, instrumentos de avaliação pré e pós-intervenção, estrutura das sessões (quantidade e duração das sessões), principais resultados, eanálise da qualidade dos estudos realizada por meio da escala PEDro. CONCLUSÃO: Seis dos 816 artigos disponibilizados foram selecionados para análise, pois foram os únicos a atingir os critérios de busca escolhidos. Destaca-se a escassez de estudos brasileiros na ...

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Perfil do paciente com dor crônica atendido em um ambulatório de dor de uma grande cidade do sul do Brasil

Cited by 20 publications

References 10 publications

Prevalência de dor crônica em uma Unidade Básica de Saúde de cidade de médio porte

Prevalência de dor crônica em uma Unidade Básica de Saúde de cidade de médio porte

Prevalência e características de dor em pacientes internados em hospital português

Group cognitive-behavioral therapy for chronic pain adults: review of Brazilian trials

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