Perfil sócio-demográfico e clínico de uma coorte de pacientes encaminhados a uma Clinica de Dor

Forni, José Eduardo Nogueira; Martins, Marielza Regina Ismael; Rocha, C.; Foss, Marcos Henrique Dall’Aglio; Dias, Lilian Chessa; Santos, Randolfo dos; Detoni, Michele; Cunha, Ana Marcia Rodrigues; Silva, Sebastião Carlos da

doi:10.1590/s1806-00132012000200010

Cited by 5 publications

(4 citation statements)

References 20 publications

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“…A literatura refere maior prevalência de dor crônica em idosos, porém apenas um estudo apresentou correlação positiva entre tempo e intensidade de dor, e somente para o sexo feminino 7 . No presente estudo, a dor mais intensa foi relacionada aos quartis intermediários, de um ano e meio a sete anos, sugerindo que a dor ainda era uma experiência nova nos pacientes do primeiro quartil e que os pacientes com mais tempo de dor e também mais idosos tendiam a buscar uma adaptação ao quadro álgico, embora sofram também com as flutuações da intensidade da dor.…”

Section: Discussionunclassified

“…Uma revisão sistemática 5 sobre a prevalência de dor crônica na população geral de países desenvolvidos aponta média de 35,5%, variando de 11,5% a 55,5%, sendo de característica intensa em 11% dos adultos, considerando-se os critérios estabelecidos pela International Association for the Study of Pain (IASP): ausência de base biológica aparente e duração por três meses ou mais, ou seja, além do período esperado para a cicatrização tecidual normal. No Brasil, a dor crônica é estimada entre 30% e 40% da população 6 , mas não há registro de estudos epidemiológicos com amostra populacional representativa do país 7 .…”

Section: Introductionunclassified

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Prevalência de sintomas depressivos e ansiosos em pacientes com dor crônica

Pinheiro

Uchida

Mathias

et al. 2014

J. bras. psiquiatr.

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Objetivos O presente estudo objetivou avaliar a prevalência de sintomas ansiosos e depressivos e relacioná-los com os diferentes tipos e magnitudes de dor crônica; também objetivou caracterizar a população de casos novos agendados para atendimento no ambulatório de dor crônica, no serviço onde o estudo foi realizado. Métodos Estudo de corte transversal, realizado em um ambulatório docente-assistencial para tratamento de dor crônica, realizado entre maio de 2012 e abril de 2013, com 125 pacientes. Instrumentos utilizados Questionário sociodemográfico, Escala Hospitalar de Ansiedade e Depressão (HAD) e Escala Visual Numérica (EVN) para aferir a intensidade de dor. Resultados Dor intensa foi referida por 64% (n = 80) dos pacientes. Ansiedade atingiu 65% (N = 82) dos pacientes e a depressão, 48% (N = 60). Houve correlação significante entre os mais altos escores de ansiedade (p < 0,001) e depressão (p < 0,001) com a intensidade de dor. A correlação entre intensidade de dor e sintomas ansiosos e depressivos foi positiva para dor crônica neuropática e mista. Os fatores sociodemográficos associados à intensidade de dor crônica foram: renda e religião para depressão, e tempo de dor para ansiedade. Conclusão O estudo mostrou elevada prevalência de sintomas depressivos e ansiosos em pacientes com dor crônica, assim como relação significante desses sintomas psiquiátricos com alguns tipos e intensidade de dor.

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Section: Discussionunclassified

Section: Introductionunclassified

Prevalência de sintomas depressivos e ansiosos em pacientes com dor crônica

Pinheiro

Uchida

Mathias

et al. 2014

J. bras. psiquiatr.

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“…In recent years, the choice of multidisciplinary pain management clinics as alternative for traditional chronic pain management is becoming popular. However, information about users of such health service is still scarce in scientific studies 8 . The interaction between different knowledge and patients' multidisciplinary approach in pain clinics positions them as active subjects in the therapeutic process and provides a holistic vision to professionals, which makes clinical information more detailed and the diagnosis faster 9 .…”

Section: Discussionmentioning

confidence: 99%

Clinical topographic analysis of neuropathic pain in patients admitted in a center of multidisciplinary treatment

Santos¹,

Fornel²,

Bezerra³

et al. 2014

Revista Dor

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BACKGROUND AND OBJECTIVES: Verbal investigation is a critical step of nursing neurological evaluation of neuropathic pain patients, due to its multidimensionality. There are few studies in the literature specifically dealing with this subject. In light of the above, this study aimed at evaluating medical records on clinical topographic characteristics of neuropathic pain reported by patients from a multidisciplinary management center. METHODS: This is a documental, crossover and quantitative study evaluating 50 medical records of patients with established neuropathic pain diagnosis who came for routine consultations between January and June 2014. Data collection form was based on McGill Pain Questionnaire and data regarding age, gender, pain topography and presence of verbal descriptors were analyzed. Data were submitted to statistical analysis and Chi-square test was applied to compare association among variables. RESULTS: There has been prevalence of females (64%), with mean age of 57 years. Most common pain descriptors were from the sensory dimension and were associated to cases where neuropathy affected lower limbs (p=0.006). CONCLUSION: There has been association between topography and pain dimension. Due to the subjectivity and complexity involving neuropathic pain evaluation, it is necessary to understand its clinical manifestations and to prepare the whole multidisciplinary team, especially Nursing, which plays a critical role in verbal investigation of painful patients.

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“…FCIC are frequent in pain clinics because this is a common disorder in cancer patients under opioids for pain control 9 . Face to this, the quality of life of this group is impaired due to abdominal distension and its consequences, regionally characterized by abdominal fullness sensation, continuous or stabbing pain, cramps, psychological discomfort, increased rectal compliance and decreased sensation of rectal content and, not uncommonly, with symptoms in other segments of the body, such as chest, where the expression is constrictive-type pain (splenic angle syndrome), and not the fact of feeling that their intestine is just constipated 9,10 . Pain clinics have several interventions 11 , however the effectiveness of most of them has not yet been shown.…”

Section: Introductionmentioning

confidence: 99%

Impacto da terapia manual visceral na melhora da qualidade de vida de pacientes com dor abdominal crônica

Ferraz¹,

Martins

Foss

2013

Rev. dor

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BACKGROUND AND OBJECTIVES: Abdominal pain secondary to functional chronic intestinal constipation (FCIC) affects a substantial number of people, especially females. This study aimed at evaluating the efficacy of manual visceral therapy in patients of a Pain Clinic to confirm this intervention as a tool to improve constipation and increase lumbar mobility and, as a consequence, better quality of life (QL). METHOD: This is a clinical trial with convenience sample of 20 patients complaining of intestinal function changes and lumbar vertebral mobility restriction. Bio-socio-demographic characteristics were analyzed and the Rome III Criteria questionnaire, Shöeber test, middle finger to floor test and quality of life inventory SF-36 were used to evaluate constipation, lumbar mobility and QL, respectively, before and after receiving manual visceral therapy (MVT). RESULTS: Patients, especially females, mean age of 38.42 ± 19.23, had significant improvement between evaluation and revaluation, in four SF-36 domains (functional capacity, pain, general health and vitality-p < 0.05) and improvement of intestinal constipation and lumbar mobility. CONCLUSION: MVT proposed and applied to individuals with chronic abdominal pain secondary to FCIC in this study was able to improve intestinal constipation and lumbar mobility, in addition to QL of participants.

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Perfil sócio-demográfico e clínico de uma coorte de pacientes encaminhados a uma Clinica de Dor

Cited by 5 publications

References 20 publications

Prevalência de sintomas depressivos e ansiosos em pacientes com dor crônica

Prevalência de sintomas depressivos e ansiosos em pacientes com dor crônica

Clinical topographic analysis of neuropathic pain in patients admitted in a center of multidisciplinary treatment

Impacto da terapia manual visceral na melhora da qualidade de vida de pacientes com dor abdominal crônica

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